BC Children's Hospital Research Institute, Canada; University of British Columbia Faculty of Medicine, Canada.
BC Children's Hospital Research Institute, Canada; BC Mental Health and Substance Use Services Research Institute, Canada.
J Affect Disord. 2024 Dec 1;366:395-401. doi: 10.1016/j.jad.2024.08.136. Epub 2024 Aug 24.
Previous studies have examined the perspectives of both affected children/adolescents and their parents on family functioning impacts of obsessive-compulsive disorder (OCD). While siblings play an integral role within the family system, their perspectives have been largely overlooked in the literature. This study examined sibling, parent, and child perspectives of family functioning in pediatric OCD and assessed demographic and clinical factors associated with family functioning.
Participating families were identified from a larger research registry of 398 patients referred between 2012 and 2020 to the Provincial OCD Program. A total of 185 families who provided data on family functioning from the perspectives of OCD-affected children, siblings and parents were included for study. All family members completed the OCD Family Functioning scale.
The extent of perceived impairment differed by family member type, with parents reporting the greatest impacts, followed by OCD-affected children, and then siblings. Predictors of OCD-imposed family dysfunction included family accommodation from all perspectives, clinician-reported child OCD severity, and family blame from parent perspectives.
Data are cross-sectional, and we cannot conclude that the observed associations reflect causal effects. Missing data were evident and differed by variable item and family member type.
By providing sibling perspectives within the same family unit, this study expands upon previous findings that accommodation predicts family impairment from parent and child perspectives. Our study highlights factors relevant to family-based interventions in the treatment of pediatric OCD. Clinicians should be aware of the ongoing impacts OCD has on all family members.
先前的研究已经考察了受强迫症（OCD）影响的儿童/青少年及其父母对家庭功能影响的观点。尽管兄弟姐妹在家庭系统中起着不可或缺的作用，但他们的观点在文献中基本上被忽视了。本研究考察了儿科 OCD 中兄弟姐妹、父母和儿童对家庭功能的看法，并评估了与家庭功能相关的人口统计学和临床因素。
从 2012 年至 2020 年期间向省级 OCD 计划转诊的 398 名患者的更大研究登记处确定了参与家庭。共有 185 个家庭提供了来自受 OCD 影响的儿童、兄弟姐妹和父母的家庭功能数据，纳入了研究。所有家庭成员都完成了 OCD 家庭功能量表。
家庭成员类型的感知受损程度不同，父母报告的影响最大，其次是受 OCD 影响的儿童，然后是兄弟姐妹。OCD 引起的家庭功能障碍的预测因素包括来自所有方面的家庭适应、临床医生报告的儿童 OCD 严重程度以及来自父母方面的家庭指责。
数据是横断面的，我们不能得出观察到的关联反映因果效应的结论。存在缺失数据，且因变量项和家庭成员类型而异。
通过在同一家庭单元中提供兄弟姐妹的观点，本研究扩展了先前的研究结果，即适应从父母和儿童的角度预测家庭受损。我们的研究强调了与儿科 OCD 家庭为基础的干预相关的因素。临床医生应该意识到 OCD 对所有家庭成员的持续影响。
