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Family Accommodation in Autism Spectrum Disorder

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Encyclopedia of Autism Spectrum Disorders
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Definition

Ways in which family members, mostly parents, modify their behavior to help a child avoid or alleviate distress and negative affect associated with mental health problems (Lebowitz and Bloch 2012; Lebowitz et al. 2014).

Historical Background

A sizable body of literature indicates that family accommodation is common among families of children with obsessive-compulsive disorders (OCD) and anxiety disorders. Such accommodation is associated with both proximal and distal negative outcomes. High levels of family accommodation in these populations are associated with increased severity of anxiety or OCD symptoms, poorer psychosocial functioning, and elevated parental distress (Caporino et al. 2012; Lebowitz and Bloch 2012; Lebowitz et al. 2013, 2014; Storch et al. 2007). Additionally, higher levels of family accommodation are predictive of poorer subsequent response to treatment in children with OCD and anxiety disorders (Lebowitz et al. 2016; Kagan et al. 2016). These findings...

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References and Reading

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.

    Book  Google Scholar 

  • Attwood, T. (2003). Understanding and managing circumscribed interests. In M. R. Prior (Ed.), Learning and behavior problems in Asperger syndrome (pp. 126–147). New York: Guilford Press.

    Google Scholar 

  • Caporino, N. E., Morgan, J., Beckstead, J., Phares, V., Murphy, T. K., & Storch, E. A. (2012). A structural equation analysis of family accommodation in pediatric obsessive-compulsive disorder. Journal of Abnormal Child Psychology, 40(1), 133–143.

    Article  Google Scholar 

  • Feldman, I., Koller, J., Lebowitz, E. R., Shulman, C., Itzchak, E. B., & Zachor, D. A. (2019). Family accommodation in autism spectrum disorder. Journal of Autism and Developmental Disorders, 49, 1–9.

    Article  Google Scholar 

  • Harrop, C., McBee, M., & Boyd, B. A. (2016). How are child restricted and repetitive behaviors associated with caregiver stress over time? A parallel process multilevel growth model. Journal of Autism and Developmental Disorders, 46(5), 1773–1783.

    Article  Google Scholar 

  • Honey, E., Rodgers, J., & McConachie, H. (2012). Measurement of restricted and repetitive behaviour in children with autism spectrum disorder: Selecting a questionnaire or interview. Research in Autism Spectrum Disorders, 6(2), 757–776.

    Article  Google Scholar 

  • Howlin, P. (2003). Longer-term educational and employment outcomes. In M. R. Prior (Ed.), Learning and behavior problems in Asperger syndrome (pp. 269–293). New York: Guilford Press.

    Google Scholar 

  • Jacob, S., Landeros-Weisenberger, A., & Leckman, J. F. (2009). Autism spectrum and obsessive–compulsive disorders: OC behaviors, phenotypes and genetics. Autism Research, 2(6), 293–311.

    Article  Google Scholar 

  • Kagan, E. R., Peterman, J. S., Carper, M. M., & Kendall, P. C. (2016). Accommodation and treatment of anxious youth. Depression and Anxiety, 33(9), 840–847.

    Article  Google Scholar 

  • Lebowitz, E. R. (2013). Parent-based treatment for childhood and adolescent OCD. Journal of Obsessive-Compulsive and Related Disorders, 2, 425–431.

    Article  Google Scholar 

  • Lebowitz, E. R. (2016). Treatment of extreme family accommodation in a youth with obsessive-compulsive disorder. In E. A. Storch, & A. B. Lewin (Eds.), Clinical handbook of obsessive-compulsive and related disorders (pp. 321–335). Cham: Springer.

    Chapter  Google Scholar 

  • Lebowitz, E. R., & Bloch, M. (2012). Family accommodation in pediatric obsessive-compulsive disorder. Expert Review of Neurotherapeutics, 12(2), 229–238.

    Article  Google Scholar 

  • Lebowitz, E. R., Scharfstein, L. A., & Jones, J. (2014). Comparing family accommodation in pediatric obsessive-compulsive disorder, anxiety disorders, and nonanxious children. Depression and Anxiety, 31(12), 1018–1025.

    Article  Google Scholar 

  • Lebowitz, E. R., Panza, K. E., & Bloch, M. H. (2016). Family accommodation in obsessive-compulsive and anxiety disorders: A five-year update. Expert Review of Neurotherapeutics, 16(1), 45–53.

    Article  Google Scholar 

  • Lebowitz, E. R., Gee, D. G., Pine, D. S., & Silverman, W. K. (2018a). Implications of the Research Domain Criteria project for childhood anxiety and its disorders. Clinical Psychology Review, 64, 99–109.

