Severity and Dimensions of Obsessive-Compulsive Disorder and Family Accommodation: OCD severity and Family Accommodation

Abstract

Background and Objectives: Family accommodation (FA) refers to ways in which family members assist the patient in the performance of rituals, compulsions, avoidance of anxiety provoking situations, or modification of daily routines to assist a relative with obsessive-compulsive disorder. The purpose of this study was to study the association between the family accommodation and dimensions of obsessivecompulsive disorder (OCD). Methods: The study was included 45patients and their family members, Yale brown Obsessive-Compulsive scale (YBOCS) was used to assess the severity of OCD in patients and Dimensional Yale brown Obsessive-Compulsive scale (DYBOCS) was used to identify the severity of different dimensions in OCD patients family members were assessed on Family Accommodation Scale for Obsessive-Compulsive Disorder-Self Rated version (FAS-SR) for understanding accommodation level in family. A Pearson's correlation coefficient was used to evaluate the association between variables. Results: FA was found to be highly present in the family of patients with OCD. On the DYBOCS we found the dimension of cleaning and washing were prevalent and highly correlated with FA. Conclusion: The findings suggested that the family accommodation is very common in families of OCD patients and strongly associated with symptom severity of few specific dimensions.

Cross-sectional study of internalised stigma and medication adherence in patients with obsessive compulsive disorder

“…In the present study, the mean age of the patients was found to be 32.04 (9.41) years, and most patients were female and married, which is similar to other studies conducted in this geographical region 22 23. The mean age of onset of illness was 25.75 (8.55) years, as seen in other studies 22 24. Among the psychiatric comorbidities, depression was found to be the most common (23.21%), a finding that is consistent with other studies 24 25.…”

“…This variation may be due to comparatively smaller sample size and stringent selection criteria in our study. An Indian study reported a mean Y-BOCS score of 25.86 (8.07), which was similar to that of our study 22…”

“…Another study on patients with mixed neurotic spectrum and depressive disorders revealed a mean ISMI score of 66.78 (13.71) 27. Other studies also showed similar results 2 22 28. This underlines that self-stigma is a matter of concern for those suffering from severe mental illnesses and to those with OCD.…”

Family accommodation as a predictor of treatment outcome in outpatient intensive cognitive behavioral therapy of adult obsessive compulsive disorder

“…Further, explorative analysis showed a positive relationship between the OCD subtypes contamination and symmetry and family accommodation. This is in line with research that repeatedly found family accommodation to be associated with contamination symptoms (Boeding et al, 2013;Shrinivasa et al, 2020;Verma, Mahour, Dalal, & Agarwal, 2019). We hypothesize that contamination obsessions and compulsions are particularly well-suited for accommodation, because they are overt, often highly impairing, strongly disturbing family functioning and possibly easier to understand and relate to.…”

Family perception of the symptoms of Obsessive-Compulsive Disorder patient and the family accommodation

“…Few studies investigating the relationship between FA and symptom dimensions showed that family members present higher FA scores on cleaning/contamination symptoms (Albert et al, 2010; S. Evelyn Stewart et al, 2008; Verma et al, 2019). One study found no association between FA and OCD symptom dimensions (Gomes et al, 2014).…”