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Family Accommodation in Pediatric Obsessive–Compulsive Disorder: Investigating Prevalence and Clinical Correlates in the NordLOTS Study.

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Title: Family Accommodation in Pediatric Obsessive–Compulsive Disorder: Investigating Prevalence and Clinical Correlates in the NordLOTS Study.
Authors: Skarphedinsson, Gudmundur (AUTHOR), Torp, Nor Christian (AUTHOR), Weidle, Bernhard (AUTHOR), Jensen, Sanne (AUTHOR), Ivarsson, Tord (AUTHOR), Hybel, Katja Anna (AUTHOR), Nissen, Judith B. (AUTHOR), Thomsen, Per Hove (AUTHOR), Højgaard, Davíð R. M. A. (AUTHOR)
Source: Child Psychiatry & Human Development. Jun2025, Vol. 56 Issue 3, p782-792. 11p.
Subjects: Internalizing behavior, Compulsive behavior, Medical sciences, Path analysis (Statistics), Obsessive-compulsive disorder, Externalizing behavior
Abstract: Family accommodation (FA) involves the actions taken by family members, particularly parents, to accommodate a child´s obsessive–compulsive disorder (OCD) symptoms, reducing distress or impairment. This behavior may maintain compulsive and avoidant behavior, preventing corrective learning or habituation. This study aims to investigate the prevalence and factors influencing FA in a large Scandinavian sample of children with OCD. We assessed 238 children using standardized diagnostic interviews, OCD symptom severity assessments and questionnaires evaluating functional impairment and internalizing and externalizing symptoms. FA was measured using the Family Accommodation Scale, a 12-item clinician-rated interview. Our results confirmed a high frequency of accommodation, with approximately 70% of primary caregivers reporting some accommodation daily and 98% at least once per week. FA was associated with increased OCD symptom severity, contamination/cleaning symptoms, internalizing and externalizing behavior, and functional impairment. Linear regression analysis showed that high levels of FA are specifically associated with lower age, higher OCD symptom severity, parent-reported impairment, internalizing, and externalizing symptoms. A path analysis revealed that FA partially mediated the relationship between OCD severity, externalizing symptoms, and child's age, highlighting the role of FA in the progression of OCD and related symptoms. The findings emphasize the importance of evaluating FA before initiating treatment and specifically addressing it during the therapeutic process. [ABSTRACT FROM AUTHOR]
Copyright of Child Psychiatry & Human Development is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Family Accommodation in Pediatric Obsessive–Compulsive Disorder: Investigating Prevalence and Clinical Correlates in the NordLOTS Study.
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  Data: <searchLink fieldCode="AR" term="%22Skarphedinsson%2C+Gudmundur%22">Skarphedinsson, Gudmundur</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Torp%2C+Nor+Christian%22">Torp, Nor Christian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Weidle%2C+Bernhard%22">Weidle, Bernhard</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jensen%2C+Sanne%22">Jensen, Sanne</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ivarsson%2C+Tord%22">Ivarsson, Tord</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hybel%2C+Katja+Anna%22">Hybel, Katja Anna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nissen%2C+Judith+B%2E%22">Nissen, Judith B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thomsen%2C+Per+Hove%22">Thomsen, Per Hove</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Højgaard%2C+Davíð+R%2E+M%2E+A%2E%22">Højgaard, Davíð R. M. A.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Child+Psychiatry+%26+Human+Development%22">Child Psychiatry & Human Development</searchLink>. Jun2025, Vol. 56 Issue 3, p782-792. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Internalizing+behavior%22">Internalizing behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Compulsive+behavior%22">Compulsive behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+sciences%22">Medical sciences</searchLink><br /><searchLink fieldCode="DE" term="%22Path+analysis+%28Statistics%29%22">Path analysis (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Obsessive-compulsive+disorder%22">Obsessive-compulsive disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Externalizing+behavior%22">Externalizing behavior</searchLink>
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  Data: Family accommodation (FA) involves the actions taken by family members, particularly parents, to accommodate a child´s obsessive–compulsive disorder (OCD) symptoms, reducing distress or impairment. This behavior may maintain compulsive and avoidant behavior, preventing corrective learning or habituation. This study aims to investigate the prevalence and factors influencing FA in a large Scandinavian sample of children with OCD. We assessed 238 children using standardized diagnostic interviews, OCD symptom severity assessments and questionnaires evaluating functional impairment and internalizing and externalizing symptoms. FA was measured using the Family Accommodation Scale, a 12-item clinician-rated interview. Our results confirmed a high frequency of accommodation, with approximately 70% of primary caregivers reporting some accommodation daily and 98% at least once per week. FA was associated with increased OCD symptom severity, contamination/cleaning symptoms, internalizing and externalizing behavior, and functional impairment. Linear regression analysis showed that high levels of FA are specifically associated with lower age, higher OCD symptom severity, parent-reported impairment, internalizing, and externalizing symptoms. A path analysis revealed that FA partially mediated the relationship between OCD severity, externalizing symptoms, and child's age, highlighting the role of FA in the progression of OCD and related symptoms. The findings emphasize the importance of evaluating FA before initiating treatment and specifically addressing it during the therapeutic process. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Child Psychiatry & Human Development is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Jun2025
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