Marinchak, James S.. A preliminary investigation of the relationship between the accommodation behaviors of family members of individuals with OCD and treatment outcome. Retrieved from https://doi.org/doi:10.7282/T3V69GKR
TitleA preliminary investigation of the relationship between the accommodation behaviors of family members of individuals with OCD and treatment outcome
DescriptionObsessive-compulsive disorder (OCD) is an anxiety disorder in which distress and impairment extend beyond the patient to their immediate family members. Many family members become involved in their loved one’s compulsions by engaging in accommodation behaviors, which ultimately make it easier to perform compulsions or avoid obsession-invoking triggers. Accommodation behaviors can indirectly result in negative consequences for the family member, such as reduced quality-of-life, and the OCD individual in the form of more severe OCD symptoms and decreased motivation to seek treatment. The current study utilized a single, case-study methodology to examine whether providing a brief, ten-session behavioral treatment to an immediate family member living with a non-treatment seeking OCD adult would result in reduced accommodation, improved quality of life, and an increased motivation for the OCD adult to seek help. Individual treatment was provided to the mother of an adult son, living at home and diagnosed with OCD, over a three month period at an outpatient anxiety clinic setting. The therapy focused on providing the mother with psychoeducation regarding the nature of OCD and the negative impact of accommodation behaviors, developing alternative coping behaviors in response to rituals, communication training, and the promotion of self-care behaviors. Results indicated that the treatment was effective in reducing accommodation and improving quality of life within the household, but that more treatment was likely necessary in order to consolidate therapeutic gains. The treatment did not appear to impact OCD treatment-seeking motivation for the OCDdiagnosed son. Factors contributing to the results of the treatment are discussed, and suggestions are presented for future research directions. Family members living with OCD-diagnosed adults not currently seeking treatment can likely derive benefit from brief interventions designed to reduce accommodation behaviors, improve family communication, and promote self-care.