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Exploring the experiences and responses of siblings living with a brother or sister with obsessive compulsive disorder.

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Title: Exploring the experiences and responses of siblings living with a brother or sister with obsessive compulsive disorder.
Authors: Brownings, Stuart, Hale, Lucy, Simonds, Laura M., Jassi, Amita
Source: Psychology & Psychotherapy: Theory, Research & Practice. Jun2023, Vol. 96 Issue 2, p464-479. 16p. 1 Diagram, 2 Charts.
Subjects: Diagnosis of obsessive-compulsive disorder, Siblings, Caregivers, Counseling, Mental health, Interviewing, Qualitative research, Psychosocial factors, Support groups, Emotions
Geographic Terms: United Kingdom
Abstract: Objectives: The impact of having a child with diagnosed obsessive–compulsive disorder (OCD) can reportedly cause significant disruption to caregiver routines and negatively affect their mental health. Less is known about the impact to other first‐degree relatives such as siblings due to limited research. It should not be assumed that findings in the caregiver literature can simply be applied to siblings. This study, therefore, aimed to explore the experiences and responses of cohabiting siblings of a brother or sister with an OCD diagnosis. Method: Eight participant siblings were recruited from a UK specialist OCD NHS clinic and interviewed via telephone about their experiences co‐habiting with a brother or sister with OCD. Interviews were transcribed and subjected to interpretative phenomenological analysis (IPA). Results: Two superordinate themes of 'OCD as a dangerous dictator' and the 'unifying/polarising influence of OCD on relationships' were interpreted from the eight participant experiences. Siblings spoke to OCD creating a dictatorial environment characterised by sibling loss, helplessness and adjustment. This fragile domestic environment seemingly pushed non‐anxious siblings to the periphery of the family or conversely centralised their position through parentification. Conclusions: Many of the sibling experiences of frustration, distress avoidance, helplessness and symptom accommodation are mirrored in the burgeoning caregiver literature. Longitudinal studies are required to track sibling experiences over the course of their siblings OCD journey and expand our knowledge in this area. Counselling services, sibling support groups and inclusion in family assessment, formulation and treatment are possible avenues of exploration for siblings of those with an OCD diagnosis. [ABSTRACT FROM AUTHOR]
Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell 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: Psychology and Behavioral Sciences Collection
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  Data: Exploring the experiences and responses of siblings living with a brother or sister with obsessive compulsive disorder.
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  Data: <searchLink fieldCode="DE" term="%22Diagnosis+of+obsessive-compulsive+disorder%22">Diagnosis of obsessive-compulsive disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Siblings%22">Siblings</searchLink><br /><searchLink fieldCode="DE" term="%22Caregivers%22">Caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Counseling%22">Counseling</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Support+groups%22">Support groups</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink>
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  Label: Abstract
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  Data: Objectives: The impact of having a child with diagnosed obsessive–compulsive disorder (OCD) can reportedly cause significant disruption to caregiver routines and negatively affect their mental health. Less is known about the impact to other first‐degree relatives such as siblings due to limited research. It should not be assumed that findings in the caregiver literature can simply be applied to siblings. This study, therefore, aimed to explore the experiences and responses of cohabiting siblings of a brother or sister with an OCD diagnosis. Method: Eight participant siblings were recruited from a UK specialist OCD NHS clinic and interviewed via telephone about their experiences co‐habiting with a brother or sister with OCD. Interviews were transcribed and subjected to interpretative phenomenological analysis (IPA). Results: Two superordinate themes of 'OCD as a dangerous dictator' and the 'unifying/polarising influence of OCD on relationships' were interpreted from the eight participant experiences. Siblings spoke to OCD creating a dictatorial environment characterised by sibling loss, helplessness and adjustment. This fragile domestic environment seemingly pushed non‐anxious siblings to the periphery of the family or conversely centralised their position through parentification. Conclusions: Many of the sibling experiences of frustration, distress avoidance, helplessness and symptom accommodation are mirrored in the burgeoning caregiver literature. Longitudinal studies are required to track sibling experiences over the course of their siblings OCD journey and expand our knowledge in this area. Counselling services, sibling support groups and inclusion in family assessment, formulation and treatment are possible avenues of exploration for siblings of those with an OCD diagnosis. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell 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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RecordInfo BibRecord:
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        Value: 10.1111/papt.12454
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        Text: English
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        PageCount: 16
        StartPage: 464
    Subjects:
      – SubjectFull: Diagnosis of obsessive-compulsive disorder
        Type: general
      – SubjectFull: Siblings
        Type: general
      – SubjectFull: Caregivers
        Type: general
      – SubjectFull: Counseling
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Support groups
        Type: general
      – SubjectFull: Emotions
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      – SubjectFull: United Kingdom
        Type: general
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      – TitleFull: Exploring the experiences and responses of siblings living with a brother or sister with obsessive compulsive disorder.
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            NameFull: Hale, Lucy
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            NameFull: Simonds, Laura M.
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              Text: Jun2023
              Type: published
              Y: 2023
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