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Titolo:
DISABILITY AND FAMILY BURDEN IN OBSESSIVE-COMPULSIVE DISORDER
Autore:
STEKETEE G;
Indirizzi:
264 BAY STATE RD BOSTON MA 02215 BOSTON UNIV,SCH SOCIAL WORK BOSTON MA 02215
Titolo Testata:
Canadian journal of psychiatry
fascicolo: 9, volume: 42, anno: 1997,
pagine: 919 - 928
SICI:
0706-7437(1997)42:9<919:DAFBIO>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
FOLLOW-UP; BEHAVIORAL PSYCHOTHERAPY; EXPRESSED EMOTION; NORMAL-CHILDREN; SEXUAL HISTORY; UNITED-STATES; EXPOSURE; SCALE; VALIDITY; SUPPORT;
Keywords:
OBSESSIVE-COMPULSIVE DISORDER; DISABILITY; FUNCTIONAL IMPAIRMENT; FAMILY BURDEN;
Tipo documento:
Review
Natura:
Periodico
Citazioni:
69
Recensione:
Indirizzi per estratti:
Citazione:
G. Steketee, "DISABILITY AND FAMILY BURDEN IN OBSESSIVE-COMPULSIVE DISORDER", Canadian journal of psychiatry, 42(9), 1997, pp. 919-928

Abstract

This paper reviews 2 aspects of obsessive-compulsive disorder (OCD): impairment in functioning and family burden associated with OCD. Impairment is evidence from epidemiological and clinical studies in severalareas, particularly in occupational and social maladjustment. Clinic outpatients show a range of impairment associated with OCD, while hospitalized patients exhibit consistently severe disabilities that rival those of patients with schizophrenia. Although behaviourally and medication-treated patients improve in adjustment levels, there is some evidence of persistent impairment, particularly in social and work functioning. Several studies support extensive family involvement and accommodation of OCD symptoms, as well as the considerable burden placed on families who reduce their social activities and increase their isolation and distress. Findings are equivocal regarding OCD and marital distress. Predictors of treatment outcome do not include marital dissatisfaction, but may include expressed anger and criticism. With regard to treatment, family support groups are popular but untested interventions, and family-assisted individual and group behaviour therapy have demonstrated good outcomes in limited trials.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 06:33:06