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Determinants of family functioning in caregivers of persons with obsessive-compulsive disorder.

التفاصيل البيبلوغرافية
العنوان: Determinants of family functioning in caregivers of persons with obsessive-compulsive disorder.
المؤلفون: Murthy NS; OCD Clinic, National Institute of Mental Health & Neuro-Sciences (NIMHANS), Bangalore, India; Department of Psychiatric Social Work, NIMHANS, Bangalore, India., Balachander S; OCD Clinic, National Institute of Mental Health & Neuro-Sciences (NIMHANS), Bangalore, India; Department of Psychiatry, NIMHANS, Bangalore, India., Nirmala BP; Department of Psychiatric Social Work, NIMHANS, Bangalore, India., Pandian RD; Department of Psychiatric Social Work, NIMHANS, Bangalore, India., Cherian AV; OCD Clinic, National Institute of Mental Health & Neuro-Sciences (NIMHANS), Bangalore, India; Department of Psychiatric Social Work, NIMHANS, Bangalore, India., Arumugham SS; OCD Clinic, National Institute of Mental Health & Neuro-Sciences (NIMHANS), Bangalore, India; Department of Psychiatry, NIMHANS, Bangalore, India., Reddy YCJ; OCD Clinic, National Institute of Mental Health & Neuro-Sciences (NIMHANS), Bangalore, India; Department of Psychiatry, NIMHANS, Bangalore, India. Electronic address: ycjreddy@gmail.com.
المصدر: Journal of affective disorders [J Affect Disord] 2022 May 15; Vol. 305, pp. 179-187. Date of Electronic Publication: 2022 Mar 03.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Elsevier/North-Holland Biomedical Press Country of Publication: Netherlands NLM ID: 7906073 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2517 (Electronic) Linking ISSN: 01650327 NLM ISO Abbreviation: J Affect Disord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Amsterdam, Elsevier/North-Holland Biomedical Press.
مواضيع طبية MeSH: Caregivers*/psychology , Obsessive-Compulsive Disorder*/psychology, Adult ; Anxiety/psychology ; Anxiety Disorders ; Cross-Sectional Studies ; Humans
مستخلص: Background: Obsessive-compulsive disorder (OCD) is known to cause significant burden to patients and their caregivers. However, there is limited data on its impact on family functioning, especially from families with an adult member having OCD.
Methods: Four hundred subjects, which included treatment-seeking adult OCD patients (n = 200) and their caregivers (n = 200) were recruited. Patients were evaluated using the Mini International Neuropsychiatric Interview (MINI) and the Yale-Brown Obsessive-Compulsive Scale (YBOCS). Caregivers were evaluated using the MINI, the Caregiver Strain Index (CSI), the Hamilton Anxiety Rating Scale (HAM-A), the Hamilton Depression Rating Scale (HAM-D), the Socio-Occupational Functioning Assessment Scale (SOFAS), the Family Accommodation Scale (FAS) and the Connor-David Resilience scale (CD-RISC) in a cross-sectional interview. Family functioning was measured using the OCD Family Functioning (OFF) Scale. Structural equation modeling (SEM) was carried out to evaluate the relationships between the patient and caregiver variables to predict family functioning.
Results: From the best-fitting path model, we ascertained that OCD symptoms did not have a direct relationship with family dysfunction. Their effects were in turn was mediated by family accommodation, anxiety, caregiver stress/burden and depression. "Contamination & washing" was the only significant symptom dimension within the model. Caregiver resilience was found to predict only their individual functioning, and not family functioning.
Limitations: Study sample included patients from a tertiary care OCD service, only one caregiver from each patient's family was interviewed.
Conclusions: Evaluating family functioning, addressing it as part of interventional modules for patients and caregivers may help improving treatment outcomes.
(Copyright © 2022 Elsevier B.V. All rights reserved.)
معلومات مُعتمدة: Canada CIHR
فهرسة مساهمة: Keywords: Accommodation; Burden; Caregivers; Family functioning; OCD
تواريخ الأحداث: Date Created: 20220305 Date Completed: 20220420 Latest Revision: 20220420
رمز التحديث: 20221213
DOI: 10.1016/j.jad.2022.02.065
PMID: 35247483
قاعدة البيانات: MEDLINE
الوصف
تدمد:1573-2517
DOI:10.1016/j.jad.2022.02.065