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Family Accommodation in Obsessive Compulsive Disorder and Its Association With Insight

BACKGROUND: Family accommodation (FA) is defined as a family members’ involvement by doing certain behavior in response to the daily rituals of patients with obsessive-compulsive disorder (OCD). FA is associated with more severe symptoms of OCD. Similarly, poor insight is associated with high severi...

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Autores principales: Devi, Usha, Sharma, Pragya, Shekhawat, Lokesh Singh, Arshad, Rushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10011857/
https://www.ncbi.nlm.nih.gov/pubmed/36925495
http://dx.doi.org/10.1177/02537176221147057
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author Devi, Usha
Sharma, Pragya
Shekhawat, Lokesh Singh
Arshad, Rushi
author_facet Devi, Usha
Sharma, Pragya
Shekhawat, Lokesh Singh
Arshad, Rushi
author_sort Devi, Usha
collection PubMed
description BACKGROUND: Family accommodation (FA) is defined as a family members’ involvement by doing certain behavior in response to the daily rituals of patients with obsessive-compulsive disorder (OCD). FA is associated with more severe symptoms of OCD. Similarly, poor insight is associated with high severity of OCD symptoms. FA and insight are also related to each other, as more accommodative behavior of family members is associated with poor insight. METHODS: This cross-sectional observational study assessed 103 adult OCD patients with an illness duration of at least one year. Participants were assessed using Yale–Brown Obsessive Compulsive Scale (Y-BOCS) symptom checklist, Y-BOCS to assess severity, and Family Accommodation Scale-SR (Hindi) to evaluate FA. Insight was assessed with the 11th item of Y-BOCS. RESULTS: FA was common in the families of our participants. The mean±SD Y-BOCS score was 28.72±5.09, and the mean FAS-SR score was 44.1±12.03. A significant positive correlation existed between the FA and YBOCS scores, that is, with the increase in FA, YBOCS scores also significantly increased. A considerable number reported poor insight, and had high scores on YBOCS and their caregiver had high FA scores. CONCLUSION: FA is indicative of high symptom severity of OCD and higher FA is associated with poor insight, so FA needs further research for its interplay with OCD symptomatology and role in the maintenance of symptoms.
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spelling pubmed-100118572023-03-15 Family Accommodation in Obsessive Compulsive Disorder and Its Association With Insight Devi, Usha Sharma, Pragya Shekhawat, Lokesh Singh Arshad, Rushi Indian J Psychol Med Original Articles BACKGROUND: Family accommodation (FA) is defined as a family members’ involvement by doing certain behavior in response to the daily rituals of patients with obsessive-compulsive disorder (OCD). FA is associated with more severe symptoms of OCD. Similarly, poor insight is associated with high severity of OCD symptoms. FA and insight are also related to each other, as more accommodative behavior of family members is associated with poor insight. METHODS: This cross-sectional observational study assessed 103 adult OCD patients with an illness duration of at least one year. Participants were assessed using Yale–Brown Obsessive Compulsive Scale (Y-BOCS) symptom checklist, Y-BOCS to assess severity, and Family Accommodation Scale-SR (Hindi) to evaluate FA. Insight was assessed with the 11th item of Y-BOCS. RESULTS: FA was common in the families of our participants. The mean±SD Y-BOCS score was 28.72±5.09, and the mean FAS-SR score was 44.1±12.03. A significant positive correlation existed between the FA and YBOCS scores, that is, with the increase in FA, YBOCS scores also significantly increased. A considerable number reported poor insight, and had high scores on YBOCS and their caregiver had high FA scores. CONCLUSION: FA is indicative of high symptom severity of OCD and higher FA is associated with poor insight, so FA needs further research for its interplay with OCD symptomatology and role in the maintenance of symptoms. SAGE Publications 2023-02-01 2023-03 /pmc/articles/PMC10011857/ /pubmed/36925495 http://dx.doi.org/10.1177/02537176221147057 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Articles
Devi, Usha
Sharma, Pragya
Shekhawat, Lokesh Singh
Arshad, Rushi
Family Accommodation in Obsessive Compulsive Disorder and Its Association With Insight
title Family Accommodation in Obsessive Compulsive Disorder and Its Association With Insight
title_full Family Accommodation in Obsessive Compulsive Disorder and Its Association With Insight
title_fullStr Family Accommodation in Obsessive Compulsive Disorder and Its Association With Insight
title_full_unstemmed Family Accommodation in Obsessive Compulsive Disorder and Its Association With Insight
title_short Family Accommodation in Obsessive Compulsive Disorder and Its Association With Insight
title_sort family accommodation in obsessive compulsive disorder and its association with insight
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10011857/
https://www.ncbi.nlm.nih.gov/pubmed/36925495
http://dx.doi.org/10.1177/02537176221147057
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