Child Psychiatry & Human Development

, Volume 50, Issue 6, pp 975–986 | Cite as

Does Family Accommodation Predict Outcome of Concentrated Exposure and Response Prevention for Adolescents?

  • Eili N. RiiseEmail author
  • Gerd Kvale
  • Lars-Göran Öst
  • Solvei Harila Skjold
  • Bjarne Hansen
Original Article


Findings suggest that increased levels of family accommodation are associated with a poorer treatment outcome in obsessive–compulsive disorder (OCD). A concentrated treatment format, the Bergen 4-day treatment (B4DT), has previously demonstrated promising results in the treatment of adolescents with OCD. The present paper examined changes in family accommodation and investigated whether family accommodation predicted outcome, in a sample of 63 adolescents (age range 11–18) participating in the B4DT. There were significant reductions on CY-BOCS and FAS from pre- to post-treatment and from pre-treatment to follow-up (p < 0.001), with large within-group effect sizes on both measures. Pre-treatment levels of symptom severity or family accommodation was not found to predict outcome at post-treatment or at follow-up. Less OCD-related functional impairment at pre-treatment predicted a better outcome at both post-treatment and follow-up. The findings suggest that the B4DT significantly reduces OCD-symptoms regardless of pre-treatment levels of family accommodation or OCD severity.


Obsessive compulsive disorder Family accommodation Adolescents Exposure and response prevention Treatment predictors 


Compliance with Ethical Standards

Conflict of interest

None of the authors have any conflict of interest in relation to this study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Clinical PsychologyUniversity of BergenBergenNorway
  2. 2.OCD-TeamHaukeland University HospitalBergenNorway
  3. 3.Øyane Outpatient Clinic for Child and Adolescent PsychiatryHaukeland University HospitalBergenNorway
  4. 4.Department of Clinical NeuroscienceThe Karolinska InstituteStockholmSweden
  5. 5.Department of PsychologyStockholm UniversityStockholmSweden

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