Clinical Correlates and Prevalence of Family Accommodation in Pediatric Obsessive-Compulsive Disorder: Data from the NordLOTS
Bibliographic record
Abstract
Objectives<br/><br/>Family accommodation refers to the actions conducted by family members catering to the child´s obsessions (symptoms, e.g., obsessional fear) with the intention to reduce potential anxiety, distress or impairment. It may maintain compulsion-related behavior and avoidance as the feared triggers may not be experienced fully, thus inhibiting any corrective learning or habituation.<br/><br/>The aim of the study was to examine the prevalence as well as clinical and demographic correlates of accommodation, using a large Scandinavian sample of children with obsessive-compulsive disorder (OCD).<br/><br/>Methods<br/><br/>Participants included 238 children with OCD who were administered a standardized diagnostic interview and an interview to assess OCD symptom severity, along with questionnaires assessing functional impairment as well as internalizing and externalizing symptoms. Family accommodation was measured using the Family Accommodation Scale, a 12-item clinician-rated interview.<br/><br/>Results<br/><br/>We confirmed a high frequency of accommodation, as it occurred among most primary caregivers (98% reporting accommodation at least once per week), and about 70% performing some kind of accommodation every day of the week. Accommodation was associated with increased OCD symptom severity, contamination/cleaning type, internalizing and externalizing behavior, and functional impairment. Accommodation was also associated with younger age. It mediated the relationship between OCD symptom severity/externalizing behavior and functional impairment. Accommodation is common in pediatric OCD, and it is related to more severe OCD symptoms, functional impairment, contamination/cleaning type, and the child‘s general psychopathology.<br/><br/>Conclusions<br/><br/>These results emphasize the importance of evaluating accommodation before start of treatment and the need to specifically target family accommodation during treatment.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".