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

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Title: The Role of Paternal Accommodation of Paediatric OCD Symptoms: Patterns and Implications for Treatment Outcomes.
Authors: Monzani, Benedetta1,2 (AUTHOR) Benedetta.Monzani@kcl.ac.uk, Vidal-Ribas, Pablo1,3 (AUTHOR), Turner, Cynthia4 (AUTHOR), Krebs, Georgina2,5 (AUTHOR), Stokes, Caroline1 (AUTHOR), Heyman, Isobel6,7 (AUTHOR), Mataix-Cols, David8,9 (AUTHOR), Stringaris, Argyris10 (AUTHOR)
Source: Journal of Abnormal Child Psychology. Oct2020, Vol. 48 Issue 10, p1313-1323. 11p. 3 Charts, 1 Graph.
Subject Terms: *Father-child relationship, *Cognitive therapy, Symptoms, Treatment effectiveness, Obsessive-compulsive disorder
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 (NMothers = 209, NFathers = 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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Abnormal Child Psychology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: The Role of Paternal Accommodation of Paediatric OCD Symptoms: Patterns and Implications for Treatment Outcomes.
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  Data: <searchLink fieldCode="AR" term="%22Monzani%2C+Benedetta%22">Monzani, Benedetta</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> Benedetta.Monzani@kcl.ac.uk</i><br /><searchLink fieldCode="AR" term="%22Vidal-Ribas%2C+Pablo%22">Vidal-Ribas, Pablo</searchLink><relatesTo>1,3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Turner%2C+Cynthia%22">Turner, Cynthia</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Krebs%2C+Georgina%22">Krebs, Georgina</searchLink><relatesTo>2,5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stokes%2C+Caroline%22">Stokes, Caroline</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Heyman%2C+Isobel%22">Heyman, Isobel</searchLink><relatesTo>6,7</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mataix-Cols%2C+David%22">Mataix-Cols, David</searchLink><relatesTo>8,9</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stringaris%2C+Argyris%22">Stringaris, Argyris</searchLink><relatesTo>10</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Abnormal+Child+Psychology%22">Journal of Abnormal Child Psychology</searchLink>. Oct2020, Vol. 48 Issue 10, p1313-1323. 11p. 3 Charts, 1 Graph.
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  Data: *<searchLink fieldCode="DE" term="%22Father-child+relationship%22">Father-child relationship</searchLink><br />*<searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Obsessive-compulsive+disorder%22">Obsessive-compulsive disorder</searchLink>
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  Data: 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 (NMothers = 209, NFathers = 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Abnormal Child Psychology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Oct2020
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