Document Detail

Family accommodation of obsessive-compulsive symptoms: instrument development and assessment of family behavior.
MedLine Citation:
PMID:  10535658     Owner:  NLM     Status:  MEDLINE    
Relatives frequently accommodate patients' obsessive-compulsive symptoms and clinicians hypothesize that such accommodations adversely affect patient outcome. This study's purpose was to develop a valid and reliable measure, the Family Accommodation Scale for Obsessive-Compulsive Disorder (FAS), and to investigate the family accommodation construct. We administered the FAS and additional family and patient measures to 36 adult obsessive-compulsive patients and their primary caregivers. The FAS demonstrated excellent interrater reliability and good internal consistency and performed well on assessment of its convergent and discriminant validity. Family accommodation was significantly associated with patient symptom severity and functioning, and with relatives' own obsessive-compulsive symptoms. Although most relatives accommodated patient symptoms, many did not believe that such accommodations improved the patient's clinical status. The FAS will provide researchers and clinicians with a useful tool for assessing family accommodation and for identifying families who may benefit from interventions aimed at developing more adaptive coping strategies.
L Calvocoressi; C M Mazure; S V Kasl; J Skolnick; D Fisk; S J Vegso; B L Van Noppen; L H Price
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of nervous and mental disease     Volume:  187     ISSN:  0022-3018     ISO Abbreviation:  J. Nerv. Ment. Dis.     Publication Date:  1999 Oct 
Date Detail:
Created Date:  1999-10-29     Completed Date:  1999-10-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375402     Medline TA:  J Nerv Ment Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  636-42     Citation Subset:  AIM; IM    
Yale University School of Medicine, Department of Epidemiology and Public Health, New Haven, Connecticut 06520-8034, USA.
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MeSH Terms
Adaptation, Psychological
Caregivers / psychology
Family Health
Family Relations*
Family Therapy
Obsessive-Compulsive Disorder / diagnosis*,  psychology,  therapy
Psychiatric Status Rating Scales / statistics & numerical data*
Reproducibility of Results
Severity of Illness Index

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