A preliminary study of factors associated with accommodation of obsessive-compulsive symptoms by romantic partners

Brianna G. Toohey, Elly Quinlan, John Reece, Bethany M. Wootton, Josephine Paparo*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives
The accommodation of symptoms of obsessive-compulsive disorder (OCD) by loved ones is highly prevalent and impactful on treatment outcomes; however, little is known about factors that influence accommodation by romantic partners of OCD sufferers. The aim of this preliminary investigation was to explore such correlates.

Methods
A community sample of 50 patients self-identifying with OCD (Mage = 29.3; SD = 9.3; 74% female) and 20 individuals self-identifying as the partner of someone with OCD (Mage = 32.1; SD = 12.4; 65% female) participated in this study via an online questionnaire.

Results
Associations were found between partner accommodation of OCD and a range of obsessions and compulsions across the patient and partner samples, as well as patient-reported symptom severity, functional impairment and negative emotion states. Neuroticism was also positively associated with partner accommodation in the patient sample but did not contribute to its prediction over and above other known correlates of family accommodation. In the partner sample, extraversion was found to be a unique negative correlate of partner accommodation.

Conclusions
These findings highlight the vital role both patient and partner factors play in the accommodation of OCD behaviours by romantic partners and the importance of involving loved ones in the treatment of individuals with OCD.
Original languageEnglish
Pages (from-to)218-232
Number of pages15
JournalBritish Journal of Clinical Psychology
Volume64
Issue number2
Early online date27 Aug 2024
DOIs
Publication statusPublished - Jun 2025

Bibliographical note

Copyright the Author(s) 2024. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • accommodation
  • clinical psychology
  • obsessive compulsive disorder
  • personality
  • romantic partners
  • treatment planning

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