Skip to main content
Top
Gepubliceerd in: Journal of Abnormal Child Psychology 1/2012

01-01-2012

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

Auteurs: Nicole E. Caporino, Jessica Morgan, Jason Beckstead, Vicky Phares, Tanya K. Murphy, Eric A. Storch

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 1/2012

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

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.
Voetnoten
1
Non-normality was addressed using square-root transformations. Results did not vary substantively when analyses were conducted with transformed variables. Thus, results of analyses with non-transformed variables are reported.
 
Literatuur
go back to reference Achenbach, T. M., & Rescorla, L. (2001). Manual for the ASEBA school-age forms and profiles. Burlington: Research Center for Children, Youth, & Families. Achenbach, T. M., & Rescorla, L. (2001). Manual for the ASEBA school-age forms and profiles. Burlington: Research Center for Children, Youth, & Families.
go back to reference Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park: Sage. Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park: Sage.
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
go back to reference Barrett, P., Healy-Farrell, L., & March, J. S. (2004). Cognitive-behavioral family treatment of childhood obsessive-compulsive disorder: A controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 46–62.PubMedCrossRef Barrett, P., Healy-Farrell, L., & March, J. S. (2004). Cognitive-behavioral family treatment of childhood obsessive-compulsive disorder: A controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 46–62.PubMedCrossRef
go back to reference Batson, C. D., & Coke, J. (1981). Empathy: A source of altruistic motivation for helping. In J. Rushton & R. Sorrentino (Eds.), Altruism and helping behavior. Hillsdale: Erlbaum. Batson, C. D., & Coke, J. (1981). Empathy: A source of altruistic motivation for helping. In J. Rushton & R. Sorrentino (Eds.), Altruism and helping behavior. Hillsdale: Erlbaum.
go back to reference Bentler, P. M. (1988). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246.CrossRef Bentler, P. M. (1988). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246.CrossRef
go back to reference Bor, W., & Sanders, M. R. (2004). Correlates of self-reported coercive parenting of preschool-aged children at high risk for the development of conduct problems. The Australian and New Zealand Journal of Psychiatry, 38, 738–745.PubMedCrossRef Bor, W., & Sanders, M. R. (2004). Correlates of self-reported coercive parenting of preschool-aged children at high risk for the development of conduct problems. The Australian and New Zealand Journal of Psychiatry, 38, 738–745.PubMedCrossRef
go back to reference Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park: Sage. Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park: Sage.
go back to reference Calvocoressi, L., Lewis, B., Harris, M., Trufan, S. J., Goodman, W. K., McDougle, C. J., et al. (1995). Family accommodation in obsessive-compulsive disorder. The American Journal of Psychiatry, 152, 441–443.PubMed Calvocoressi, L., Lewis, B., Harris, M., Trufan, S. J., Goodman, W. K., McDougle, C. J., et al. (1995). Family accommodation in obsessive-compulsive disorder. The American Journal of Psychiatry, 152, 441–443.PubMed
go back to reference Caporino, N. E., Morgan, J., Phares, V., Murphy, T. K., & Storch, E. A. (2010). Parent beliefs about accommodating of obsessive-compulsive symptoms. Unpublished data. Caporino, N. E., Morgan, J., Phares, V., Murphy, T. K., & Storch, E. A. (2010). Parent beliefs about accommodating of obsessive-compulsive symptoms. Unpublished data.
go back to reference Carey, K. B., Henson, J. M., Carey, M. P., & Maisto, S. A. (2007). Which heavy drinking college students benefit from a brief motivational intervention? Journal of Consulting and Clinical Psychology, 75, 663–669.PubMedCrossRef Carey, K. B., Henson, J. M., Carey, M. P., & Maisto, S. A. (2007). Which heavy drinking college students benefit from a brief motivational intervention? Journal of Consulting and Clinical Psychology, 75, 663–669.PubMedCrossRef
go back to reference Chorpita, B. F., Taylor, A. A., Francis, S. E., Moffitt, C., & Austin, A. A. (2004). Efficacy of modular cognitive behavior therapy of childhood anxiety disorders. Behavior Therapy, 35, 263–287.CrossRef Chorpita, B. F., Taylor, A. A., Francis, S. E., Moffitt, C., & Austin, A. A. (2004). Efficacy of modular cognitive behavior therapy of childhood anxiety disorders. Behavior Therapy, 35, 263–287.CrossRef
