A Structural Equation Analysis of Family Accommodation in Pediatric Obsessive-Compulsive Disorder

Autor/inn/en	Caporino, Nicole E.; Morgan, Jessica; Beckstead, Jason; Phares, Vicky; Murphy, Tanya K.; Storch, Eric A.
Titel	A Structural Equation Analysis of Family Accommodation in Pediatric Obsessive-Compulsive Disorder
Quelle	In: Journal of Abnormal Child Psychology, 40 (2012) 1, S.133-143 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0091-0627
DOI	10.1007/s10802-011-9549-8
Schlagwörter	Anxiety Disorders; Psychopathology; Parent Attitudes; Severity (of Disability); Depression (Psychology); Structural Equation Models; Symptoms (Individual Disorders); Cognitive Restructuring; Behavior Modification; Therapy; Pediatrics; Children; Clinics; Measures (Individuals); Empathy; Behavior Problems; Correlation; Comorbidity; Parents; Screening Tests; Intervention; Parent Child Relationship + Suchen Sie Ihr Suchwort? Psychopathologie; Elternverhalten; Schweregrad; Psychiatrische Symptomatik; Behaviour modification; Verhaltensänderung; Therapie; Klinische Sozialpädiatrie; Child; Kind; Kinder; Messdaten; Empathie; Korrelation; Eltern; Screening-Verfahren; Parents-child relationship; Parent-child-relation; Parent-child relationship; Eltern-Kind-Beziehung
Abstract	Family accommodation of symptoms is counter to the primary goals of cognitive-behavioral therapy for pediatric obsessive-compulsive disorder (OCD) and can pose an obstacle to positive treatment outcomes. Although increased attention has been given to family accommodation in pediatric OCD, relatively little is known about associated child and parent characteristics, and their mediating/moderating effects. This study examined a structural equation model of parent and child variables related to parent reports of family accommodation. Sixty-one children with OCD (ages 6-17 years, 39% female) and their parents were recruited from a university-based clinic. They were administered clinician- and parent-rated measures of child OCD symptom severity, OCD-specific impairment, internalizing problems, and externalizing problems as well as parent anxiety, depression, empathy, consideration of future consequences, and accommodation. Results generally supported the hypothesized model. Family accommodation mediated the relationship between OCD symptom severity and parent-rated functional impairment; child internalizing problems mediated the relationship between parent anxiety and family accommodation; and parent empathy and consideration of future consequences interacted to predict family accommodation. Child externalizing problems were significantly associated with family accommodation but neither of these two variables was associated with parent depression. Findings suggest that reductions in family accommodation might be maximized by routinely screening for comorbid psychopathology in children with OCD and their parents, and using prescriptive or modular approaches to intervention. Directions for future research are discussed. (As Provided).
Anmerkungen	Springer. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail: service-ny@springer.com; Web site: http://www.springerlink.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10