Let me check that for you: Symptom accommodation in romantic partners of adults with Obsessive–Compulsive Disorder
Abstract
Obsessive Compulsive Disorder (OCD) is typically considered from the perspective of the individual, yet symptoms often occur within an interpersonal context. Family members often engage in accommodation, assisting patients with rituals in order to alleviate anxiety, prevent conflict, or "help out" with time-consuming compulsive behaviors. Prior research has primarily examined accommodation in parents of children with OCD or in adult caregiver relationships, where caregivers can include various family members (e.g., parents, romantic partners). The current study examined accommodation behaviors in romantic partners of adults with OCD. As part of a treatment study, 20 couples were assessed for accommodation behaviors, OCD symptoms, and relationship functioning before and after 16-sessions of cognitive-behavioral treatment. Accommodation was associated with the patient's OCD symptoms at pre-treatment, and negatively associated with the partners', but not the patients', self-reported relationship satisfaction. Post-treatment partner accommodation was also associated with poorer response to treatment. The implications of these findings are discussed within an interpersonal framework, and the benefits of including partners in the treatment of OCD are described.
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Romantic partners tend to be the primary source of emotional and instrumental support.
“romantic partners tend to be the primary source of emotional and instrumental support (Boeding et al ., 2013)”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Boeding et al., 2013
Partners accommodate their loved ones to show affection and to prevent relationship conflict.
“partners accommodate their loved ones to show affection and to prevent relationship conflict (Boeding et al ., 2013).”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Boeding et al., 2013
Greater partner symptom accommodation is associated with lower partner-reported relationship satisfaction in OCD.
“and OCD (Boeding et al ., 2013).”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Boeding et al., 2013
Engaging in accommodation behaviours is time-consuming and frustrating for the partner or family.
“Based on partneror family-report, there is evidence that engaging in accommodation behaviours is time-consuming and frustrating for the partner or family.”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Boeding et al., 2013
Partners provide SA to maintain stability in the relationship (e.g. avoid conflict) and to show affection.
“For instance, partners provide SA to maintain stability in the relationship (e.g. avoid conflict) and to show affection (Boeding et al ., 2013; Fredman et al ., 2014).”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Boeding et al., 2013
In studies of partner SA in adult OCD and PTSD, greater partner-reported SA was associated with lower partner-rated relationship satisfaction.
“In studies of partner SA in adult OCD and PTSD greater partner-reported SA was associated with lower partner-rated relationship satisfaction (Boeding et al ., 2013; Fredman et al ., 2014).”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Boeding et al., 2013
The growing evidence that SA is relevant across psychological disorders suggests that SA may be a transdiagnostic process.
“The growing evidence that SA is relevant across psychological disorders suggests that it may be a transdiagnostic process.”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Boeding et al., 2013
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- Authors
- Boeding, S. E., Paprocki, C. M., Baucom, D. H., Abramowitz, J. S., Wheaton, M. G., Fabricant, L. E., & Fischer, M. S.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Boeding, Sara E.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2013-06
- Volume
- 51
- Issue
- 6
- Pages
- 316-322
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2035227214
- Cited by
- 89
- References
- 45
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 9 · 2023: 5 · 2022: 5 · 2021: 12 · 2020: 7 · 2019: 3 · 2018: 4 · 2017: 11 · 2016: 7 · 2015: 8 · 2014: 4 · 2013: 3
- FWCI
- 8.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- obsessive-compulsive disorder, romantic partners, couples, relationship satisfaction, cognitive behavioral therapy, treatment response, partner involvement in treatment, family caregivers
- MeSH terms
- Adult, Aged, Female, Helping Behavior, Humans, Interpersonal Relations, Male, Middle Aged, Obsessive-Compulsive Disorder, Sexual Partners, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult, Self Report
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