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Child Psychiatry & Human Development
Gepubliceerd in: Child Psychiatry & Human Development 1/2018

13-04-2017 | Original Article

Predictors of Accommodation Among Families Affected by Fear-Based Disorders

Auteurs: Lillian Reuman, Jonathan S. Abramowitz

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 1/2018

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Abstract

Symptom accommodation—behaviors that family members engage in either to prevent or alleviate a loved one’s anxiety—is ubiquitous in families with relatives affected by fear-based disorders (FBDs), yet little research has examined the extent to which certain psychological factors predict symptom accommodation. The current study examined several potential predictors (e.g., empathic concern) among co-residing relatives of individuals diagnosed with FBDs. Participants (n = 53) completed a series of clinical interviews and self report measures. Results indicated that accommodation occurred to similar degrees across relatives with various relationships to the individual with a FBD, as well as across different FBDs. Further, the predictors jointly explained a significant amount of variance in accommodation; although, no single construct emerged as a unique predictor. Empathic concern and expressed emotion emerged as marginally significant predictors of symptom accommodation. Conclusions, limitations, and future directions are discussed.
vorige artikel Maternal Responsiveness as a Predictor of Self-Regulation Development and Attention-Deficit/Hyperactivity Symptoms Across Preschool Ages
volgende artikel Sleeping Paranoia Away? An Actigraphy and Experience-Sampling Study with Adolescents
Literatuur
1.
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Publishing, ArlingtonCrossRef
2.
Barlow DH (2000) Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory. Am Psychol 55:1247–1263CrossRefPubMed
3.
Clark DM (1999) Anxiety disorders: why they persist and how to treat them. Behav Res Ther 37:S5–S27CrossRefPubMed
4.
Eisen JL, Mancebo MA, Pinto A, Coles ME, Pagano ME, Stouf R et al (2006) Impact of obsessive-compulsive disorder on quality of life. Compr Psychiatry 47:270–275CrossRefPubMedPubMedCentral
5.
Storch EA, Wu MS, Small BJ, Crawford EA, Lewin AB, Horng B, Murphy TK (2014) Mediators and moderators of functional impairment in adults with obsessive-compulsive disorder. Compr Psychiatry 55:489–496CrossRefPubMed
6.
DuPont RL, Rice DP, Miller LS, Shiraki SS, Rowland CR, Harwood HJ (1996) Economic costs of anxiety disorders. Anxiety 2:167–172CrossRefPubMed
7.
Salkovskis PM (1996) The cognitive approach to anxiety: threat beliefs, safety-seeking behaviour, and the special case of health anxiety and obsessions. In: Salvovskis PM (ed) Frontiers of cognitive therapy. Guilford, New York, pp 48–74
8.
Storch EA, Lehmkuhl H, Pence SL Jr, Geffken GR, Ricketts E, Storch JF et al (2009) Parental experiences of having a child with obsessive-compulsive disorder: associations with clinical characteristics and caregiver adjustment. J Child Fam Stud 18:249–258CrossRef
9.
Ramos-Cerqueira ATDA, Torres AR, Torresan RC, Negreiros APM, Vitorino CN (2008) Emotional burden in caregivers of patients with obsessive-compulsive disorder. Depress Anxiety 25:1020–1027CrossRefPubMed
10.
Senaratne R, Van Ameringen M, Mancini C, Patterson B (2010) The burden of anxiety disorders on the family. J Nerv Ment Dis 198:876–880CrossRefPubMed
11.
Van Noppen BL, Rasmussen SA, Eisen J, McCartney L (1991) A multifamily group approach as an adjunct to treatment of obsessive compulsive disorder. In: Pato MT, Zohar J (eds) Current treatments of obsessive compulsive disorder. American Psychiatric Press, Washington, DC, pp 115–134
12.
Merlo LJ, Lehmkuhl HD, Geffken GR, Storch EA (2009) Decreased family accommodation associated with improved therapy outcome in pediatric obsessive-compulsive disorder. J Consult Clin Psychol 77:355CrossRefPubMedPubMedCentral
13.
Piacentini J, Bergman RL, Chang S, Langley A, Peris T, Wood JJ et al (2011) Controlled comparison of family cognitive behavioral therapy and psychoeducation/relaxation training for child obsessive-compulsive disorder. J Am Acad Child Adolesc Psychiatry 50:1149–1161CrossRefPubMedPubMedCentral
