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A Systematic Review of Family Accommodation in Autistic Youth: Anxiety Disorders, Obsessive-Compulsive Disorder, and Restricted and Repetitive Behaviors.

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Title: A Systematic Review of Family Accommodation in Autistic Youth: Anxiety Disorders, Obsessive-Compulsive Disorder, and Restricted and Repetitive Behaviors.
Authors: Brennan, Justine (AUTHOR), Velasquez, Maria J. (AUTHOR), Davis, Thompson E. (AUTHOR)
Source: Journal of Autism & Developmental Disorders. Jul2026, Vol. 56 Issue 7, p2697-2709. 13p.
Subjects: Psychological distress, Autism, CINAHL database, Parenting, Families, Severity of illness index, Obsessive-compulsive disorder, Teenagers' conduct of life, Systematic reviews, MEDLINE, Thematic analysis, Distraction, Asperger's syndrome, Anxiety disorders, Online information services, Externalizing behavior, Comorbidity, Psychology information storage & retrieval systems, ERIC (Information retrieval system), Avoidance (Psychology), Adolescence
Abstract: Family accommodation (FA) is a term describing the change in behavior seen in parents and caregivers as they attempt to effect change in their child or adolescent's anxious behavior—usually by allowing avoidance, attempting distraction, or attempting to manage distress. FA has been well-documented in children and adolescents with anxiety and obsessive-compulsive disorders; however, there has been less summarized on the degree to which autistic youth and families engage in accommodation. This review aims to establish the phenomenology of FA in autistic youth related to comorbid anxiety, obsessive-compulsive disorders, and restricted and repetitive behaviors (RRBs). This review also aims to summarize how FA is currently addressed in treatment within this population. Using PRISMA guidelines, peer-reviewed articles were included if (a) participants included caregivers of autistic youth, (b) there was a clearly delineated autism participant group, and (c) at least one quantitative outcome measure of FA was included. Seventeen articles were included in the review. Several themes emerged including (1) high rates of FA in autistic youth across OCD, anxiety, and RRBs, (2) some form of parental involvement in treatment, and (3) decreased rates of FA post-treatment. Overall, family accommodation appears to be present to at least the same degree, if not more so, in families of anxious autistic children and adolescents as their non-autistic but anxious counterparts. Family accommodation also often appears to be an important consideration with treatments for anxiety and OCD in autistic youth. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Autism & Developmental Disorders 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: Psychology and Behavioral Sciences Collection
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  Data: A Systematic Review of Family Accommodation in Autistic Youth: Anxiety Disorders, Obsessive-Compulsive Disorder, and Restricted and Repetitive Behaviors.
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  Data: <searchLink fieldCode="AR" term="%22Brennan%2C+Justine%22">Brennan, Justine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Velasquez%2C+Maria+J%2E%22">Velasquez, Maria J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Davis%2C+Thompson+E%2E%22">Davis, Thompson E.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Autism+%26+Developmental+Disorders%22">Journal of Autism & Developmental Disorders</searchLink>. Jul2026, Vol. 56 Issue 7, p2697-2709. 13p.
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– Name: Abstract
  Label: Abstract
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  Data: Family accommodation (FA) is a term describing the change in behavior seen in parents and caregivers as they attempt to effect change in their child or adolescent's anxious behavior—usually by allowing avoidance, attempting distraction, or attempting to manage distress. FA has been well-documented in children and adolescents with anxiety and obsessive-compulsive disorders; however, there has been less summarized on the degree to which autistic youth and families engage in accommodation. This review aims to establish the phenomenology of FA in autistic youth related to comorbid anxiety, obsessive-compulsive disorders, and restricted and repetitive behaviors (RRBs). This review also aims to summarize how FA is currently addressed in treatment within this population. Using PRISMA guidelines, peer-reviewed articles were included if (a) participants included caregivers of autistic youth, (b) there was a clearly delineated autism participant group, and (c) at least one quantitative outcome measure of FA was included. Seventeen articles were included in the review. Several themes emerged including (1) high rates of FA in autistic youth across OCD, anxiety, and RRBs, (2) some form of parental involvement in treatment, and (3) decreased rates of FA post-treatment. Overall, family accommodation appears to be present to at least the same degree, if not more so, in families of anxious autistic children and adolescents as their non-autistic but anxious counterparts. Family accommodation also often appears to be an important consideration with treatments for anxiety and OCD in autistic youth. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Autism & Developmental Disorders 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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        Value: 10.1007/s10803-025-06750-x
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
        StartPage: 2697
    Subjects:
      – SubjectFull: Psychological distress
        Type: general
      – SubjectFull: Autism
        Type: general
      – SubjectFull: CINAHL database
        Type: general
      – SubjectFull: Parenting
        Type: general
      – SubjectFull: Families
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Obsessive-compulsive disorder
        Type: general
      – SubjectFull: Teenagers' conduct of life
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      – SubjectFull: Thematic analysis
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      – SubjectFull: Distraction
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      – SubjectFull: Asperger's syndrome
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      – SubjectFull: Anxiety disorders
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      – SubjectFull: Externalizing behavior
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      – SubjectFull: Psychology information storage & retrieval systems
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      – SubjectFull: Avoidance (Psychology)
        Type: general
      – SubjectFull: Adolescence
        Type: general
    Titles:
      – TitleFull: A Systematic Review of Family Accommodation in Autistic Youth: Anxiety Disorders, Obsessive-Compulsive Disorder, and Restricted and Repetitive Behaviors.
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              Text: Jul2026
              Type: published
              Y: 2026
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