Lebowitz Eli R, Panza Kaitlyn E, Bloch Michael H
a Yale Child Study Center, Yale University , New Haven , CT , USA.
b Department of Psychology , Arizona State University , Tempe , AZ , USA.
Expert Rev Neurother. 2016;16(1):45-53. doi: 10.1586/14737175.2016.1126181. Epub 2015 Dec 22.
Family accommodation describes changes that individuals make to their behavior, to help their relative who is dealing with a psychiatric and/or psychological disorder(s), avoid or alleviate distress related to the disorder. Research on family accommodation has advanced rapidly. In this update we aim to provide a synthesis of findings from the past five years. A search of available, peer-reviewed, English language papers was conducted through PubMed and PsycINFO, cross referencing psychiatric disorders with accommodation and other family-related terms. The resulting 121 papers were individually reviewed and evaluated and the main findings were discussed. Family accommodation is common in obsessive-compulsive disorder (OCD) and in anxiety disorders, and manifests similarly across these disorders. Family accommodation is associated with more severe psychopathology and poorer clinical outcomes. Treatments have begun to focus on the reduction of family accommodation as a primary therapeutic goal and finally, neurobiological underpinnings of family accommodation are beginning to be investigated.
家庭迁就指个体改变自身行为，以帮助正在应对精神疾病和/或心理障碍的亲属避免或减轻与该障碍相关的痛苦。关于家庭迁就的研究进展迅速。在本次更新中，我们旨在综合过去五年的研究结果。通过PubMed和PsycINFO对现有的、经过同行评审的英文论文进行了检索，将精神疾病与迁就及其他家庭相关术语进行交叉引用。对由此得到的121篇论文进行了逐一审查和评估，并对主要研究结果进行了讨论。家庭迁就在强迫症（OCD）和焦虑症中很常见，且在这些疾病中的表现相似。家庭迁就与更严重的精神病理学和更差的临床结果相关。治疗已开始将减少家庭迁就作为主要治疗目标，最后，家庭迁就的神经生物学基础也开始得到研究。