14.
Calvocoressi L, Lewis B, Harris M, Trufan SJ, Goodman WK, McDougle CJ, Price LH (1995) Family accommodation in obsessive-compulsive disorder. Am J Psychiatry 152:441–443CrossRefPubMed
15.
Calvocoressi L, Mazure CM, Kasl SV, Skolnick J, Fisk D, Vegso SJ et al (1999) Family accommodation of obsessive-compulsive symptoms: instrument development and assessment of family behavior. J Nerv Ment Dis 187:636–642CrossRefPubMed
16.
Boeding SE, Paprocki CM, Baucom DH, Abramowitz JS, Wheaton MG, Fabricant LE, Fischer MS (2013) Let me check that for you: symptom accommodation in romantic partners of adults with obsessive-compulsive disorder. Behav Res Ther 51:316–322CrossRefPubMed
17.
Storch EA, Geffken GR, Merlo LJ, Jacob ML, Murphy TK, Goodman WK et al (2007) Family accommodation in pediatric obsessive-compulsive disorder. J Clin Child Adolesc 36:207–216CrossRef
18.
19.
Amir N, Freshman M, Foa EB (2000) Family distress and involvement in relatives of obsessive-compulsive disorder patients. J Anxiety Disord 14:209–217CrossRefPubMed
20.
Abramowitz JS, Deacon BJ (2005). Obsessive-compulsive disorder: essential phenomenology and overlap with other anxiety disorders. In: Concepts and controversies in obsessive-compulsive disorder. Springer, New York, pp 119–149CrossRef
21.
Reiss S, McNally RJ (1985) Expectancy model of fear. In: Reiss S, Bootzin RR (eds) Theoretical issues in behavior therapy. Academic Press, New York, pp 107–121
22.
Deacon B, Abramowitz J (2006) Anxiety sensitivity and its dimensions across the anxiety disorders. J Anxiety Disord 20:837–857CrossRefPubMed
23.
McNally RJ (1994) Panic disorder: a critical analysis. Guilford Press, New York
24.
East AJ, Berman ME, Stoppelbein L (2007) Familial association of anxiety sensitivity and psychopathology. Depress Anxiety 24:264–267CrossRefPubMed
25.
Tsao JC, Myers CD, Craske MG, Bursch B, Kim SC, Zeltzer LK (2005) Parent and child anxiety sensitivity: relationship in a nonclinical sample. J Psychopathol Behav 27:259–268CrossRef
26.
Drake KL, Kearney CA (2008) Child anxiety sensitivity and family environment as mediators of the relationship between parent psychopathology, parent anxiety sensitivity, and child anxiety. J Psychopathol Behav 30:79–86CrossRef
27.
Dadds MR, Barrett PM, Rapee RM, Ryan S (1996) Family process and child anxiety and aggression: an observational analysis. J Abnorm Child Psychol 24:715–734CrossRefPubMed
28.
Francis SE (2014) The role of parental anxiety sensitivity in parent reports of child anxiety in treatment seeking families. Clin Child Psychol Psychiatry 19:111–124CrossRefPubMed
29.
Gottman JM, Katz LF, Hooven C (1997) Meta-emotion. Lawrence Erlbaum, Mahwah
30.
Hayes SC, Strosahl K, Wilson KG (1999) Acceptance and commitment therapy: an experiential approach to behavior change. Guilford Press, New York
31.
Hayes SC, Strosahl K, Wilson KG, Bissett RT, Pistorello J, Toarmino D et al (2004) Measuring experiential avoidance: a preliminary test of a working model. Psychol Rec 54:553–578CrossRef
32.
Roemer L, Salters K, Raffa S, Orsillo SM (2005) Fear and avoidance of internal experiences in GAD: preliminary tests of a conceptual model. Cognitive Ther Res 29:71–88CrossRef
33.
Hibbs ED, Hamburger SD, Kruesi MJ, Lenane M (1993) Factors affecting expressed emotion in parents of ill and normal children. Am J Orthopsychiatry 63:103–112CrossRefPubMed
34.
Shanmugiah A, Varghese M, Khanna S (2002) Expressed emotions in obsessive compulsive disorder. Indian J Psychiatry 44:14–18PubMedPubMedCentral
35.
Cherian AV, Pandian D, Bada Math S, Kandavel T, Janardhan Reddy YC (2014) Family accommodation of obsessional symptoms and naturalistic outcome of obsessive-compulsive disorder. Psychiatry Res 215:372–378CrossRefPubMed
36.
Davis MH (1983) Measuring individual differences in empathy: evidence for a multidimensional approach. J Pers Soc Psychol 44:113–126CrossRef
37.
Caporino NE, Morgan J, Beckstead J, Phares V, Murphy TK, Storch EA (2012) A structural equation analysis of family accommodation in pediatric obsessive-compulsive disorder. J Abnorm Child Psychol 40:133–143CrossRefPubMed
