Family accommodation in obsessive-compulsive disorder: An updated systematic review and meta-analysis

Laura Hermida-Barros; Mireia Primé-Tous; Blanca García-Delgar; Eduard Forcadell; Sara Lera-Miguel; Lorena Fernández de la Cruz; Eduard Vieta; Joaquim Radua; Luisa Lázaro; Miquel A Fullana

doi:10.1016/j.neubiorev.2024.105678

Family accommodation in obsessive-compulsive disorder: An updated systematic review and meta-analysis

Neurosci Biobehav Rev. 2024 Jun:161:105678. doi: 10.1016/j.neubiorev.2024.105678. Epub 2024 Apr 14.

Affiliations

¹ Child and Adolescent Psychiatry and Psychology Department, Institute of Neurosciences, Hospital Clínic, Barcelona 08036, Spain.
² Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm 17177, Sweden; Stockholm Health Care Services, Region Stockholm, Stockholm 10431, Sweden.
³ Adult Psychiatry and Psychology Department, Institute of Neurosciences, Hospital Clinic, Barcelona 08036, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Network Centre for Biomedical Research in Mental Health (CIBERSAM), Instituto de Salud Carlos III, Barcelona 08036, Spain; University of Barcelona, Barcelona 08007, Spain.
⁴ Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm 17177, Sweden; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Network Centre for Biomedical Research in Mental Health (CIBERSAM), Instituto de Salud Carlos III, Barcelona 08036, Spain. Electronic address: [email protected].
⁵ Child and Adolescent Psychiatry and Psychology Department, Institute of Neurosciences, Hospital Clínic, Barcelona 08036, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Network Centre for Biomedical Research in Mental Health (CIBERSAM), Instituto de Salud Carlos III, Barcelona 08036, Spain; University of Barcelona, Barcelona 08007, Spain.
⁶ Adult Psychiatry and Psychology Department, Institute of Neurosciences, Hospital Clinic, Barcelona 08036, Spain. Electronic address: [email protected].

PMID: 38621516
DOI: 10.1016/j.neubiorev.2024.105678

Abstract

Family accommodation might play a crucial role in obsessive-compulsive disorder (OCD). Previous systematic reviews on family accommodation in OCD have focused on specific populations or variables or are outdated. We conducted a preregistered systematic review and meta-analysis on family accommodation in adults, children, and adolescents with OCD (CRD42021264461). We searched PubMed, Scopus, and Web of Science using the keywords "family accommodation" and "obsessive-compulsive disorder. One hundred-eight studies involving 8928 individuals with OCD were included. Our results indicate that levels of family accommodation in OCD are moderate, that there is a significant positive correlation between family accommodation and OCD severity (r = 0.42), that baseline family accommodation does not predict pre- to post-treatment change in OCD severity (g = -0.03), and that family accommodation decreases as a result of both individual and family-focused cognitive behavioral therapy for OCD (g = 2.00 and g = 1.17, respectively). Our findings highlight the relevance of family accommodation in OCD and may help guide assessment and treatment.

Keywords: Accommodation; Family; Meta-analysis; Obsessive compulsive disorder; Systematic review; Treatment.

Publication types

Systematic Review
Meta-Analysis
Research Support, Non-U.S. Gov't
Review

MeSH terms

Family* / psychology
Humans
Obsessive-Compulsive Disorder* / physiopathology
Obsessive-Compulsive Disorder* / therapy