Predictors of parental accommodation in pediatric obsessive-compulsive disorder: Findings from the Pediatric Obsessive-Compulsive Disorder Treatment Study (POTS) Trial
Open accessAbstract
Objective Few studies have examined predictors of parental accommodation (assessed with the Family Accommodation Scale-Parent Report) among families of children with obsessive-compulsive disorder (OCD). No studies have examined this phenomenon using empirically derived subscales of the Family Accommodation Scale-Parent Report (i.e., Caregiver Involvement, Avoidance of Triggers).Method Ninety-six youths (and their families) were included in the present study. Parents were asked to complete the Family Accommodation Scale-Parent Report. Families also completed several additional measurements assessing child- and parent-level variables of interest. Regression analyses were used to examine potential predictors of accommodation.Results Results support prior research suggesting that accommodation is ubiquitous among the families of children with OCD. Analyses revealed that several child-level (i.e., compulsion severity, oppositional behavior, and frequency of washing symptoms) and one parent-level (i.e., symptoms of anxiety) predictors work jointly to provide significant predictive models of parental accommodation.Conclusions Clinicians and researchers should be aware of the impact of specific child- and parent-level variables on family accommodation in pediatric OCD and in turn their implications for treatment compliance, adherence, and, by extension, outcome. Study limitations warrant replication and extension of these findings; in particular, researchers may seek to obtain a better understanding of how the various facets of parental accommodation may differentially affect treatment.
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In OCD, parental anxiety is associated with illness accommodation.
“For example, in obsessive-compulsive disorder, parental anxiety has been associated with illness accommodation (i.e., allowing the child to engage in checking compulsions; Caporino et al., 2012; Flessner et al., 2011).”
From A Pilot Study of an Acceptance-Based Separated Family Treatment for Adolescent Anorexia Nervosa (2013) · cites this paper as Flessner et al., 2011
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“For example, in obsessive-compulsive disorder, parental anxiety has been associated with illness accommodation (i.e., allowing the child to engage in checking compulsions; Caporino et al., 2012; Flessner et al., 2011).”
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- Authors
- Flessner, C. A., Freeman, J. B., Sapyta, J., Garcia, A., Franklin, M. E., March, J. S., & Foa, E.
- Affiliations
- Brown University (US)
- Duke Medical Center (US)
- University of Pennsylvania (US)
- Corresponding author
- Flessner, Christopher A.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2011-07
- Volume
- 50
- Issue
- 7
- Pages
- 716-725
- ISSN
- 0890-8567 (ISSN-L)
- PMC
- PMC3128390
- OpenAlex
- W2088786881
- Cited by
- 143
- References
- 48
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 9 · 2023: 4 · 2022: 10 · 2021: 22 · 2020: 14 · 2019: 10 · 2018: 11 · 2017: 14 · 2016: 7 · 2015: 13 · 2014: 9 · 2013: 7 · 2012: 7
- FWCI
- 7.92
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH055121, R01 MH55121, R10MH055121, R01MH055126, R01 MH55126, T32MH019927)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- parental accommodation, pediatric obsessive-compulsive disorder, caregiver involvement, oppositional behavior, parental anxiety, medication adherence
- MeSH terms
- Adolescent, Child, Cooperative Behavior, Family Health, Female, Humans, Male, Obsessive-Compulsive Disorder, Patient Compliance, United States, Cognitive Behavioral Therapy, Multivariate Analysis, Linear Models, Parenting
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