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The effect of obsessive compulsive disorder on sibling relationships in late childhood and early adolescence: Preliminary findings

Published online by Cambridge University Press:  29 October 2015

Paula M. Barrett ,
Patrick J. Rasmussen  and
Lara Healy
Paula M. Barrett*
Affiliation:
Griffith University, Mt Gravatt Campus
Patrick J. Rasmussen
Affiliation:
Griffith University, Mt Gravatt Campus
Lara Healy
Affiliation:
Griffith University, Mt Gravatt Campus
*
School of Applied Psychology, Griffith University, Mount Gravatt Campus, Queensland 4122, Ph: 07 3875 3375, Fax: 07 3875 3388, E-mail: p.barrett@mailbox.gu.edu.au
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Abstract

The present study examined the effect of Obsessive Compulsive Disorder (OCD) on child and adolescent sibling relationships. In previous research on adult OCD, siblings of OCD sufferers showed a high level of occommodotion to obsessive-compulsive symptoms and subsequent depression. No research has been conducted on the effect of OCD on child and adolescent sibling relationships. This small but important pilot study investigated sibling accommodation to obsessive-compulsive symptoms, sibling relationship quality, and depression and anxiety in siblings of children who have OCD. The study had two components. First, siblings of children with OCD were examined before and after a 14-week treatment program for OCD. Second, these siblings were compared at prebefore treatment with a comparison group of siblings whose brother or sister did not meet diagnostic criteria for either OCD or any other childhood disorders (i.e., comparison group). Three outcomes were noted. Siblings of OCD children accommodated to obsessive-compulsive symptoms and were distressed by the presence of OCD in their brother or sister. Furthermore, the quality of sibling relationships in OCD families improved with successful treatment of OCD. Finally, anxiety and depression were higher in siblings of an OCD child or adolescent, compared to siblings in the comparison group. Given the significant impact that OCD has on the sibling relationship, implications for family-based treatment, incorporating a sibling support component, are addressed.

Keywords

AnxietyDepressionObsessive-Compulsive DisorderSibling RelationshipTreatment
Type
Research Article
Information
The Educational and Developmental Psychologist , Volume 17 , Issue 2 , 2000 , pp. 82 - 102
Copyright
Copyright © Australian Psychological Society 2000

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References

Calvorcoressi, M.S., Lewis, B., Harris, M.S., Trufan, S.J., Goodman, W.K., McDougle, C.J., & Price, L.H. (1995). Family accommodation in obsessive-compulsive disorder. American Journal of Psychiatry, 152(3), 441–443.Google Scholar
Cooper, M. (1996). Obsessive-compulsive disorder: Effects on family members. American Journal of Orthopsychiatry, 66(2), 296–304.Google Scholar
Crouter, A., & McHale, S. (1989, April). Childrearing in dual- and single-earner families: Implications for the development of school-age children. Paper presented at the Biennial Meeting of the Society for Research in Child Development, Kansas City, MO.Google Scholar
Cuskelly, M. (1999). Adjustment of siblings of children with a disability: Methodological issues. International Journal for the Advancement of Counselling, 21, 111–124.Google Scholar
Damiani, V.B. (1999). Responsibility and adjustment in siblings of children with disabilities: Update and review. Families in Society: The Journal of Contemporary Human Services, 33–40.Google Scholar
Douglass, H.M., Moffitt, T.E., Dar, R., McGee, R., & Silva, P. (1995). Obsessive-compulsive disorder in a birth cohort of 18-year-olds: Prevalence and predictors. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1424–1431.CrossRefGoogle Scholar
Flament, M.E., Rapoport, J.L., Berg, C.Z., Screery, W., Whitaker, A., Davies, M., Kalikow, K., & Shaffer, D. (1988). Obsessive-compulsive disorder in adolescence: An epidemiological study. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 764–771.Google Scholar
Furman, W., & Buhrmester, D. (1985). Children’s perceptions of the qualities of sibling relationships. Child Development, 56, 448–461.CrossRefGoogle ScholarPubMed
Hoover, C.R., & Insel, T.R. (1984). Families of origin in obsessive-compulsive disorder. Journal of Nervous and Mental Disease, 172, 207–215.Google Scholar
Irish, D.P. (1964). Sibling interaction: A neglected aspect of family life research. Social Forces, 42, 279–288.Google Scholar
Kovacs, M. (1992). Children’s Depression Inventory (CDI). Tonawanda, NY: Multi-Health Systems.Google Scholar
Lamb, M.E., & Sutton-Smith, B. (1982). Sibling relationships: Their nature and relationship across the lifespan. Hillsdale, NJ: Erlbaum.Google Scholar
Lobato, D. (1983). Siblings of handicapped children: A review. Journal of Autism and Developmental Disabilities, 13, 347–365.Google Scholar
March, J.S. (1994). Multidimensional Anxiety Scale for Children (MASC). Tonamanda, NY: Multi-Health Systems.Google Scholar
McHale, S.M., & Gamble, W.C. (1989). Sibling relationships of children with disabled and nondisabled brothers and sisters. Developmental Psychology, 25, 421–429.Google Scholar
Rasmussen, S.A., & Eisen, J.L. (1990). Epidemiology of obsessive compulsive disorder. Journal of Clinical Psychiatry, 53, 4–10.Google Scholar
Shafran, R., Ralph, J., & Tallis, F. (1995). Obsessive-compulsive symptoms and the family. Bulletin of the Menninger Clinic, 59(4), 472–479.Google Scholar
Silverman, W.K., & Albano, A.M. (1996). Anxiety Disorders Interview Schedule for DSM-IV: Parent Version. San Antonio, USA: Graywing.Google Scholar
Stewart, R.B., Verbrugge, K.M., & Beilfuss, M.C. (1998). Sibling relationships in early adulthood: A typology. Personal Relationships, 5, 59–74.Google Scholar
Waters, T., Barrett, P., & March, J. (in press). Cognitive-behavioural family treatment of childhood obsessive-compulsive disorder: An open clinical trial. American Journal of Psychotherapy.Google Scholar
Zohar, A.H., Ratzoni, G., Pauls, D.L., Apter, A., Bleich, A., Kron, S., Rapoport, M., Weizman, A., & Cohen, D.J. (1992). An epidemiological study of obsessive-compulsive disorder and related disorders in Israeli adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 1057–1061.CrossRefGoogle ScholarPubMed