Psychoeducation focused on family accommodation: a practical intervention for parents of children and adolescents with obsessive-compulsive disorder

Abstract Obsessive-compulsive disorder (OCD) is a neuropsychiatric disorder that is frequently diagnosed in children and adolescents. In pediatric OCD, family plays an important role in the development and maintenance of the disease. In this relationship, both genetic and behavioral factors, such as...

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Autores principales:	Francesco Demaria, Maria Pontillo, Maria Cristina Tata, Prisca Gargiullo, Francesco Mancini, Stefano Vicari
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Obsessive-compulsive disorder Children Adolescents Cognitive-behavioral therapy Psychoeducation Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/2c0ebc05e62346948683150adc5caab8
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spelling	oai:doaj.org-article:2c0ebc05e62346948683150adc5caab82021-11-08T11:17:46ZPsychoeducation focused on family accommodation: a practical intervention for parents of children and adolescents with obsessive-compulsive disorder10.1186/s13052-021-01177-31824-7288https://doaj.org/article/2c0ebc05e62346948683150adc5caab82021-11-01T00:00:00Zhttps://doi.org/10.1186/s13052-021-01177-3https://doaj.org/toc/1824-7288Abstract Obsessive-compulsive disorder (OCD) is a neuropsychiatric disorder that is frequently diagnosed in children and adolescents. In pediatric OCD, family plays an important role in the development and maintenance of the disease. In this relationship, both genetic and behavioral factors, such as parental modeling and family accommodation, are significant. Parental modeling concerns the daily enactment of dysfunctional behavioral patterns by a parent with OCD, which may influence children. Family accommodation, in contrast, describes the direct participation of parents in their child’s compulsive rituals, by modifying daily routines or by facilitating avoidance of OCD triggers, to decrease the child’s distress and time spent executing compulsions. Approximately 80–90% of the relatives of OCD patients actively participate in patients’ rituals. The literature demonstrates that a high level of family accommodation is associated with OCD symptom severity, reduced response to cognitive-behavioral treatment (CBT), and a higher risk of therapy dropout. Despite this, no studies have aimed at delineating practical guidance for psychotherapists to support parents in reducing family accommodation. The main aim of this paper is to propose a psychoeducation intervention focused on cognitive-behavioral strategies to help families to manage their child’s OCD behaviors without enacting dysfunctional family accommodation behaviors in order to support their child’s successful therapy.Francesco DemariaMaria PontilloMaria Cristina TataPrisca GargiulloFrancesco ManciniStefano VicariBMCarticleObsessive-compulsive disorderChildrenAdolescentsCognitive-behavioral therapyPsychoeducationPediatricsRJ1-570ENItalian Journal of Pediatrics, Vol 47, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Obsessive-compulsive disorder Children Adolescents Cognitive-behavioral therapy Psychoeducation Pediatrics RJ1-570
spellingShingle	Obsessive-compulsive disorder Children Adolescents Cognitive-behavioral therapy Psychoeducation Pediatrics RJ1-570 Francesco Demaria Maria Pontillo Maria Cristina Tata Prisca Gargiullo Francesco Mancini Stefano Vicari Psychoeducation focused on family accommodation: a practical intervention for parents of children and adolescents with obsessive-compulsive disorder
description	Abstract Obsessive-compulsive disorder (OCD) is a neuropsychiatric disorder that is frequently diagnosed in children and adolescents. In pediatric OCD, family plays an important role in the development and maintenance of the disease. In this relationship, both genetic and behavioral factors, such as parental modeling and family accommodation, are significant. Parental modeling concerns the daily enactment of dysfunctional behavioral patterns by a parent with OCD, which may influence children. Family accommodation, in contrast, describes the direct participation of parents in their child’s compulsive rituals, by modifying daily routines or by facilitating avoidance of OCD triggers, to decrease the child’s distress and time spent executing compulsions. Approximately 80–90% of the relatives of OCD patients actively participate in patients’ rituals. The literature demonstrates that a high level of family accommodation is associated with OCD symptom severity, reduced response to cognitive-behavioral treatment (CBT), and a higher risk of therapy dropout. Despite this, no studies have aimed at delineating practical guidance for psychotherapists to support parents in reducing family accommodation. The main aim of this paper is to propose a psychoeducation intervention focused on cognitive-behavioral strategies to help families to manage their child’s OCD behaviors without enacting dysfunctional family accommodation behaviors in order to support their child’s successful therapy.
format	article
author	Francesco Demaria Maria Pontillo Maria Cristina Tata Prisca Gargiullo Francesco Mancini Stefano Vicari
author_facet	Francesco Demaria Maria Pontillo Maria Cristina Tata Prisca Gargiullo Francesco Mancini Stefano Vicari
author_sort	Francesco Demaria
title	Psychoeducation focused on family accommodation: a practical intervention for parents of children and adolescents with obsessive-compulsive disorder
title_short	Psychoeducation focused on family accommodation: a practical intervention for parents of children and adolescents with obsessive-compulsive disorder
title_full	Psychoeducation focused on family accommodation: a practical intervention for parents of children and adolescents with obsessive-compulsive disorder
title_fullStr	Psychoeducation focused on family accommodation: a practical intervention for parents of children and adolescents with obsessive-compulsive disorder
title_full_unstemmed	Psychoeducation focused on family accommodation: a practical intervention for parents of children and adolescents with obsessive-compulsive disorder
title_sort	psychoeducation focused on family accommodation: a practical intervention for parents of children and adolescents with obsessive-compulsive disorder
publisher	BMC
publishDate	2021
url	https://doaj.org/article/2c0ebc05e62346948683150adc5caab8
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Psychoeducation focused on family accommodation: a practical intervention for parents of children and adolescents with obsessive-compulsive disorder

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