I am looking for some literature on role of family in development and maintainance of OCD. My main intention is to look for the mostly unacknowledged role that parents play in the development of OCD. Though the most acceptable and communicable fact about OCD is that it is biological in nature and it runs in families, and can be managed by ERP like behavioral techniques. In past few decades the emphasis has been on these areas mainly. But this has lead to neglecting the role that parenting can have in developing or maintaining ocd. Like communication patterns, expressed emotion, unrealistic discipling etc. can contribute to developing ocd. I haven't been able to find much literature about this issue. In an interview one can easily look for signs of faulty communication patterns that exist between the patient and one of the parent, like one can find in parents of ADHD and ODD children. Then why the whole focus of therapy restricts to ERP and management of patient only. Are we missing an important aspect of OCD?
Please share your views and provide some relevant literature.
Many factors correlate with OCD. Here are some results from 2014:
Family-based exposure and response prevention therapy for preschool-aged children with obsessive-compulsive disorder: A pilot randomized controlled trial. Lewin, Adam B.; Park, Jennifer M.; Jones, Anna M.; Crawford, Erika A.; De Nadai, Alessandro S.; et al. Behaviour Research and Therapy56 (May 2014): 30-38.
Does D-cycloserine augmentation of CBT improve therapeutic homework compliance for pediatric obsessive–compulsive disorder? Park, Jennifer M.; Small, Brent J.; Geller, Daniel A.; Murphy, Tanya K.; Lewin, Adam B.; et al. Journal of Child and Family Studies23.5 (Jul 2014): 863-871.
Association between family history of mood disorders and clinical characteristics of bipolar disorder: Results from the Brazilian bipolar research network. Berutti, Mariangeles; Nery, Fabiano G.; Sato, Rodrigo; Scippa, Angela; Kapczinski, Flavio; et al. Journal of Affective Disorders161 (Jun 1, 2014): 104-108.
Annual research review: The neurobehavioral development of multiple memory systems—Implications for childhood and adolescent psychiatric disorders. Goodman, Jarid; Marsh, Rachel; Peterson, Bradley S.; Packard, Mark G.. Journal of Child Psychology and Psychiatry55.6 (Jun 2014): 582-610.
Family involvement in the psychological treatment of obsessive–compulsive disorder: A meta-analysis. Thompson-Hollands, Johanna; Edson, Aubrey; Tompson, Martha C.; Comer, Jonathan S.. Journal of Family Psychology 28.3 (Jun 2014): 287-298.
Addressing barriers to change in the treatment of childhood obsessive compulsive disorder. Peris, Tara S.; Piacentini, John. Journal of Rational-Emotive & Cognitive-Behavior Therapy
Family accommodation of obsessional symptoms and naturalistic outcome of obsessive–compulsive disorder. Cherian, Anish V.; Pandian, Dhanasekhara; Math, Suresh Bada; Kandavel, Thennarasu; Janardhan Reddy, Y. C.. Psychiatry Research215.2 (Feb 28, 2014): 372-378.
Hope this get you going:).
Foundational idea of the role of family accommodation in strengthening OC symptoms: Calvocoressi L1, Lewis B, Harris M, Trufan SJ, Goodman WK, McDougle CJ, Price LH. (1995). Family accommodation in obsessive-compulsive disorder. American Journal of Psychiatry, 152(3):441-3.
Salkovskis may also be a good place to look for studies on OCD - especially around the responsibility element of OCD.
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