Family involvement in the psychological treatment of obsessive–compulsive disorder: A meta-analysis.
Open accessAbstract
Psychological treatments for obsessive-compulsive disorder (OCD) are increasingly aimed at improving outcomes by directly incorporating family members to address family disruption, dysfunction, or symptom accommodation. Much remains to be learned about the pooled effects of "family inclusive treatment" (FIT) for OCD and factors that may explain variation in response. Random-effects meta-analytic procedures were conducted to empirically evaluate the overall effect of FITs on OCD, and treatment moderators. Study search criteria yielded 29 studies examining FIT response in 1,366 OCD patients. Outcome variables included OCD symptoms and global functioning. Examined moderators included age group, gender, minority status, treatment length and format, and inclusion of specific family focused treatment elements. FITs for OCD demonstrated a large overall effect on OCD symptoms (pooled d = 1.68, SE = 0.14) and global functioning (pooled d = 0.98, SE = 0.14). Moderator analyses found that individual family treatments (vs. group) and FITs targeting family accommodation of symptoms (vs. those that did not target accommodation) were associated with greater improvements in patient functioning. Results indicate a robust overall response to FITs for OCD and clarify key moderators that inform optimal circumstances for effective treatment. Findings underscore the need for continued momentum in the development, evaluation, and dissemination of FITs for OCD.
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Supportive family members may be helpful partners for patients with OCD or PTSD as they engage in exposure and response prevention, with care to correct over-accommodation, since such accommodation inadvertently reinforces avoidance behavior.
“Supportive family members may be similarly helpful partners for patients with OCD or PTSD as they engage in exposure and response prevention of avoidance or rituals, with care to correct over-accommodation on the part of the family member (e.g., complying with patient requests to wash excessively due to fears of contamination), since such accommodation inadvertently reinforces avoidance behavior 2”
From The clinical characterization of the adult patient with an anxiety or related disorder aimed at personalization of management (2021) · cites this paper as [234]
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- Authors
- Thompson-Hollands, J., Edson, A., Tompson, M. C., & Comer, J. S.
- Affiliations
- Boston University (US)
- Florida International University (US)
- Venue
- Journal of Family Psychology
- Published
- 2014
- Volume
- 28
- Issue
- 3
- Pages
- 287-298
- ISSN
- 0893-3200 (ISSN-L)
- 1939-1293
- PMC
- PMC4086156
- OpenAlex
- W2164537942
- Cited by
- 127
- References
- 80
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 13 · 2023: 9 · 2022: 11 · 2021: 15 · 2020: 17 · 2019: 10 · 2018: 9 · 2017: 7 · 2016: 6 · 2015: 10 · 2014: 4
- FWCI
- 10.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Family Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- International OCD Foundation
- 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, family involvement, family-focused therapy, family dysfunction, global functioning, treatment moderators, minority status
- MeSH terms
- Family, Family Therapy, Female, Humans, Male, Obsessive-Compulsive Disorder, Treatment Outcome
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