Calvocoressi L, Mazure C M, Kasl S V, Skolnick J, Fisk D, Vegso S J, Van Noppen B L, Price L H
Yale University School of Medicine, Department of Epidemiology and Public Health, New Haven, Connecticut 06520-8034, USA.
J Nerv Ment Dis. 1999 Oct;187(10):636-42. doi: 10.1097/00005053-199910000-00008.
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.
亲属常常迁就患者的强迫症状，临床医生推测这种迁就会对患者的治疗结果产生不利影响。本研究的目的是开发一种有效且可靠的测量工具，即强迫症家庭迁就量表（FAS），并对家庭迁就结构进行调查。我们对36名成年强迫症患者及其主要照料者进行了FAS以及其他家庭和患者测量。FAS表现出了出色的评分者间信度和良好的内部一致性，在收敛效度和区分效度评估中表现良好。家庭迁就与患者症状严重程度和功能状况显著相关，也与亲属自身的强迫症状相关。尽管大多数亲属迁就患者的症状，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，用于评估家庭迁就情况，并识别那些可能从旨在制定更具适应性应对策略的干预措施中受益的家庭。
