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Family-based cognitive behavioural therapy for obsessive-compulsive disorder with family accommodation: case report from Saudi Arabia

Part of: Being an Anti-Racist CBT therapist

Published online by Cambridge University Press:  09 October 2018

Yousra Alatiq  and
Hind Alrshoud
Yousra Alatiq*
Affiliation:
Mental Health Division, King Abdulaziz Medical City, Riyadh, Saudi Arabia
Hind Alrshoud
Affiliation:
Mental Health Division, King Abdulaziz Medical City, Riyadh, Saudi Arabia
*
*Author for correspondence: Dr Y. Alatiq, Mental Health Division, King Abdulaziz Medical City, Riyadh, Saudia Arabia (email: yalatiq@gmail.com).
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Abstract

Family accommodation in obsessive-compulsive disorder (OCD) refers to a condition in which a family member assists or facilitates the patient with OCD in performing the compulsion, or provides assurance to minimize or reduce the anxiety level. This condition can be significantly disabling to the individual as well as to the family dynamic. In this case report, a mother of a 14-year-old female patient carried out almost all the compulsive behaviours and rituals for her child. Family-based cognitive behavioural therapy was offered to this case over a 4-month period with a successful treatment outcome. This result provides initial evidence that this type of intervention is suitable for patients from Saudi Arabia, a non-Western culture.

Keywords

obsessive-compulsive disorderfamily-based CBTfamily accommodationSaudi Arabia

Information

Type
Case Study
Information
the Cognitive Behaviour Therapist , Volume 11 , 2018 , e14
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

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References

Recommended follow-up reading

Marien, WE, Storch, EA, Geffken, GR, Murphy, TK (2009). Intensive family-based cognitive-behavioral therapy for pediatric obsessive-compulsive disorder: applications for treatment of medication partial or nonresponders. Cognitive and Behavioral Practice 16 (3).Google Scholar
Lebowitz, ER, Bloch, M (2012). Family accommodation in pediatric obsessive compulsive disorder. Expert Review of Neurotherapeutics 12, 229–238.Google Scholar

