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21-02-2019 | Original Article

Comorbid Psychopathology and the Clinical Profile of Family Accommodation in Pediatric OCD

Auteurs: Monica S. Wu, Daniel A. Geller, Sophie C. Schneider, Brent J. Small, Tanya K. Murphy, Sabine Wilhelm, Eric A. Storch

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 5/2019

Abstract

Family accommodation (FA) has been linked with myriad negative outcomes in pediatric obsessive–compulsive disorder (OCD), but extant literature has yielded differential relationships between FA and clinical variables of interest. Consequently, this study examined the phenomenology, clinical profile, and effects of comorbid psychopathology on FA to better understand these behaviors. A total of 150 youths and their caregivers completed clinician- and self-reported measures at a baseline visit for a larger randomized controlled trial. Sociodemographic variables were not associated with FA, but specific types of OCD symptom clusters were. Higher OC-symptom severity and functional impairment were associated with increased FA. Comorbid anxiety disorders moderated the relationship between OC-symptom severity and FA, but comorbid attention deficit hyperactivity, oppositional defiant, and mood disorders did not. Internalizing and externalizing problems both mediated the relationship between FA and functional impairment. These findings provide clinical implications for important treatment targets and factors that may impact FA.

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Titel: Comorbid Psychopathology and the Clinical Profile of Family Accommodation in Pediatric OCD
Auteurs: Monica S. Wu
Daniel A. Geller
Sophie C. Schneider
Brent J. Small
Tanya K. Murphy
Sabine Wilhelm
Eric A. Storch
Publicatiedatum: 21-02-2019
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 5/2019
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-019-00876-7

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