go back to reference Conger, A. J. (1974). A revised definition for suppressor variables: A guide to their identification and interpretation. Educational and Psychological Measurement, 34, 35–46.CrossRef Conger, A. J. (1974). A revised definition for suppressor variables: A guide to their identification and interpretation. Educational and Psychological Measurement, 34, 35–46.CrossRef
go back to reference Davis, M. (1980). A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 10, 85. Davis, M. (1980). A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 10, 85.
go back to reference Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44, 113–126.CrossRef Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44, 113–126.CrossRef
go back to reference Derogatis, L. R. (1993). The Brief Symptom Inventory (BSI): Administration, scoring and procedures manual (3rd ed.). Minneapolis: National Computer Systems. Derogatis, L. R. (1993). The Brief Symptom Inventory (BSI): Administration, scoring and procedures manual (3rd ed.). Minneapolis: National Computer Systems.
go back to reference Galinsky, A. D., Maddux, W. W., Gilin, D., & White, J. B. (2008). Why it pays to get inside the head of your opponent: The differential effects of perspective taking and empathy in negotiations. Psychological Science, 19, 378–384.PubMedCrossRef Galinsky, A. D., Maddux, W. W., Gilin, D., & White, J. B. (2008). Why it pays to get inside the head of your opponent: The differential effects of perspective taking and empathy in negotiations. Psychological Science, 19, 378–384.PubMedCrossRef
go back to reference Geller, D. A. (in press). Practice parameters for the assessment and treatment of pediatric obsessive-compulsive disorder. Journal of the American Academy of Child and Adolescent Psychiatry. Geller, D. A. (in press). Practice parameters for the assessment and treatment of pediatric obsessive-compulsive disorder. Journal of the American Academy of Child and Adolescent Psychiatry.
go back to reference Haslam, D. M., Pakenham, K. I., & Smith, A. (2006). Social support and postpartum depressive symptomatology: The mediating role of maternal self-efficacy. Infant Mental Health Journal, 27, 276–291.CrossRef Haslam, D. M., Pakenham, K. I., & Smith, A. (2006). Social support and postpartum depressive symptomatology: The mediating role of maternal self-efficacy. Infant Mental Health Journal, 27, 276–291.CrossRef
go back to reference Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indices in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indices in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef
go back to reference Jöreskog, K. G., & Sörbom, D. (2006). LISREL 8.80 for Windows [Computer software]. Lincolnwood: Scientific Software International, Inc. Jöreskog, K. G., & Sörbom, D. (2006). LISREL 8.80 for Windows [Computer software]. Lincolnwood: Scientific Software International, Inc.
go back to reference Kaufman, J., Birmaher, B., Brent, D. A., Rao, U., & Ryan, N. D. (1997). Schedule for affective disorders and schizophrenia for school age children, present and lifetime version: Initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 980–988.PubMedCrossRef Kaufman, J., Birmaher, B., Brent, D. A., Rao, U., & Ryan, N. D. (1997). Schedule for affective disorders and schizophrenia for school age children, present and lifetime version: Initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 980–988.PubMedCrossRef
go back to reference Kazdin, A. E. (2005). Parent management training: Treatment for oppositional, aggressive, and antisocial behavior in children and adolescents. New York: Oxford University Press. Kazdin, A. E. (2005). Parent management training: Treatment for oppositional, aggressive, and antisocial behavior in children and adolescents. New York: Oxford University Press.
go back to reference Kenny, D., & Judd, C. M. (1984). Estimating the nonlinear and interactive effects of latent variables. Psychological Bulletin, 96, 201–210.CrossRef Kenny, D., & Judd, C. M. (1984). Estimating the nonlinear and interactive effects of latent variables. Psychological Bulletin, 96, 201–210.CrossRef
go back to reference Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: Guildford. Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: Guildford.
go back to reference Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford. Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford.
go back to reference Lovejoy, M. C., Graczyk, P. A., O’Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: A meta-analytic review. Clinical Psychology Review, 20, 561–592.PubMedCrossRef Lovejoy, M. C., Graczyk, P. A., O’Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: A meta-analytic review. Clinical Psychology Review, 20, 561–592.PubMedCrossRef