    Article  Google Scholar 

  • Lebowitz, E. R., King, R. A., & Silverman, W. K. (2018b). Anxiety disorders of childhood and adolescence. In M. Ebert, J. F. Leckman, & I. Petrakis (Eds). Current diagnosis and treatment psychiatry (3rd ed, pp. 554–564). New York: McGraw-Hill Education.

    Google Scholar 

  • Lebowitz, E. R., Marin, C., Martino, A., Shimshoni, Y., & Silverman, W. K. (2019). Parent-based treatment as efficacious as cognitive-behavioral therapy for childhood anxiety: A randomize noninferiority study of supportive parenting for anxious childhood emotions. Journal of the American Academy of Child and Adolescent Psychiatry.

    Google Scholar 

  • Leekam, S. R., Prior, M. R., & Uljarevic, M. (2011). Restricted and repetitive behaviors in autism spectrum disorders: A review of research in the last decade. Psychological Bulletin, 137(4), 562.

    Article  Google Scholar 

  • Lidstone, J., Uljarević, M., Sullivan, J., Rodgers, J., McConachie, H., Freeston, M., Le Couteur, A., Prior, M., & Leekam, S. (2014). Relations among restricted and repetitive behaviors, anxiety and sensory features in children with autism spectrum disorders. Research in Autism Spectrum Disorders, 8(2), 82–92.

    Article  Google Scholar 

  • Meier, S. M., Petersen, L., Schendel, D. E., Mattheisen, M., Mortensen, P. B., & Mors, O. (2015). Obsessive-compulsive disorder and autism spectrum disorders: Longitudinal and offspring risk. PloS One, 10(11), e0141703.

    Article  Google Scholar 

  • Salloum, A., Andel, R., Lewin, A. B., Johnco, C., McBride, N. M., & Storch, E. A. (2018). Family accommodation as a predictor of cognitive-behavioral treatment outcome for childhood anxiety. Families in Society, 99(1), 45–55.

    Article  Google Scholar 

  • Storch, E. A., Geffken, G. R., Merlo, L. J., Jacob, M. L., Murphy, T. K., Goodman, W. K., Larson, M. J., Fernandez, M., & Grabill, K. (2007). Family accommodation in pediatric obsessive–compulsive disorder. Journal of Clinical Child and Adolescent Psychology, 36(2), 207–216.

    Article  Google Scholar 

  • Storch, E. A., Zavrou, S., Collier, A. B., Ung, D., Arnold, E. B., Mutch, P. J., Lewin, A. B., & Murphy, T. K. (2015). Preliminary study of family accommodation in youth with autism spectrum disorders and anxiety: Incidence, clinical correlates, and behavioral treatment response. Journal of Anxiety Disorders, 34, 94–99.

    Article  Google Scholar 

  • Stratis, E. A., & Lecavalier, L. (2013). Restricted and repetitive behaviors and psychiatric symptoms in youth with autism spectrum disorders. Research in Autism Spectrum Disorders, 7(6), 757–766.

    Article  Google Scholar 

  • Thompson-Hollands, J., Kerns, C. E., Pincus, D. B., & Comer, J. S. (2014). Parental accommodation of child anxiety and related symptoms: Range, impact, and correlates. Journal of Anxiety Disorders, 28(8), 765–773.

    Article  Google Scholar 

  • Troyb, E., Knoch, K., Herlihy, L., Stevens, M. C., Chen, C. M., Barton, M., Treadwell, K., & Fein, D. (2016). Restricted and repetitive behaviors as predictors of outcome in autism spectrum disorders. Journal of Autism and Developmental Disorders, 46(4), 1282–1296.

    Article  Google Scholar 

  • Van Steensel, F. J., Bögels, S. M., & Perrin, S. (2011). Anxiety disorders in children and adolescents with autistic spectrum disorders: A meta-analysis. Clinical Child and Family Psychology Review, 14(3), 302–317.

    Article  Google Scholar 

  • Wood, J. J., & Gadow, K. D. (2010). Exploring the nature and function of anxiety in youth with autism spectrum disorders. Clinical Psychology: Science and Practice, 17(4), 281–292.

    Google Scholar 

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Correspondence to Judah Koller .

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Koller, J., Lebowitz, E.R. (2020). Family Accommodation in Autism Spectrum Disorder. In: Volkmar, F. (eds) Encyclopedia of Autism Spectrum Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6435-8_102436-1

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  • DOI: https://doi.org/10.1007/978-1-4614-6435-8_102436-1

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