Family accommodation of obsessive-compulsive symptoms - Instrument development and assessment of family behavior
Family accommodation of obsessive-compulsive symptoms - Instrument development and assessment of family behavior
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DOI：
10.1097/00005053-199910000-00008
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发表时间：
1999-10-01
影响因子：
1.9
通讯作者：
Price, LH
中科院分区：
文献类型：
--
作者：
Calvocoressi, L;Mazure, CM;Price, LH
亲属经常迁就患者的强迫症症状，临床医生假设这种迁就会对患者的预后产生不利影响。本研究旨在编制一套有效、可靠的强迫症家庭容纳量表（FAS），并探讨家庭容纳的建构。我们对36名成年强迫症患者和他们的主要照顾者进行了FAS和额外的家庭和患者测量。FAS具有优异的判读信度和良好的内部一致性，在收敛效度和判别效度评估中表现良好。家庭适应与患者症状严重程度和功能以及亲属自身的强迫症状显著相关。虽然大多数亲属迁就了患者的症状，但许多人并不认为这种迁就改善了患者的临床状况。FAS将为研究人员和临床医生提供一个有用的工具，用于评估家庭住宿，并确定可能从旨在制定更具适应性的应对策略的干预措施中受益的家庭。
Relatives frequently accommodate patients' obsessive-compulsive symptoms and clinicians hypothesize that such accommodations adversely affect patient outcome. This study's purpose was to develop a valid and reliable measure, the Family Accommodation Scale for Obsessive-Compulsive Disorder (FAS), and to investigate the family accommodation construct. We administered the FAS and additional family and patient measures to 36 adult obsessive-compulsive patients and their primary caregivers. The FAS demonstrated excellent interrater reliability and good internal consistency and performed well on assessment of its convergent and discriminant validity Family accommodation was significantly associated with patient symptom severity and functioning, and with relatives' own obsessive-compulsive symptoms. Although most relatives accommodated patient symptoms, many did not believe that such accommodations improved the patient's clinical status. The FAS will provide researchers and clinicians with a useful tool for assessing family accommodation and for identifying families who may benefit from interventions aimed at developing more adaptive coping strategies.