go back to reference MacCallum, R. C., Widaman, K. F., Zhang, S., & Hong, S. (1999). Sample size in factor analysis. Psychological Methods, 4(1), 84–99.CrossRef MacCallum, R. C., Widaman, K. F., Zhang, S., & Hong, S. (1999). Sample size in factor analysis. Psychological Methods, 4(1), 84–99.CrossRef
go back to reference MacKinnon, D. P., Krull, J. L., & Lockwood, C. M. (2000). Equivalence of the mediation, confounding, and suppression effect. Prevention Science, 1, 173–181.PubMedCrossRef MacKinnon, D. P., Krull, J. L., & Lockwood, C. M. (2000). Equivalence of the mediation, confounding, and suppression effect. Prevention Science, 1, 173–181.PubMedCrossRef
go back to reference Merlo, L. J., Lehmkuhl, H. D., Geffken, G. R., & Storch, E. A. (2009). Decreased family accommodation associated with improved therapy outcome in pediatric obsessive- compulsive disorder. Journal of Consulting and Clinical Psychology, 77, 355–360.PubMedCrossRef Merlo, L. J., Lehmkuhl, H. D., Geffken, G. R., & Storch, E. A. (2009). Decreased family accommodation associated with improved therapy outcome in pediatric obsessive- compulsive disorder. Journal of Consulting and Clinical Psychology, 77, 355–360.PubMedCrossRef
go back to reference Pediatric OCD Study Team. (2004). Cognitive-behavior therapy, sertraline, and their combination for children and adolescents with obsessive-compulsive disorder: The pediatric OCD Treatment Study randomized controlled trial. Journal of the American Medical Association, 292, 1969–1976.CrossRef Pediatric OCD Study Team. (2004). Cognitive-behavior therapy, sertraline, and their combination for children and adolescents with obsessive-compulsive disorder: The pediatric OCD Treatment Study randomized controlled trial. Journal of the American Medical Association, 292, 1969–1976.CrossRef
go back to reference Peris, T. S., Bergman, L., Langley, A., Chang, S., McCracken, J. T., & Piacentini, J. (2008). Correlates of accommodation of pediatric obsessive-compulsive disorder: Parent, child, and family characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 1–9.CrossRef Peris, T. S., Bergman, L., Langley, A., Chang, S., McCracken, J. T., & Piacentini, J. (2008). Correlates of accommodation of pediatric obsessive-compulsive disorder: Parent, child, and family characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 1–9.CrossRef
go back to reference Piacentini, J., Peris, T. S., Bergman, R. L., Chang, S., & Jaffer, M. (2007). Functional impairment in childhood OCD: Development and psychometric properties of the Child Obsessive Compulsive Impact Scale—Revised. Journal of Clinical Child and Adolescent Psychology, 36, 645–653.PubMedCrossRef Piacentini, J., Peris, T. S., Bergman, R. L., Chang, S., & Jaffer, M. (2007). Functional impairment in childhood OCD: Development and psychometric properties of the Child Obsessive Compulsive Impact Scale—Revised. Journal of Clinical Child and Adolescent Psychology, 36, 645–653.PubMedCrossRef
go back to reference Ping, R. A. (1996). Latent variable interaction and quadratic effect estimation: A two-step technique using structural equation analysis. Psychological Bulletin, 119, 166–175.CrossRef Ping, R. A. (1996). Latent variable interaction and quadratic effect estimation: A two-step technique using structural equation analysis. Psychological Bulletin, 119, 166–175.CrossRef
go back to reference Rapoport, J. L., Inoff-Germain, G., Weissman, M. M., Greenwald, S., Narrow, W. E., Jensen, P. S., et al. (2000). Childhood obsessive-compulsive disorder in the NIMH MECA Study: Parent versus child identification of cases. Journal of Anxiety Disorders, 14, 535–548.PubMedCrossRef Rapoport, J. L., Inoff-Germain, G., Weissman, M. M., Greenwald, S., Narrow, W. E., Jensen, P. S., et al. (2000). Childhood obsessive-compulsive disorder in the NIMH MECA Study: Parent versus child identification of cases. Journal of Anxiety Disorders, 14, 535–548.PubMedCrossRef
go back to reference Rufer, M., Grothusen, A., Mass, R., Peter, J., & Hand, I. (2005). Temporal stability of symptom dimensions in adult patients with obsessive-compulsive disorder. Journal of Affective Disorders, 88, 99–102.PubMedCrossRef Rufer, M., Grothusen, A., Mass, R., Peter, J., & Hand, I. (2005). Temporal stability of symptom dimensions in adult patients with obsessive-compulsive disorder. Journal of Affective Disorders, 88, 99–102.PubMedCrossRef
go back to reference Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. I., King, R. A., & Goodman, W. K. (1997). Children’s Yale-Brown obsessive-compulsive scale: Reliability and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 844–852.PubMedCrossRef Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. I., King, R. A., & Goodman, W. K. (1997). Children’s Yale-Brown obsessive-compulsive scale: Reliability and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 844–852.PubMedCrossRef
