Psychoeducation focused on family accommodation: a practical intervention for parents of children and adolescents with obsessive-compulsive disorder.
Adolescents
Children
Cognitive-behavioral therapy
Obsessive-compulsive disorder
Psychoeducation
Journal
Italian journal of pediatrics
ISSN: 1824-7288
Titre abrégé: Ital J Pediatr
Pays: England
ID NLM: 101510759
Informations de publication
Date de publication:
06 Nov 2021
06 Nov 2021
Historique:
received:
26
01
2021
accepted:
23
10
2021
entrez:
7
11
2021
pubmed:
8
11
2021
medline:
19
1
2022
Statut:
epublish
Résumé
Obsessive-compulsive disorder (OCD) is a neuropsychiatric disorder that is frequently diagnosed in children and adolescents. In pediatric OCD, family plays an important role in the development and maintenance of the disease. In this relationship, both genetic and behavioral factors, such as parental modeling and family accommodation, are significant. Parental modeling concerns the daily enactment of dysfunctional behavioral patterns by a parent with OCD, which may influence children. Family accommodation, in contrast, describes the direct participation of parents in their child's compulsive rituals, by modifying daily routines or by facilitating avoidance of OCD triggers, to decrease the child's distress and time spent executing compulsions. Approximately 80-90% of the relatives of OCD patients actively participate in patients' rituals. The literature demonstrates that a high level of family accommodation is associated with OCD symptom severity, reduced response to cognitive-behavioral treatment (CBT), and a higher risk of therapy dropout.Despite this, no studies have aimed at delineating practical guidance for psychotherapists to support parents in reducing family accommodation.The main aim of this paper is to propose a psychoeducation intervention focused on cognitive-behavioral strategies to help families to manage their child's OCD behaviors without enacting dysfunctional family accommodation behaviors in order to support their child's successful therapy.
Identifiants
pubmed: 34742338
doi: 10.1186/s13052-021-01177-3
pii: 10.1186/s13052-021-01177-3
pmc: PMC8572476
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
224Informations de copyright
© 2021. The Author(s).
Références
J Consult Clin Psychol. 2009 Apr;77(2):355-60
pubmed: 19309195
J Clin Child Adolesc Psychol. 2018 Sep-Oct;47(5):669-698
pubmed: 30130414
Expert Rev Neurother. 2012 Feb;12(2):229-38
pubmed: 22288678
Behav Res Ther. 2002 May;40(5):517-28
pubmed: 12043707
Arch Gen Psychiatry. 2006 Jul;63(7):769-76
pubmed: 16818866
Br J Psychiatry. 2010 Aug;197(2):128-34
pubmed: 20679265
J Anxiety Disord. 2014 Jan;28(1):31-44
pubmed: 24334214
Arch Dis Child. 2015 May;100(5):495-9
pubmed: 25398447
J Child Psychol Psychiatry. 2011 Dec;52(12):1261-8
pubmed: 21726224
Compr Psychiatry. 2004 Sep-Oct;45(5):362-6
pubmed: 15332199
Psychopathology. 2010;43(2):69-78
pubmed: 20068377
Depress Anxiety. 2014 Jul;31(7):539-41
pubmed: 24995831
Psychiatry Res. 2004 Oct 30;128(3):273-80
pubmed: 15541785
J Anxiety Disord. 2009 Oct;23(7):973-8
pubmed: 19640677
J Anxiety Disord. 2012 Jun;26(5):624-32
pubmed: 22440392
Lancet Child Adolesc Health. 2020 Feb;4(2):99-101
pubmed: 31784243
Psychiatr Serv. 2007 Jul;58(7):970-6
pubmed: 17602014
J Am Acad Child Adolesc Psychiatry. 2020 Jan;59(1):64-77
pubmed: 31589909
J Nerv Ment Dis. 1999 Oct;187(10):636-42
pubmed: 10535658
Int J Neuropsychopharmacol. 2001 Jun;4(2):169-78
pubmed: 11466167
J Anxiety Disord. 2000 May-Jun;14(3):209-17
pubmed: 10868980
Depress Anxiety. 2008;25(10):832-8
pubmed: 17436312
Dialogues Clin Neurosci. 2010;12(2):149-63
pubmed: 20623920
Clin Child Fam Psychol Rev. 2019 Dec;22(4):478-501
pubmed: 31240488
J Clin Child Adolesc Psychol. 2007 Apr-Jun;36(2):207-16
pubmed: 17484693
J Clin Child Adolesc Psychol. 2014;43(1):7-26
pubmed: 23746138
Am J Psychiatry. 1999 Sep;156(9):1409-16
pubmed: 10484953
Cogn Behav Pract. 2014 Feb 1;21(1):97-108
pubmed: 25411544
J Affect Disord. 2006 Aug;94(1-3):199-209
pubmed: 16764938
Child Adolesc Psychiatr Clin N Am. 2011 Apr;20(2):239-54
pubmed: 21440853
Clin Child Fam Psychol Rev. 2000 Sep;3(3):173-84
pubmed: 11225752
Compr Psychiatry. 2006 Jul-Aug;47(4):270-5
pubmed: 16769301
J Am Acad Child Adolesc Psychiatry. 2017 Dec;56(12):1034-1042.e1
pubmed: 29173737
J Anxiety Disord. 2016 Oct;43:58-69
pubmed: 27632568
Int J Clin Health Psychol. 2019 Sep;19(3):218-227
pubmed: 31516500
J Nerv Ment Dis. 2001 Jul;189(7):471-7
pubmed: 11504325
J Am Acad Child Adolesc Psychiatry. 2011 Nov;50(11):1149-61
pubmed: 22024003
Acta Psychiatr Scand. 2004 Jul;110(1):4-13
pubmed: 15180774
J Affect Disord. 2017 Jan 15;208:265-271
pubmed: 27792972
J Am Acad Child Adolesc Psychiatry. 2005 Oct;44(10):1005-14
pubmed: 16175105
J Am Acad Child Adolesc Psychiatry. 2008 Oct;47(10):1173-81
pubmed: 18724255
Child Psychiatry Hum Dev. 2019 Oct;50(5):717-726
pubmed: 30790098
Arch Gen Psychiatry. 1999 Feb;56(2):121-7
pubmed: 10025435
J Am Acad Child Adolesc Psychiatry. 2012 Jan;51(1):98-113
pubmed: 22176943
Arch Gen Psychiatry. 2006 Jul;63(7):778-85
pubmed: 16818867
Eur Child Adolesc Psychiatry. 2008 Feb;17(1):20-31
pubmed: 18004647
J Am Acad Child Adolesc Psychiatry. 2008 May;47(5):583-592
pubmed: 18356759
J Am Acad Child Adolesc Psychiatry. 2020 Feb;59(2):244-253
pubmed: 30768383
Compr Psychiatry. 2006 Nov-Dec;47(6):523-7
pubmed: 17067878
J Clin Psychol. 2016 Nov;72(11):1129-1138
pubmed: 27640401
Neuron. 2019 Apr 3;102(1):27-47
pubmed: 30946823
Psychiatry Res. 2010 Sep 30;179(2):204-11
pubmed: 20483467
Bull Menninger Clin. 2010 Spring;74(2):167-85
pubmed: 20545494
J Am Acad Child Adolesc Psychiatry. 2008 Jul;47(7):773-778
pubmed: 18344900
Span J Psychol. 2015 Apr 22;18:E20
pubmed: 25901842
Depress Anxiety. 2015 Aug;32(8):580-93
pubmed: 26130211