Testing a conceptual model of patient and family predictors of obsessive compulsive disorder (OCD) symptoms

Noppen, Barbara Van; Steketee, Gail

doi:10.1016/j.brat.2008.10.005

Cited by 52 publications

(59 citation statements)

References 38 publications

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“…Conversely, our results were slightly higher than the means reported by Calvocoressi et al [3] (12.1 ± 9.79; range: 0-38) and Van Noppen & Steketee [7] (13.2 ± 9.54; range 0-40). A possible explanation for these results could be our larger sample size (114 here vs. 36 [3] and 50 [7]), as well as the more severe symptoms observed in our patients (mean Y-BOCS score of 26.9 in our study vs. 20 in Van Noppen & Steketee [7]). Also, most of the patients assessed by Calvocoressi et al were already receiving treatment.…”

Section: Discussioncontrasting

confidence: 81%

“…In an attempt to understand the interrelationships among family and OCD patient variables, one study [7] found that FA was the variable with the largest contribution to explain the variance in OCD symptom severity (as measured by the Yale-Brown ObsessiveCompulsive Scale [Y-BOCS]), when compared to other family variables such as expressed emotion (hostility, criticism, and emotional over-involvement) and criticism perceived by the patient, suggesting a directional relationship and an association between the two variables.…”

Section: Introductionmentioning

confidence: 99%

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Family Accommodation Scale for Obsessive–Compulsive Disorder—Interviewer-Rated (FAS-IR), Brazilian Portuguese version: Internal consistency, reliability, and exploratory factor analysis

Gomes

Cordioli

Noppen

et al. 2015

Comprehensive Psychiatry

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Section: Discussioncontrasting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Family Accommodation Scale for Obsessive–Compulsive Disorder—Interviewer-Rated (FAS-IR), Brazilian Portuguese version: Internal consistency, reliability, and exploratory factor analysis

Gomes

Cordioli

Noppen

et al. 2015

Comprehensive Psychiatry

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“…In accordance with previous research findings of family member's tendency to become over-involved emotionally with their loved ones' OCD (Van Noppen & Steketee, 2009), Brianne would often begin to feel anxious when Charlie ritualized, and her subsequent attempts to accommodate during these occasions resulted in a decrease of her own anxiety, thus negatively reinforcing her accommodation behaviors. Initially, she was surprised that her own emotional state could have been so closely associated with her son's.…”

Section: Patient-specific Factorssupporting

confidence: 60%

“…There are a variety of reasons why someone chooses to accommodate their loved one's rituals. Accommodation behaviors have been shown to be related to increased levels of family dysfunction and stress, emotional over-involvement with the identified patient (Van Noppen & Steketee, 2009) and a lack of educational information regarding the nature of the disorder itself. In some cases, family members may elect to accommodate rituals simply as a means of minimizing household disruption.…”

Section: Guiding Conception With Research and Clinical Experience Supmentioning

confidence: 99%

Treating a Mother's Accommodation Behaviors of Her Adult Son's OCD: The Case of "Brianne" and "Charlie"

Marinchak¹

2013

PCSP

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Obsessive-compulsive disorder (OCD) is an anxiety disturbance in which distress and impairment extend beyond the patient to their immediate family members. Many family members become involved in their loved one's compulsions by engaging in accommodation behaviors, which ultimately make it easier to perform compulsions or avoid obsession-invoking triggers, frequently exacerbating the severity of the OCD symptoms and decreasing motivation for treatment. Also, accommodation behaviors can indirectly result in negative consequences for the family member engaging in them and for other non-OCD members of the family, reducing their quality-of-life. The current case study documents and discusses a 3-month, 10-session, cognitive-behavioral treatment designed to help "Brianne," a married Caucasian mother of two in her 40s, reduce her accommodation behaviors with her 19-year-old son, "Charlie," who was unmotivated to accept treatment for his diagnosed OCD and who was living at home. In line with the above, the treatment was premised on the hypothesis that reducing Brianne's accommodation behaviors would have a positive impact not only on Charlie and Brianne, but also on the other two members of Brianne's nuclear family: her husband "Jack," and her older son "Shane." The therapy focused on (a) providing Brianne with psychoeducation regarding the nature of OCD and the negative impact of accommodation behaviors, (b) developing Brianne's alternative coping behaviors in response to Charlie's rituals, (c) offering Brianne communication training, and (d) promoting Brianne's self-care behaviors. Results indicate that the treatment was effective in reducing Brianne's accommodation and improving her quality of life as well as her husband's and other son's within the household, but that more treatment was likely necessary in order to consolidate therapeutic gains. The treatment did not appear to impact Charlie's OCD treatmentseeking motivation nor his levels of anxiety or aggressive outbursts by the end of therapy. Factors contributing to the results of the treatment are discussed. Overall, the case results suggest that family members living with OCD-diagnosed adults not currently seeking treatment can derive benefit from a brief intervention designed to reduce accommodation behaviors, improve family communication, and promote self-care.

