Parental Bonding Reports of Clients with Obsessive-Compulsive Disorder and Agoraphobia

Abstract

The study was designed to address two broad purposes: (a) to investigate further the reliability and validity of the Parental Bonding Instrument (PBI) and (b) to examine the relationship of parental warmth and overprotection to specific anxiety disorders and their symptoms, anxious personality traits, and social functioning. The PBI was administered, before and after exposure treatment, to an outpatient sample of 52 adults with obsessive–compulsive disorder and 35 with panic disorder with agoraphobia, and to their parents (n=42), if they resided with the patient. PBI scores remained stable despite improvement in symptom severity and mood. Parents' and patients' recollections of the parents' behaviour towards the patient did not agree. According to patients, their parents most often raised them using affectionless control, whereas parents most often rated themselves as having provided optimal parenting. Patients' PBI scores were not related to type or severity of anxiety disorder. However, reports of poorer parenting were associated with worse social adjustment and higher levels of anxious personality disorder characteristics.