title: Child-focused treatment of pediatric OCD affects parental behavior and family environment.
abstract: This study aimed to investigate the impact of child-focused pediatric OCD treatment on parental anxiety, family accommodation and family environment. Forty-three parents (72.1% female, mean age±SD=43.1±5.6 years) were evaluated at baseline and after their children's (n=33, 54.5% female, mean age±SD=12.9±2.7 years) randomized treatment with Group Cognitive-Behavioral Therapy or fluoxetine for 14 weeks. Validated instruments were administered by trained clinicians. Parents were assessed with the State-Trait Anxiety Inventory (STAI), the Family Accommodation Scale (FAS) and the Family Environment Scale (FES). The Yale-Brown Obsessive-Compulsive Scale was administered to children. Significant findings after the children's treatment include decreased family accommodation levels (participation, modification and distress/consequences domains); increased cohesion and active-recreational components of the family environment. In addition, changes in the FAS distress/consequences and the FES cohesion subscores were correlated with the children's clinical improvement. These results suggest that child-focused OCD treatment may have a positive impact on family accommodation and family environment. Future studies should further clarify the reciprocal influences of pediatric OCD treatment and family factors.
authors.affiliation: Department & Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil. Electronic address: gabriela.gorenstein@gmail.com.
authors.forename: Gabriela
authors.initials: G
authors.lastname: Gorenstein
authors.affiliation: Department of Pharmacology, Institute of Biomedical Sciences, University of São Paulo, SP, Brazil; LIM-23, Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil. Electronic address: cgorenst@usp.br.
authors.forename: Clarice
authors.initials: C
authors.lastname: Gorenstein
authors.affiliation: Institute of Mathematics and Statistics, Department of University of São Paulo, SP, Brazil. Electronic address: oliveira.mel@gmail.com.
authors.forename: Melaine Cristina
authors.initials: MC
authors.lastname: de Oliveira
authors.affiliation: Department & Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil. Electronic address: frasbahr@usp.br.
authors.forename: Fernando Ramos
authors.initials: FR
authors.lastname: Asbahr
authors.affiliation: Department & Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil. Electronic address: roseligshavitt@gmail.com.
authors.forename: Roseli Gedanke
authors.initials: RG
authors.lastname: Shavitt
mesh_terms: D000293:Adolescent; D000328:Adult; D018687:Antidepressive Agents, Second-Generation / Q000627:therapeutic use; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods; D005195:Family Relations / Q000523:psychology*; D005260:Female; D005473:Fluoxetine / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D010290:Parents / Q000523:psychology*; D010555:Personality Inventory; D011446:Prospective Studies; D012931:Social Environment; D016896:Treatment Outcome
chemical_list: D018687:Antidepressive Agents, Second-Generation; D005473:Fluoxetine
keywords: Adolescent; Anxiety; Child; Family; Obsessive–compulsive disorder; Therapy