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“…7 In a series of pathway analyses, those authors identifi ed that family accommodation made the largest, most signifi cant contribution to OCD symptom severity in both patient-rated and relative-rated measures of perceptions of family responses. Accordingly, the strongest determinant of family accommodation was a relative's assessment of the degree of control the patient had over their behavior.…”

mentioning

confidence: 99%

Translation and adaptation into Brazilian Portuguese of the Family Accommodation Scale for Obsessive-Compulsive Disorder - interviewer-Rated (FAS-IR)

Gomes

Calvocoressi²,

Noppen³

et al. 2010

Rev. psiquiatr. Rio Gd. Sul

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Objective: To describe the process of translation and adaptation into Brazilian Portuguese of the Family Accommodation Scale for ObsessiveCompulsive Disorder -Interviewer-Rated (FAS-IR). Method: The process of translation and adaptation of the scale involved four bilingual health professionals. The scale was initially translated into Brazilian Portuguese independently by two professionals. Then, the two versions were compared, resulting in a preliminary Portuguese version that was administered to 15 relatives of patients diagnosed with obsessive-compulsive disorder (OCD) with different education levels, deliberately chosen to collect language adjustment suggestions. Subsequently, the scale was translated back into English independently by two other professionals. After comparing the two back translations, a new English version was generated. This version was reviewed and approved by the authors of the original scale. Results: The Brazilian Portuguese version of the FAS-IR proved to be easily understood and can be used in relatives of OCD patients from different socioeconomic backgrounds. Conclusion: Adaptation of the FAS-IR into Brazilian Portuguese will enable health professionals to assess the level of accommodation in relatives of OCD patients and allows the development of future studies aimed at 1) studying the infl uence of family accommodation on maintaining and possibly facilitating OCD symptoms, and 2) assessing the effect of family accommodation on treatment outcomes in Portuguese-speaking populations. Keywords: Obsessive-compulsive disorder, family relations, questionnaires, translation. ResumoObjetivo: Descrever o processo de tradução e adaptação para o português do Brasil da Family Accommodation Scale for Obsessive-Compulsive Disorder -Interviewer-Rated (FAS-IR). Método: O processo de tradução e adaptação da escala envolveu quatro profi ssionais de saúde bilíngues. A escala foi inicialmente traduzida de forma independente para o português do Brasil por dois profi ssionais. A seguir, as duas versões foram comparadas, resultando em uma versão inicial em português que foi aplicada a 15 familiares de pacientes com transtorno obsessivo-compulsivo (TOC), com diferentes níveis de instrução, deliberadamente escolhidos para coletar as sugestões de ajuste linguístico. Subsequentemente, a escala foi retrotraduzida independentemente por outros dois profi ssionais da saúde. Depois de comparar as duas retrotraduções, uma nova versão da escala foi gerada em inglês. Essa versão foi revisada e aprovada pelos autores da escala original. Resultados: A versão em português do Brasil da escala FAS-IR mostrou ser facilmente compreendida e pode ser usada em familiares de pacientes com TOC de diferentes níveis socioeconômicos. Conclusão: A FAS-IR adaptada ao português do Brasil fará com que profi ssionais de saúde possam avaliar o nível de acomodação em familiares de pacientes com TOC e permitirá a realização de futuros estudos com os objetivos de 1) estudar a infl uência da acomodação familiar na manutenção e, possi...

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Testing a conceptual model of patient and family predictors of obsessive compulsive disorder (OCD) symptoms

Cited by 52 publications

References 38 publications

Family Accommodation Scale for Obsessive–Compulsive Disorder—Interviewer-Rated (FAS-IR), Brazilian Portuguese version: Internal consistency, reliability, and exploratory factor analysis

Family Accommodation Scale for Obsessive–Compulsive Disorder—Interviewer-Rated (FAS-IR), Brazilian Portuguese version: Internal consistency, reliability, and exploratory factor analysis

Treating a Mother's Accommodation Behaviors of Her Adult Son's OCD: The Case of "Brianne" and "Charlie"

Translation and adaptation into Brazilian Portuguese of the Family Accommodation Scale for Obsessive-Compulsive Disorder - interviewer-Rated (FAS-IR)

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