Abstract
Panic disorder with or without agoraphobia (PD/A) and obsessive-compulsive disorder (OCD) are characterized by major behavioral dysruptions that may affect patients’ social and marital functioning. The disorders’ impact on interpersonal relationships may also affect the quality of support patients receive from their social network. The main goal of this systematic review is to determine the association between social or marital support and symptom severity among adults with PD/A or OCD. A systematic search of databases was executed and provided 35 eligible articles. Results from OCD studies indicated a negative association between marital adjustment and symptom severity, and a positive association between accommodation from relatives and symptom severity. However, results were inconclusive for negative forms of social support (e.g. criticism, hostility). Results from PD/A studies indicated a negative association between perceived social support and symptom severity. Also, results from studies using an observational measure of marital adjustment indicated a negative association between quality of support from the spouse and PD/A severity. However, results were inconclusive for perceived marital adjustment and symptom severity. In conclusion, this systematic review generally suggests a major role of social and marital support in PD/A and OCD symptomatology. However, given diversity of results and methods used in studies, more are needed to clarify the links between support and symptom severity among patients with PD/A and OCD.
Highlights
ObjectivesObjectives and HypothesesThe main objective of this systematic review is to assess whether social and marital support is associated with severity of obsessive-compulsive disorder (OCD) and Panic disorder with or without agoraphobia (PD/A)
The search covered Pubmed, PsycNET Proquest, CINAHL, Embase, ISI, SCOPUS, Cochrane databases, from January 1 1980 to June 30 2014, for articles concerning the association between social/marital support and severity of obsessive-compulsive disorder (OCD) or Panic disorder with or without agoraphobia (PD/A) symptoms before any treatment
Results presented in this systematic review generally indicate that social and marital support is associated with the severity of OCD and Panic disorder (PD)/A, which supports our hypotheses
Summary
Objectives and HypothesesThe main objective of this systematic review is to assess whether social and marital support is associated with severity of OCD and PD/A. It this hypothesized that positive social support will negatively correlate with severity of the disorders, whereas negative social support will correlate positively with severity of the disorders
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