University of North Carolina at Chapel Hill, United States.
Behav Res Ther. 2013 Jun;51(6):316-22. doi: 10.1016/j.brat.2013.03.002. Epub 2013 Mar 16.
Obsessive Compulsive Disorder (OCD) is typically considered from the perspective of the individual, yet symptoms often occur within an interpersonal context. Family members often engage in accommodation, assisting patients with rituals in order to alleviate anxiety, prevent conflict, or "help out" with time-consuming compulsive behaviors. Prior research has primarily examined accommodation in parents of children with OCD or in adult caregiver relationships, where caregivers can include various family members (e.g., parents, romantic partners). The current study examined accommodation behaviors in romantic partners of adults with OCD. As part of a treatment study, 20 couples were assessed for accommodation behaviors, OCD symptoms, and relationship functioning before and after 16-sessions of cognitive-behavioral treatment. Accommodation was associated with the patient's OCD symptoms at pre-treatment, and negatively associated with the partners', but not the patients', self-reported relationship satisfaction. Post-treatment partner accommodation was also associated with poorer response to treatment. The implications of these findings are discussed within an interpersonal framework, and the benefits of including partners in the treatment of OCD are described.
强迫症(OCD)通常从个体的角度来考虑,但症状往往出现在人际环境中。家庭成员经常会采取迁就行为,帮助患者完成仪式,以减轻焦虑、避免冲突,或者帮助患者完成耗时的强迫行为。先前的研究主要考察了儿童强迫症患者的父母或成年照顾者关系中的迁就行为,其中照顾者可以包括各种家庭成员(如父母、伴侣)。本研究考察了强迫症成年患者的伴侣的迁就行为。作为一项治疗研究的一部分,在认知行为治疗的 16 个疗程前后,对 20 对夫妇的迁就行为、强迫症症状和关系功能进行了评估。在治疗前,迁就与患者的强迫症症状有关,与伴侣的关系满意度无关,但与患者的自我报告的关系满意度呈负相关。治疗后的伴侣迁就也与对治疗的反应较差有关。这些发现是在人际框架内讨论的,并描述了将伴侣纳入强迫症治疗的好处。