Child-focused treatment of pediatric OCD affects parental behavior and family environment.

This study aimed to investigate the impact of child-focused pediatric OCD treatment on parental anxiety, family accommodation and family environment. Forty-three parents (72.1% female, mean age±SD=43.1±5.6 years) were evaluated at baseline and after their children's (n=33, 54.5% female, mean age±SD=12.9±2.7 years) randomized treatment with Group Cognitive-Behavioral Therapy or fluoxetine for 14 weeks. Validated instruments were administered by trained clinicians. Parents were assessed with the State-Trait Anxiety Inventory (STAI), the Family Accommodation Scale (FAS) and the Family Environment Scale (FES). The Yale-Brown Obsessive-Compulsive Scale was administered to children. Significant findings after the children's treatment include decreased family accommodation levels (participation, modification and distress/consequences domains); increased cohesion and active-recreational components of the family environment. In addition, changes in the FAS distress/consequences and the FES cohesion subscores were correlated with the children's clinical improvement. These results suggest that child-focused OCD treatment may have a positive impact on family accommodation and family environment. Future studies should further clarify the reciprocal influences of pediatric OCD treatment and family factors.

Esquemas cognitivos e a análise de obras literárias: o personagem Lourenço Mutarelli / Cognitive schemas and analysis of literary works: the Lourenço Mutarelli character

O presente artigo examina a presença de Esquemas Iniciais Desadaptativos apresentados pelo personagem Lourenço Mutarelli de acordo com Jeffrey Young. Young desenvolveu a Teoria do Esquema elencando cinco domínios correspondentes a cada esquema cognitivo: Desconexão e Rejeição, Autonomia e Desempenho Prejudicados, Limites Prejudicados, Orientação para o outro e Supervigilância e Inibição. Os esquemas cognitivos foram identificados e analisados no material de Lourenço Mutarelli que criou um personagem autobiográfico em seu blog, suas entrevistas na internet, em suas histórias em quadrinhos e romances. Os domínios que prevaleceram dentro do material analisado foram: Desconexão e Rejeição, Autonomia e Desempenho Prejudicados, Orientação para o outro e Supervigilância e Inibição.

This article examines the presence of Early Maladaptive Schemas presented by Lourenço Mutarelli´s character according to Jeffrey Young. Young developed the Schema Theory categorizing five domains corresponding to each cognitive schema: Disconnection and Rejection, Impaired Autonomy and Performance, Impaired Limits, Other-Directedness and OverVigilance and Inhibition. The cognitive schemas were identified and analyzed over the Lourenço Mutarelli´s material who created an autobiographical character in his blog, his interviews on the internet, in his comic books and novels. The domains that have prevailed within the material analyzed were: Disconnection and Rejection, Impaired Autonomy and Performance, and OverVigilance and Inhibition.

Esquemas cognitivos e a análise de obras literárias: o personagem Lourenço Mutarelli / Cognitive schemas and analysis of literary works: the Lourenço Mutarelli character

O presente artigo examina a presença de Esquemas Iniciais Desadaptativos apresentados pelo personagem Lourenço Mutarelli de acordo com Jeffrey Young. Young desenvolveu a Teoria do Esquema elencando cinco domínios correspondentes a cada esquema cognitivo: Desconexão e Rejeição, Autonomia e Desempenho Prejudicados, Limites Prejudicados, Orientação para o outro e Supervigilância e Inibição. Os esquemas cognitivos foram identificados e analisados no material de Lourenço Mutarelli que criou um personagem autobiográfico em seu blog, suas entrevistas na internet, em suas histórias em quadrinhos e romances. Os domínios que prevaleceram dentro do material analisado foram: Desconexão e Rejeição, Autonomia e Desempenho Prejudicados, Orientação para o outro e Supervigilância e Inibição. (AU)

This article examines the presence of Early Maladaptive Schemas presented by Lourenço Mutarelli´s character according to Jeffrey Young. Young developed the Schema Theory categorizing five domains corresponding to each cognitive schema: Disconnection and Rejection, Impaired Autonomy and Performance, Impaired Limits, Other-Directedness and OverVigilance and Inhibition. The cognitive schemas were identified and analyzed over the Lourenço Mutarelli´s material who created an autobiographical character in his blog, his interviews on the internet, in his comic books and novels. The domains that have prevailed within the material analyzed were: Disconnection and Rejection, Impaired Autonomy and Performance, and OverVigilance and Inhibition. (AU)