38.
Lebowitz ER, Woolston J, Bar-Haim Y, Calvocoressi L, Dauser C, Warnick E et al (2013) Family accommodation in pediatric anxiety disorders. Depress Anxiety 30:47–54CrossRefPubMed
39.
Lovibond SH, Lovibond PF (1995) Manual for the Depression Anxiety Stress Scales, 2nd edn. Psychology Foundation, Sydney
40.
Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA (1983) Manual for the State-Trait Anxiety Inventory. Consulting Psychologists Press, Palo Alto
41.
Taylor S, Zvolensky MJ, Cox BJ, Deacon B, Heimberg RG, Ledley DR et al (2007) Robust dimensions of anxiety sensitivity: development and initial validation of the Anxiety Sensitivity Index-3. Psychol Assess 19:176CrossRefPubMed
42.
Reiss S, Peterson RA, Gursky DM, McNally RJ (1986) Anxiety sensitivity, anxiety frequency, and the prediction of fearfulness. Behav Res Ther 24:1–8CrossRefPubMed
43.
Gratz KL, Roemer E (2004) Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. J Psychopathol Behav Assess 26:41–54CrossRef
44.
Bond FW, Hayes SC, Baer RA, Carpenter KC, Guenole N, Orcutt HK, Waltz T, Zettle RD (2011) Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: a revised measure of psychological flexibility and acceptance. Behav Ther 42:676–688CrossRefPubMed
45.
Kavanagh DJ, O’Halloran P, Manicavasagar V, Clark D, Piatkowska O, Tennant C, Rosen A (1997) The Family Attitude Scale: reliability and validity of a new scale for measuring the emotional climate of families. Psychiatry Res 70:185–195CrossRefPubMed
46.
Weber R, Popova L (2012) Testing equivalence in communication research: theory and application. Commun Methods Measures 6:190–213CrossRef
47.
Wheaton MG, Deacon BJ, McGrath PB, Berman NC, Abramowitz JS (2012) Dimensions of anxiety sensitivity in the anxiety disorders: evaluation of the ASI-3. J Anxiety Disord 26:401–408CrossRefPubMed
48.
Kavanagh DJ, Pourmand D, White A, Robertson D, Halford K, Vaughan K (2008) Predictive validity of the Family Attitude Scale in people with psychosis. Psychiatry Res 160:356–363CrossRefPubMed
49.
Rusticus SA, Lovato CY (2011) Applying tests of equivalence for multiple group comparisons: demonstration of the confidence interval approach. Pract Assess Res Eval 16:1–6
50.
Helbig-Lang S, Rusch S, Lincoln TM (2015) Emotion regulation difficulties in social anxiety disorder and their specific contributions to anxious responding. J Clin Psychol 71:241–249CrossRefPubMed
51.
Storch EA, Larson MJ, Muroff J, Caporino N, Geller D, Reid JM et al (2010) Predictors of functional impairment in pediatric obsessive-compulsive disorder. J Anxiety Disord 24:275–283CrossRefPubMed
52.
Fischer MS, Baucom DH, Kirby JS, Bulik CM (2015) Partner distress in the context of adult anorexia nervosa: the role of patients’ perceived negative consequences of AN and partner behaviors. Int J Eat Disorder 48:67–71CrossRef
53.
Fredman SJ, Chambless DL, Steketee G (2004) Development and validation of an observational coding system for emotional overinvolvement. J Fam Psychol 18:339CrossRefPubMed
54.
Butzlaff RL, Hooley JM (1998) Expressed emotion and psychiatric relapse: a meta-analysis. Arch Gen Psychiatry 55:547–552CrossRefPubMed
55.
Hooley JM, Teasdale JD (1989) Predictors of relapse in unipolar depressives: expressed emotion, marital distress, and perceived criticism. J Abnorm Psychol 98:229–235CrossRefPubMed
56.
Garcia-Lopez LJ, del Mar Díaz-Castela M, Muela-Martinez JA, Espinosa-Fernandez L (2014) Can parent training for parents with high levels of expressed emotion have a positive effect on their child’s social anxiety improvement? J Anxiety Disord 28:812–822CrossRefPubMed
57.
Kuipers E, Bebbington P, Dunn G, Fowler D, Freeman D, Watson P et al (2006) Influence of carer expressed emotion and affect on relapse in non-affective psychosis. Br J Psychiatry 188:173–179CrossRefPubMed
Metagegevens
Titel
Predictors of Accommodation Among Families Affected by Fear-Based Disorders
Auteurs
Lillian Reuman
Jonathan S. Abramowitz
Publicatiedatum
13-04-2017
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 1/2018
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-017-0728-x

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