Psychoeducational treatments for obsessive-compulsive disorder: A narrative review emphasizing family-based approaches

Table 10 Efficacy of family-based psychoeducational treatments for obsessive-compulsive disorder

Ref.	Type of evidence	Details	Findings
Thompson-Hollands et al[138]	Meta-analysis	29 studies of family-integrated treatment (FIT) for OCD	FIT reduced obsessional symptoms and improved patient functioning with large effect sizes. Individually-based FIT and FIT that focused on reducing accommodation were more effective than group treatments
Rosa-Alcázar et al[145]	Meta-analysis	33 studies of CBT for children with OCD	Moderate to high parental involvement in CBT improved the efficacy of CBT
Öst et al[146]	Meta-analysis	25 randomized trials of CBT in children and youth using the Children's Yale-Brown Obsessive Compulsive Scale	The degree of parental involvement or the family-based format of CBT did not affect the efficacy of CBT. A high degree of parental involvement was not a crucial factor for the success of CBT
Iniesta-Sepúlveda et al[147]	Meta-analysis	27 studies of cognitive-behavioural family-based treatment (CBFT) for children and adolescents with OCD	CBFT reduced obsessional symptoms with large effect sizes. CBFT had a moderate effect in reducing accommodation. Individually-based CBFT was more effective than group treatments
Guzick et al[148]	Meta-analysis	25 randomized controlled trials comparing standard CBT with augmented CBT in OCD	Increasing family involvement led to a better outcome of augmented CBT
McGrath and Abbott[149]	Meta-analysis	38 studies of family-based interventions for OCD in children and adolescents	Family-based interventions for OCD reduced obsessional symptoms and accommodation with large effect sizes. Interventions that targeted accommodation and other family factors were more effective
Stewart et al[139]	Meta-analysis	15 studies of FIT for OCD	FIT reduced symptoms of OCD, depression, anxiety, and improved patient functioning. Patient and family treatment satisfaction, antagonism, accommodation, and relatives’ mental health, and relationships also improved. Individually-based FIT and FIT that focused on reducing accommodation were more effective than group treatments. FIT was better than individual CBT. Fewer sessions were associated with better outcomes on certain parameters
Wang et al[150]	Meta-analysis	48 randomized controlled trials of ERP, CBT, CT, or third-wave CBT among children, adolescents and adults with OCD	Family-inclusive treatments had larger effect sizes than individual, group, or self-guided ERP or CBT

CT: Cognitive therapy; CBT: Cognitive behavioural therapy; OCD: Obsessive-compulsive disorder; ERP: Exposure and response prevention.