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Previous issue date: 2016-07-07 / The Obsessive Compulsive Disorder is considered an heterogeneous disorder about the
symptoms and it can be divided into different dimensions. These symptoms can cause
significant impact on the family dynamics. The family members tend to modify their
routine by assisting or participating in the patient’s rituals and these behaviors have
been identified as Family Accommodation. However, little know about the difference of
family accommodation between the dimensions of Obsessive Compulsive Disorder.
Therefore, the aims of this study are: to describe the relationship between family
accommodation in relatives of OCD patients and your perceptions about the obsessions
and compulsions of the patient; and to evaluate the association between family
accommodation and the different dimensions of the OCD symptoms. It is a crosssectional
study with patients and their family members diagnosed with OCD at a
research clinic. The instruments used in this study were: the Mini International
Neuropsychiatric Interview (MINI PLUS), the Yale-Brown Obsessive Compulsive
Scale (Y-BOCS), the Dimensional Yale-Brown Obsessive-Compulsive Scale (DYBOCS)
and the Family Accommodation Scale for Obsessive-Compulsive Disorder -
Interviewer-Rated (FAS-IR). In the frst article the obsessions perceived by family were
associated with higher levels of family accommodation: contamination (p<0.001),
save/loose symmetry and accuracy (p=0.001), religious (p=0.019), and miscellaneous
(p=0.003). For the compulsions, all symptoms were associated with higher levels of
family accommodation (p<0.05). In the second article the factors associated with family
accommodation were: age of the patient (β= -0.145) (95% CI: -0.27; -0.02), family
member living with the patient (β=3.185) (95% CI: 0.13; 6.24), the family member who
was a partner/boyfriend/girlfriend of the patient (β=5.750) (95% CI: 2.40; 9.10) and
patients with OCD symptoms of sexual/religious dimension (β=0.483) (95% IC: 0.14;
0.83). It is concluded that the family accommodation is present in relatives of Obsessive
Compulsive Disorder patients, regardless of the type of obsessive symptom /
compulsive perceived. However, the patient's family members who reported having
religious / sexual dimension of OCD symptom have higher family accommodation,
especially when partners. / O transtorno obsessivo-compulsivo (TOC) é considerado um transtorno heterogêneo no
que diz respeito aos sintomas e pode ser dividido em diferentes dimensões. Estes
sintomas podem causar impacto significativo sobre a dinâmica familiar. Os membros da
família tendem a modificar sua rotina, auxiliando ou participando de rituais do paciente
e estes comportamentos são identificados como Acomodação Familiar. No entanto,
pouco se sabe sobre a diferença do comportamento de acomodação familiar entre as
dimensões do TOC. Portanto, os objetivos deste trabalho foram: descrever a relação
entre a acomodação familiar em parentes de pacientes com TOC e suas percepções
sobre as obsessões e compulsões do paciente; e avaliar a associação entre a acomodação
familiar e as diferentes dimensões dos sintomas do TOC destes pacientes. Trata-se de
estudo transversal com pacientes com diagnóstico de TOC e seus familiares em uma
amostra clínica. Os instrumentos utilizados neste estudo foram: Mini International
Neuropsychiatric Interview (MINI PLUS), Yale-Brown Obsessive Compulsive Scale (YBOCS),
Dimensional Yale-Brown Obsessive-Compulsive Scale (DY-BOCS) e Family
Accommodation Scale for Obsessive-Compulsive Disorder - Interviewer-Rated (FASIR).
O primeiro artigo mostrou que as obsessões percebidas pelos familiares que
estiveram associadas aos maiores níveis de acomodação familiar foram: contaminação
(p<0,001), perder/guardar e simetria e ordem (p=0,001), religiosa (p=0,019) e diversas
(p=0,003). Para as compulsões, todos os sintomas foram associados com maiores níveis
de acomodação familiar (p<0,05). Já no segundo artigo os fatores associados à
acomodação familiar foram: idade do paciente (β=-0,145) (IC 95%: -0,27;-0,02),
membro da família que vive com o paciente (β=3,185) (IC 95%: 0,13; 6,24), o membro
da família que era parceiro(a)/namorado(a) do paciente (β=5,750) (IC 95%: 2,40; 9,10)
e pacientes com dimensão sexual/religiosa do sintomas do OC (β=0,483) (95% IC: 0,14;
0,83). Conclui-se que a acomodação familiar está presente em familiares de pacientes
com TOC, independentemente do tipo de sintoma percebido. Porém, os familiares de
paciente qu relatam ter a dimensão religiosa/sexual do sintoma do TOC apresentam
maior acomodação familiar, especialmente quando são parceiros(as).
| Identifer | oai:union.ndltd.org:IBICT/oai:tede.ucpel.edu.br:tede/618 |
| Date | 07 July 2016 |
| Creators | MATOS, Mariana Bonati de |
| Contributors | QUEVEDO, Luciana de Avila, MOLINA, Mariane Ricardo Acosta Lopez, PINHEIRO, Karen Amaral Tavares, CASTELLI, Rochele Dias |
| Publisher | Universidade Catolica de Pelotas, Programa de Pos-Graduacao em Saude Comportamento#, #-1990782970254042025#, #600, UCPel, Brasil, Centro de Ciencias da Saude#, #-7432574962795991241#, #600 |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações do UCpel, instname:Universidade Católica de Pelotas, instacron:UCPEL |
| Rights | info:eu-repo/semantics/openAccess |
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