The Role of Paternal Accommodation of Paediatric OCD Symptoms: Patterns and Implications for Treatment Outcomes.

IF 3.6 Journal of Abnormal Child Psychology Pub Date : 2020-10-01 DOI:10.1007/s10802-020-00678-9

Benedetta Monzani, Pablo Vidal-Ribas, Cynthia Turner, Georgina Krebs, Caroline Stokes, Isobel Heyman, David Mataix-Cols, Argyris Stringaris

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引用次数: 13

Abstract

Family accommodation (FA) refers to the participation of family members in obsessive-compulsive disorder (OCD) rituals. Most studies have focused on maternal accommodation; consequently, little is known about fathers' accommodation of OCD. The current study aims to extend the existing literature by examining maternal versus paternal accommodation of OCD symptoms.The sample consisted of 209 children with OCD (Mean [M] age = 14.1 years) and their parents (N_Mothers = 209, N_Fathers = 209) who had completed the Family Accommodation Scale- Parent Report (FAS-PR). Paired t-test and chi-square analyses were used to compare FA of OCD symptoms between mothers and fathers. Linear regression was used to examine correlates of maternal and paternal FA and its impact on treatment outcomes.Mothers reported significantly higher levels of daily FA than fathers. Correlates of maternal and paternal accommodation included OCD symptom severity, emotional and behavioral difficulties, and parent psychopathology. Both maternal and paternal FA significantly predicted worse treatment outcomes.Both mothers and fathers accommodate child OCD symptoms with high frequency, and in similar ways. Although mothers accommodate to a greater extent than fathers, both maternal and paternal involvement in rituals are a significant predictor of the child's treatment response. Results emphasise the need to consider the whole family system, including fathers, in understanding and treating OCD in children.

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父亲迁就儿童强迫症症状的作用:模式和对治疗结果的影响

家庭住宿(FA)是指家庭成员参与强迫症(OCD)仪式。大多数研究集中在产妇住宿方面;因此，人们对父亲对强迫症的适应知之甚少。目前的研究旨在通过检查母亲和父亲对强迫症症状的适应来扩展现有的文献。样本包括209名强迫症儿童(平均[M]年龄= 14.1岁)及其父母(n名母亲= 209名，n名父亲= 209名)，他们完成了家庭适应量表-家长报告(FAS-PR)。采用配对t检验和卡方分析比较母亲和父亲的强迫症症状FA。线性回归用于检验母亲和父亲FA的相关性及其对治疗结果的影响。母亲报告的每日FA水平明显高于父亲。父母迁就的相关因素包括强迫症症状严重程度、情绪和行为困难以及父母精神病理。母亲和父亲的FA均显著预示较差的治疗结果。母亲和父亲都以高频率和相似的方式适应孩子的强迫症症状。虽然母亲比父亲更能适应，但母亲和父亲对仪式的参与都是孩子治疗反应的重要预测因素。结果强调在理解和治疗儿童强迫症时需要考虑整个家庭系统，包括父亲。

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Journal of Abnormal Child Psychology Multiple-

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期刊介绍： Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured. Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.