Prevalence and Clinical Correlates of Family Accommodation in Pediatric Obsessive– Compulsive Disorder
Bibliographic record
Abstract
Obsessive-compulsive disorder (OCD) affects 1-3% of children and adolescents and can profoundly impact their daily functioning. Family accommodation (FA) is defined as actions taken by parents or other family members to accommodate OCD symptoms by temporarily alleviating distress or impairment. However, in the long run, FA can contribute to the maintenance of OCD symptoms by interfering with corrective learning and habituation. The aims of this study were to estimate the prevalence of FA and investigate the factors influencing FA in a large sample of Scandinavian children and adolescents (N-238). FA was assessed using the Family Accommodation Scale (FAS), a 12-item clinician-rated interview. Several other assessments were used to assess OCD severity, OCD-related functional impairment, as well as internalizing and externalizing symptoms. Results showed that approximately 70% of primary caregivers reported daily accommodation, while 98% reported it occurring at least once a week. Multiple linear regression analysis demonstrated that age, OCD severity, OCD-related functional impairment, as well as higher internalizing and externalizing symptoms, were specifically associated with the FAS total score. The model accounted for 30.6% of the variance of the total FAS score (F(6, 162) = 23,125.763, p < 0.001)). FAS scores were positively correlated with contamination/cleaning symptoms (r=0.21, p < 0.001), but not with the harm/sexual symptoms (r=−0.07, p=0.152) or symmetry/hoarding symptoms (r=0.05, p=0.280). A path analysis revealed that FA partially mediated the relationship of OCD severity and externalizing symptoms with functional impairment, and fully mediated the relationship between age and functional impairment. The results highlight the role of FA in the progression of OCD and related symptoms. It is recommended to emphasize the need for evaluating FA before initiating OCD treatment and addressing it as necessary during treatment.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| 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 source (direct Gemma or distilled Codex), 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".