References

Abramowitz, JS, Whiteside, SP, Deacon, BJ (2005). The effectiveness of treatment for pediatric obsessive-compulsive disorder: a meta-analysis. Behavior Therapy 36, 55–63.Google Scholar
Albert, U, Baffa, A, Maina, G (2017). Family accommodation in adult obsessive-compulsive disorder: clinical perspectives. Psychology Research and Behavior Management 10, 293–304.Google Scholar
Albuhairi, AA (2005). SCL-90_R, Arabic version. Asuod, Eyget: Counseling and Educational Center.Google Scholar
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, DSM-5. Washington, DC: American Psychiatric Association.Google Scholar
Atiq, Y (2014). Transdiagnostic cognitive behavioural therapy (CBT): case reports from Saudi Arabia. Cognitive Behaviour Therapist 7, 1–12.Google Scholar
Atiq, Y, Alshalan, M, Almodayfer, O (2017). Prevelance of psychiatric disorders among Saudi female adolescent girls in Riyadh City High School. The Arab Journal of Psychiatry 28, 160–168.Google Scholar
Barrett, P, Healy-Farrell, L, March, JS (2004). Cognitive-behavioral family treatment of childhood obsessive-compulsive disorder: a controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry 43, 46–62.Google Scholar
Derogatis, LR (1977). SCL-90-R Administration Scoring and Procedures Manual I. Baltimore: Clinical Psychometric Research.Google Scholar
Dummett, N (2006). Processes for systemic cognitive behavioural therapy with children young people and families. Behavioural and Cognitive Psychotherapy 34, 179–189.Google Scholar
Evans, DW, Leckman, JF, Carter, A, Reznick, JS, Henshaw, D, King, RA, Pauls, D (1997). Ritual, habit, and perfectionism: the prevalence and development of compulsive-like behavior in normal young children. Child Development 68, 58–68.Google Scholar
Ferrans, CE, Powers, MJ (1985). Quality of life index: development and psychometric properties. Advances in Nursing Science 8, 15–24. doi: 10.1097/00012272-198510000-00005Google Scholar
Iniesta-Sepúlveda, M, Rosa-Alcázar, AI, Sánchez-Meca, J, Parada-Navas, JL, Rosa-Alcázar, Á (2017). Cognitive-behavioral high parental involvement treatments for pediatric obsessive-compulsive disorder: a meta-analysis. Journal of Anxiety Disorders 49, 53–64. doi: 10.1016/j.janxdis.2017.03.010Google Scholar
Kroenke, K, Spitzer, RL, Williams, JB (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine 16, 606–613.Google Scholar
Lack, CW (2012). Obsessive-compulsive disorder: evidence-based treatments and future directions for research. World Journal of Psychiatry 2, 86–90.Google Scholar
Lebowitz, ER, Panza, KE, Su, J, Bloch, MH (2012). Family accommodation in obsessive-compulsive disorder. Expert Review of Neurotherapeutics 12, 229–238.Google Scholar
Padesky, CA, Mooney, KA (1990). Presenting the cognitive model to clients. International Cognitive Therapy Newsletter 6, 13–14.Google Scholar
Peris, TS, Bergman, RL, Langley, A, Chang, S, McCracken, JT, Piacentini, J (2008). Correlates of accommodation of pediatric obsessive-compulsive disorder: parent, child, and family characteristics. Journal of the American Academy of Child and Adolescent Psychiatry 47, 1173–1181.Google Scholar
Rachman, S (1998). A cognitive theory of obsessions. In Behavior and Cognitive Therapy Today (ed. Sanavio, E), pp. 209–222. Oxford: Pergamon.Google Scholar
Ram, D, Kumar, A (2014). Compulsive rituals by proxy. Sri Lanka Journal of Psychiatry 5, 29–31.Google Scholar
Rapoport, JL, Inoff-Germain, G, Weissman, MM, Greenwald, S, Narrow, WE, Jensen, PS, Lahey, BB, Canino, G (2000). Childhood obsessive-compulsive disorder in the NIMH MECA study: parent versus child identification of cases. Methods for the epidemiology of child and adolescent mental disorders. Journal of Anxiety Disorders 14, 535–548.Google Scholar
Salkovskis, PM (ed.) (1997). Frontiers of Cognitive Therapy. New York: Guilford Press.Google Scholar
Sheehan, V (1983). Sheehan disability scale – overview. Available at: http://memorialparkpsychiatry.com/doc/sheehan_disability_scale.pdfGoogle Scholar
Spitzer, RL, Kroenke, K, Williams, JB, Löwe, B (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine 166, 1092–1097.Google Scholar
Storch, EA, Geffken, GR, Merlo, LJ, Jacob, ML, Murphy, TK, Goodman, WK, Larson, MJ, Fernandez, M, Grabill, K (2007). Family accommodation in pediatric obsessive-compulsive disorder. Journal of Clinical Child and Adolescent Psychology 36, 207–216.Google Scholar
Storch, EA, Lehmkuhl, H, Pence, SL, Geffken, GR, Ricketts, E, Storch, JF, Murphy, TK (2009). Parental experiences of having a child with obsessive-compulsive disorder: associations with clinical characteristics and caregiver adjustment. Journal of Child and Family Studies 18, 249–258. doi: 10.1007/s10826-008-9225-yGoogle Scholar
Thompson-Hollands, J, Edson, A, Tompson, MC, Comer, JS (2014). Family involvement in the psychological treatment of obsessive-compulsive disorder: a meta-analysis. Journal of Family Psychology 28, 287–298.Google Scholar
Vikas, M, Chandrasekaran, R (2011). A case of obsessive-compulsive disorder by proxy. General Hospital Psychiatry 33, 303.Google Scholar
Waters, TL, Barrett, PM (2000). The role of the family in childhood obsessive-compulsive disorder. Clinical Child and Family Psychology Review 3, 173–184.Google Scholar
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