go back to reference Silverman, W., & Albano, A. (1996). The anxiety disorders interview schedule for DSM-IV: Child and parent version. San Antonio: Graywind. Silverman, W., & Albano, A. (1996). The anxiety disorders interview schedule for DSM-IV: Child and parent version. San Antonio: Graywind.
go back to reference Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. Sociological Methodology, 13, 290–312.CrossRef Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. Sociological Methodology, 13, 290–312.CrossRef
go back to reference Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25, 173–180.CrossRef Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25, 173–180.CrossRef
go back to reference Steketee, G., & Van Noppen, B. (2003). Family approaches to treatment for obsessive-compulsive disorder. Revista Brasileira de Psuiquiatria, 25, 43–50. Steketee, G., & Van Noppen, B. (2003). Family approaches to treatment for obsessive-compulsive disorder. Revista Brasileira de Psuiquiatria, 25, 43–50.
go back to reference Stewart, S. E., Beresin, C., Haddad, S., Egan Stack, D., Fama, J., & Jenike, M. (2008). Predictors of family accommodation in obsessive-compulsive disorder. Annals of Clinical Psychiatry, 20, 65–70.PubMedCrossRef Stewart, S. E., Beresin, C., Haddad, S., Egan Stack, D., Fama, J., & Jenike, M. (2008). Predictors of family accommodation in obsessive-compulsive disorder. Annals of Clinical Psychiatry, 20, 65–70.PubMedCrossRef
go back to reference Storch, E. A., Murphy, T. K., Geffken, G. R., Soto, O., Sajid, M., Allen, P., et al. (2004). Psychometric evaluation of the children’s Yale-Brown obsessive-compulsive scale. Psychiatry Research, 129, 91–98.PubMedCrossRef Storch, E. A., Murphy, T. K., Geffken, G. R., Soto, O., Sajid, M., Allen, P., et al. (2004). Psychometric evaluation of the children’s Yale-Brown obsessive-compulsive scale. Psychiatry Research, 129, 91–98.PubMedCrossRef
go back to reference Storch, E. A., Geffken, G. R., Merlo, L. J., Jacob, M. L., Murphy, T. K., Goodman, W. K., et al. (2007). Family accommodation in pediatric obsessive-compulsive disorder. Journal of Clinical Child and Adolescent Psychology, 36, 207–216.PubMedCrossRef Storch, E. A., Geffken, G. R., Merlo, L. J., Jacob, M. L., Murphy, T. K., Goodman, W. K., et al. (2007). Family accommodation in pediatric obsessive-compulsive disorder. Journal of Clinical Child and Adolescent Psychology, 36, 207–216.PubMedCrossRef
go back to reference Storch, E. A., Geffken, G. R., Merlo, L. J., Mann, G., Duke, D., Munson, M., et al. (2007). Family-based cognitive-behavioral therapy for pediatric obsessive-compulsive disorder: Comparison of intensive and weekly approaches. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 469–478.PubMedCrossRef Storch, E. A., Geffken, G. R., Merlo, L. J., Mann, G., Duke, D., Munson, M., et al. (2007). Family-based cognitive-behavioral therapy for pediatric obsessive-compulsive disorder: Comparison of intensive and weekly approaches. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 469–478.PubMedCrossRef
go back to reference Storch, E. A., Larson, M. J., Muroff, J., Caporino, N., Geller, D., Reid, J. M., et al. (2010). Predictors of functional impairment in pediatric obsessive-compulsive disorder. Journal of Anxiety Disorders, 24, 275–283.PubMedCrossRef Storch, E. A., Larson, M. J., Muroff, J., Caporino, N., Geller, D., Reid, J. M., et al. (2010). Predictors of functional impairment in pediatric obsessive-compulsive disorder. Journal of Anxiety Disorders, 24, 275–283.PubMedCrossRef
go back to reference Strathman, A., Gleicher, F., Boninger, D. S., & Edwards, C. S. (1994). The consideration of future consequences: Weighing immediate and distant outcomes of behavior. Journal of Personality and Social Psychology, 66, 742–752.CrossRef Strathman, A., Gleicher, F., Boninger, D. S., & Edwards, C. S. (1994). The consideration of future consequences: Weighing immediate and distant outcomes of behavior. Journal of Personality and Social Psychology, 66, 742–752.CrossRef
Metagegevens
Titel
A Structural Equation Analysis of Family Accommodation in Pediatric Obsessive-Compulsive Disorder
Auteurs
Nicole E. Caporino
Jessica Morgan
Jason Beckstead
Vicky Phares
Tanya K. Murphy
Eric A. Storch
Publicatiedatum
01-01-2012
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 1/2012
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-011-9549-8

Andere artikelen Uitgave 1/2012

Journal of Abnormal Child Psychology 1/2012 Naar de uitgave