Family Accommodation Scale for Obsessive–Compulsive Disorder-Interviewer-Rated (FAS-IR), brazilian portuguese version : internal consistency, reliability, and exploratory factor analysis

Objective To examine the psychometric properties of the Brazilian Portuguese version of the Family Accommodation Scale for Obsessive–Compulsive Disorder—Interviewer-Rated (FAS-IR). Method A total of 114 family members of patients with obsessive–compulsive disorder (OCD) were assessed. The following analyses of the FAS-IR were carried out: internal consistency, inter-rater and test–retest reliability, and exploratory factor analysis. Results The Brazilian Portuguese version of the FAS-IR showed excellent inter-rater reliability (intraclass correlation coefficient [ICC] = 0.94) and acceptable test–retest reliability (ICC = 0.77), with no significant differences in FAS-IR scores. Factor analysis produced three factors for the scale. However, factor loadings were not well defined within each factor, and the factors did not have distinct constructs. Thus, a global analysis approach was chosen, revealing good internal consistency of the scale as a whole (Cronbach’s α = 0.805). Conclusions The Brazilian Portuguese FAS-IR showed sound psychometric properties for the evaluation of family accommodation, and is, therefore, a reliable instrument for use in research and clinical practice

Mother-child interactions and childhood OCD: Effects of CBT on mother and child observed behaviors

This waitlist-controlled study investigates the impact of a groupbased cognitive-behavioral therapy with family involvement (CBT-F) on observed mother and child behaviors in children with obsessive-compulsive disorder (OCD). Forty-four children and adolescents with OCD and their mothers were observed during family discussions before and after treatment=waitlist. Participants were rated on behavioral dimensions of criticism, overinvolvement, doubt, avoidance, warmth, confidence, positive problem solving, and rewarding independence. Significant differences between treatment and waitlist condition occurred from pretreatment to posttreatment, with ratings of negative behaviors decreasing and ratings of positive behaviors increasing in the treatment group. Findings suggest that CBT-F has the potential to improve mother and child interactions in families with a child diagnosed with OCD

Knowledge and competency standards for specialized cognitive behavior therapy for adult obsessive-compulsive disorder.

From PubMed via Jisc Publications RouterHistory: received 2020-08-27, accepted 2021-01-21Publication status: aheadofprintObsessive-Compulsive Disorder (OCD) is a leading cause of disability world-wide (World Health Organization, 2008). Treatment of OCD is a specialized field whose aim is recovery from illness for as many patients as possible. The evidence-based psychotherapeutic treatment for OCD is specialized cognitive behavior therapy (CBT, NICE, 2005, Koran and Simpson, 2013). However, these treatments are not accessible to many sufferers around the world. Currently available guidelines for care are deemed to be essential but insufficient because of highly variable clinician knowledge and competencies specific to OCD. The phase two mandate of the 14 nation International OCD Accreditation Task Force (ATF) created by the Canadian Institute for Obsessive Compulsive Disorders is development of knowledge and competency standards for specialized treatments for OCD through the lifespan deemed by experts to be foundational to transformative change in this field. This paper presents knowledge and competency standards for specialized CBT for adult OCD developed to inform, advance, and offer a model for clinical practice and training for OCD. During upcoming ATF phases three and four criteria and processes for training in specialized treatments for OCD through the lifespan for certification (individuals) and accreditation (sites) will be developed based on the ATF standards. [Abstract copyright: Copyright © 2021 Elsevier B.V. All rights reserved.