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Tijdschrift voor Psychiatrie 54 (2012) 5, 439 - 448

Review article

Obsessive-compulsive disorder from a family perspective; implications for treatment and research

K-J. Nauta, N.M. Batelaan, A.J.L.M. van Balkom

background Obsessive-compulsive disorder (ocd) is a chronic, psychiatric disease which can be highly resistant to treatment. Several studies have suggested that family factors may play a role in the etiology and course of ocd.
aim To provide an overview of current knowledge about the complex interaction between ocd and family factors.
method We performed a systematic search of the literature, using PubMed and Psychinfo.
results   OCD places a heavy burden on partners and family members, and their responses to symptoms influence the course of the disease, particularly the effect of cognitive behavioural therapy (cbt). Interventions aimed at improving communicative skills and creating a more balanced family response can have a positive influence on the course of ocd.
conclusion It is advisable to integrate family factors into the treatment of ocd. Further research on this topic is needed.


keywords antagonising, accommodation, cognitive behaviour therapy, family, family respons, OCD, treatment