Acomodação familiar: um estudo sobre características de pacientes com transtorno obsessivo-compulsivo e seus familiares em uma amostra clínica

Abstract

The Obsessive Compulsive Disorder is considered an heterogeneous disorder about the symptoms and it can be divided into different dimensions. These symptoms can cause significant impact on the family dynamics. The family members tend to modify their routine by assisting or participating in the patient’s rituals and these behaviors have been identified as Family Accommodation. However, little know about the difference of family accommodation between the dimensions of Obsessive Compulsive Disorder. Therefore, the aims of this study are: to describe the relationship between family accommodation in relatives of OCD patients and your perceptions about the obsessions and compulsions of the patient; and to evaluate the association between family accommodation and the different dimensions of the OCD symptoms. It is a crosssectional study with patients and their family members diagnosed with OCD at a research clinic. The instruments used in this study were: the Mini International Neuropsychiatric Interview (MINI PLUS), the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), the Dimensional Yale-Brown Obsessive-Compulsive Scale (DYBOCS) and the Family Accommodation Scale for Obsessive-Compulsive Disorder - Interviewer-Rated (FAS-IR). In the frst article the obsessions perceived by family were associated with higher levels of family accommodation: contamination (p<0.001), save/loose symmetry and accuracy (p=0.001), religious (p=0.019), and miscellaneous (p=0.003). For the compulsions, all symptoms were associated with higher levels of family accommodation (p<0.05). In the second article the factors associated with family accommodation were: age of the patient (β= -0.145) (95% CI: -0.27; -0.02), family member living with the patient (β=3.185) (95% CI: 0.13; 6.24), the family member who was a partner/boyfriend/girlfriend of the patient (β=5.750) (95% CI: 2.40; 9.10) and patients with OCD symptoms of sexual/religious dimension (β=0.483) (95% IC: 0.14; 0.83). It is concluded that the family accommodation is present in relatives of Obsessive Compulsive Disorder patients, regardless of the type of obsessive symptom / compulsive perceived. However, the patient's family members who reported having religious / sexual dimension of OCD symptom have higher family accommodation, especially when partners.