title: Predictors of parental accommodation in pediatric obsessive-compulsive disorder: findings from the Pediatric Obsessive-Compulsive Disorder Treatment Study (POTS) trial.
abstract: OBJECTIVE
  Few studies have examined predictors of parental accommodation (assessed with the Family Accommodation Scale-Parent Report) among families of children with obsessive-compulsive disorder (OCD). No studies have examined this phenomenon using empirically derived subscales of the Family Accommodation Scale-Parent Report (i.e., Caregiver Involvement, Avoidance of Triggers).
  
  
  METHODS
  Ninety-six youths (and their families) were included in the present study. Parents were asked to complete the Family Accommodation Scale-Parent Report. Families also completed several additional measurements assessing child- and parent-level variables of interest. Regression analyses were used to examine potential predictors of accommodation.
  
  
  RESULTS
  Results support prior research suggesting that accommodation is ubiquitous among the families of children with OCD. Analyses revealed that several child-level (i.e., compulsion severity, oppositional behavior, and frequency of washing symptoms) and one parent-level (i.e., symptoms of anxiety) predictors work jointly to provide significant predictive models of parental accommodation.
  
  
  CONCLUSIONS
  Clinicians and researchers should be aware of the impact of specific child- and parent-level variables on family accommodation in pediatric OCD and in turn their implications for treatment compliance, adherence, and, by extension, outcome. Study limitations warrant replication and extension of these findings; in particular, researchers may seek to obtain a better understanding of how the various facets of parental accommodation may differentially affect treatment.
authors.affiliation: Bradley/Hasbro Children's Research Center and Alpert School of Medicine at Brown University, 1 Hoppin Street, Providence, RI 02903, USA. christopherflessner@gmail.com
authors.forename: Christopher A
authors.initials: CA
authors.lastname: Flessner
authors.forename: Jennifer B
authors.initials: JB
authors.lastname: Freeman
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Sapyta
authors.forename: Abbe
authors.initials: A
authors.lastname: Garcia
authors.forename: Martin E
authors.initials: ME
authors.lastname: Franklin
authors.forename: John S
authors.initials: JS
authors.lastname: March
authors.forename: Edna
authors.initials: E
authors.lastname: Foa
mesh_terms: D000293:Adolescent; D002648:Child; D015928:Cognitive Behavioral Therapy; D003299:Cooperative Behavior; D005192:Family Health; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D015999:Multivariate Analysis; D009771:Obsessive-Compulsive Disorder / Q000523:psychology / Q000534:rehabilitation*; D016487:Parenting; D010349:Patient Compliance / Q000523:psychology; D014481:United States