Evidence map›Paper›PMID 33168039›Full record

ArticleItalian journal of pediatrics2020

Clinical significance of family accommodation and parental psychological distress in a sample of children and adolescents with obsessive-compulsive disorder aged 8-17 years old.

Maria Pontillo, Francesco Demaria, Maria Cristina Tata, Roberto Averna, Prisca Gargiullo, Maria Laura Pucciarini, Ornella Santonastaso, Tommaso Boldrini, Alberto Eugenio Tozzi, Stefano Vicari

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In one paragraph

Article in Italian journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Maria PontilloDepartment of Neuroscience, Child and Adolescent Neuropsychiatry Unit, Children Hospital Bambino Gesù, Viale Ferdinando Baldelli, 41, 00146, Rome, Italy. maria.pontillo@opbg.net.ORCID http://orcid.org/0000-0002-0083-0093
Francesco DemariaDepartment of Neuroscience, Child and Adolescent Neuropsychiatry Unit, Children Hospital Bambino Gesù, Viale Ferdinando Baldelli, 41, 00146, Rome, Italy.
Maria Cristina TataDepartment of Neuroscience, Child and Adolescent Neuropsychiatry Unit, Children Hospital Bambino Gesù, Viale Ferdinando Baldelli, 41, 00146, Rome, Italy.
Roberto AvernaDepartment of Neuroscience, Child and Adolescent Neuropsychiatry Unit, Children Hospital Bambino Gesù, Viale Ferdinando Baldelli, 41, 00146, Rome, Italy.
Prisca GargiulloDepartment of Neuroscience, Child and Adolescent Neuropsychiatry Unit, Children Hospital Bambino Gesù, Viale Ferdinando Baldelli, 41, 00146, Rome, Italy.
Maria Laura PucciariniDepartment of Neuroscience, Child and Adolescent Neuropsychiatry Unit, Children Hospital Bambino Gesù, Viale Ferdinando Baldelli, 41, 00146, Rome, Italy.
Ornella SantonastasoDepartment of Neuroscience, Child and Adolescent Neuropsychiatry Unit, Children Hospital Bambino Gesù, Viale Ferdinando Baldelli, 41, 00146, Rome, Italy.
Tommaso BoldriniDepartment of Dynamic and Clinic Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Via dei Marsi, 78, 00185, Rome, Italy.
Alberto Eugenio TozziMultifactorial Disease and Complex Phenotype Research Area, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Stefano VicariDepartment of Neuroscience, Child and Adolescent Neuropsychiatry Unit, Children Hospital Bambino Gesù, Viale Ferdinando Baldelli, 41, 00146, Rome, Italy.
Bambino Gesù Children's Hospital · ITAgostino Gemelli University Polyclinic · ITSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamily Accommodation (FA) refers to the involvement of family members (especially parents) in the compulsive behaviors of children and adolescents with Obsessive-Compulsive Disorder (e.g. modifying family routines or facilitating avoidance of obsessive-compulsive triggers). Many studies have examined the high prevalence of FA in this clinical population; however, less is known about its clinical significance and relationship to the individual psychological distress of parents. In our study, we investigated the clinical significance of FA examining its relationship with obsessive-compulsive symptomatology, functioning, anxiety and depressive symptoms in a clinical sample (n = 51) of children and adolescents with Obsessive-Compulsive Disorder (OCD) aged 8-17 years old and their parents, included to examine their individual psychological distress.

methodsThe sample was divided into two groups: the High Accommodation group (n = 36) and the Low Accommodation group (n = 15).

resultsResults demonstrated that children and adolescents in the OCD High Accommodation group reported major functional impairment in global (p = .001313), social (p = .000334) and role (p = .000334) domains, and higher depressive symptoms than the Low Accommodation group. Both fathers and mothers from the High Accommodation group reported a higher level of individual psychological distress compared to mothers and fathers from the Low Accommodation group (p = .040365).

conclusionsThe findings of this study show that FA is common in children and adolescents with OCD and it could cause not only an impairment of the patient's global, social and role functioning but also a high level of individual psychological distress in the single parent. The presence of FA should therefore be carefully investigated and considered in planning assessment and treatment of OCD in children and adolescents.

Indexed as

Psychological DistressAdaptation, PsychologicalAdolescentAdultAge FactorsAnxietyChildDepressionFamily CharacteristicsFemaleHumansMaleObsessive-Compulsive DisorderParent-Child RelationsParentingParentsAdolescentsChildrenFamily AccommodationFunctioningObsessive-Compulsive DisorderParental psychological distress

Identifiers

PMID33168039
PMCPMC7654062
OpenAlexW3102482482

What OpenQuestion holds

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LicenceCC BY
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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.