title: Involving family members in the treatment of OCD.
abstract: This review focuses on previous research with families of adults and children with obsessive-compulsive disorder (OCD). Three primary areas of research are covered: (i) characteristics of family members and the family environment; (ii) the prediction of treatment response based on family variables; and (iii) the inclusion of family members in treatment. Much of the research supports a hypothesized model of family response to symptoms of OCD that ranges on a continuum from overly accommodating to overly antagonistic. Further research indicates that responses at either extreme of this continuum are associated with poorer response to both exposure and response prevention (ERP) and pharmacotherapy. Finally, results of preliminary treatment outcome studies suggest that family-based interventions aimed at reducing such responses and/or including family members in ERP as coaches or co-therapists may enhance patients' response to treatment. Based on current theory and research, suggestions for future research and general recommendations for involving family members in treatment are made.
authors.affiliation: University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. keith.renshaw@psych.utah.edu
authors.forename: Keith D
authors.initials: KD
authors.lastname: Renshaw
authors.forename: Gail
authors.initials: G
authors.lastname: Steketee
authors.forename: Dianne L
authors.initials: DL
authors.lastname: Chambless
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003131:Combined Modality Therapy; D003887:Desensitization, Psychologic / Q000379:methods; D005195:Family Relations; D005196:Family Therapy; D006801:Humans; D009679:Nuclear Family / Q000523:psychology; D009771:Obsessive-Compulsive Disorder / Q000628:therapy*; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use
chemical_list: D017367:Selective Serotonin Reuptake Inhibitors