Evidence map›Paper›PMID 25645170›Full record

Trial reportBehavior therapy2015

A randomized clinical trial of a brief family intervention to reduce accommodation in obsessive-compulsive disorder: a preliminary study.

Johanna Thompson-Hollands, Amitai Abramovitch, Martha C Tompson, David H Barlow

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Behavior therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Parent-Child Agreement on Family Accommodation Differentially Predicts Outcomes of Child-Based and Parent-Based Child Anxiety Treatment.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Trial
  4. Article
  5. Review
  6. Article
  7. Family accommodation in PTSD: Proposed considerations and distinctions from the established transdiagnostic literature.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Sticking it out in trauma-focused treatment for PTSD: It takes a village.Journal of consulting and clinical psychology · 2019
    Article
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Johanna Thompson-HollandsBoston University. Electronic address: hollands@bu.edu.
Amitai AbramovitchMassachusetts General Hospital, Harvard Medical School.
Martha C TompsonBoston University.
David H BarlowBoston University.
Boston University · USHarvard University · US

Funding

Addressing Interpersonal Contexts in Obsessive-Compulsive DisorderF31MH092996 · NIMH · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI THOMPSON-HOLLANDS, JOHANNA · 2011 to 2013
$99k
NIMH NIH HHS F31 MH092996NIMH NIH HHS F31MH092996
6 · The paper itself

Abstract

Accommodation consists of changes in family members' behavior to prevent or reduce patients' obsessive-compulsive disorder (OCD) rituals or distress. High levels of family accommodation are associated with more severe symptoms and functional impairment in patients, and may also interfere with exposure-based treatment. The purpose of this study was to develop and test an intervention to reduce accommodation in the family members of adult OCD patients. Patients (N=18, mean age=35.44, 33% male, 94% Caucasian) received a course of standard individual exposure and ritual prevention (ERP) for OCD. Family members (N=18, mean age=41.72, 56% male, 94% Caucasian) were randomized to either receive or not receive the adjunctive intervention, consisting of two sessions of psychoeducation and skills training in reducing accommodation. Results revealed that the intervention successfully reduced scores on the clinician-rated Family Accommodation Scale (Week 8: d=1.05). Patients whose family members received the intervention showed greater reductions in Yale-Brown Obsessive-Compulsive Scale scores across treatment than patients whose family members had not (Week 8: d=1.27), and hierarchical regression analyses revealed that change in family accommodation from baseline accounted for a significant amount of variance in later OCD symptoms (β=.45, p=.02). Results from this preliminary study suggest that adjunctive intervention produces more rapid treatment response compared with traditional ERP alone. Accommodation is a potentially important target for improving treatment in OCD and other diagnostic groups where accommodation is likely to occur.

Indexed as

Family RelationsAdultBehavior TherapyFamilyFemaleHumansMaleObsessive-Compulsive DisorderRegression AnalysisTreatment Outcomeaccommodationfamilyobsessive–compulsive disorder

Identifiers

PMID25645170
PMCPMC4748371
OpenAlexW2015936924

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.