- Oxford Library Of Psychology
- The Oxford Handbook of Obsessive Compulsive and Spectrum Disorders
- Short Contents
- Oxford Library of Psychology
- About the Editor
- Phenomenology and Epidemiology of Obsessive Compulsive Disorder
- Phenomenology and Epidemiology of Body Dysmorphic Disorder
- Phenomenology and Characteristics of Compulsive Hoarding
- Phenomenology and Epidemiology of Tic Disorders and Trichotillomania
- Genetic Understanding of OCD and Spectrum Disorders
- Neuroanatomy of Obsessive Compulsive and Related Disorders
- Information Processing in Obsessive Compulsive Disorder and Related Problems
- The Role of Family and Social Relationships in OCD and Spectrum Conditions
- Personality Features of OCD and Spectrum Conditions
- Psychological Models of Obsessive Compulsive and Spectrum Disorders: <i>From Psychoanalytic to Behavioral Conceptualizations</i>
- Cognitive Approaches to Understanding Obsessive Compulsive and Related Disorders
- Assessing OCD Symptoms and Severity
- Assessing Comorbidity, Insight, Family and Functioning in OCD
- Pharmacological Treatments for Obsessive Compulsive Disorder
- Other Biological Approaches to OCD
- Exposure-Based Treatment for Obsessive Compulsive Disorder
- Cognitive Treatment for OCD
- Combining Pharmacotherapy and Psychological Treatments for OCD
- Additive and Alternative Approaches to Treating Obsessive Compulsive Disorder
- Treatment of Body Dysmorphic Disorder
- Treatment of Compulsive Hoarding
- Treatment of Tic Disorders and Trichotillomania
- OCD and Spectrum Conditions in Older Adults
- Obsessive Compulsive Spectrum Disorders in Children and Adolescents
- Cultural Issues in Understanding and Treating Obsessive Compulsive and Spectrum Disorders
- Future Research on Obsessive Compulsive and Spectrum Conditions
Abstract and Keywords
Children and adults with obsessive compulsive disorder (OCD) have impairments in social and family functioning, and relatives of those with OCD endorse elevated levels of relationship and psychological distress. The levels of impairments appear equal to or greater than those associated with other disorders. Furthermore, OCD is specifically associated with higher levels of accommodation, or behaviors that facilitate the completion of compulsive rituals, in relatives. Although levels of general social and family impairments do not demonstrate a clear association with treatment response in OCD, higher levels of pretreatment accommodation and hostility in relatives is associated with poorer response to exposure and response prevention (ERP). In contrast, higher levels of nonhostile criticism in relatives may be associated with enhanced response to ERP in patients. Findings are mixed as to whether family-based treatments for OCD, most of which include psychoeducation and attempts to reduce accommodating behaviors in relatives, are associated with enhanced response to ERP.
Keith D. Renshaw, Department of Psychology, University of Utah, Salt Lake City, UT.
Catherine M. Caska, Department of Psychology, University of Utah, Salt Lake City, UT.
Camila S. Rodrigues, Department of Psychology, University of Utah, Salt Lake City, UT.
Rebecca K. Blais, Department of Psychology, University of Utah, Salt Lake City, UT.
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