An Epidemiological Study of Obsessive-Compulsive Disorder and Related Disorders in Israeli Adolescents

Zohar, Ada H.; Ratzoni, Gidi; Pauls, David L.; Apter, Alan; Bleich, Avi; Kron, Shmuel; Rappaport, Michal; Weizman, Abraham; Cohen, Donald J.

doi:10.1097/00004583-199211000-00010

Cited by 198 publications

(133 citation statements)

References 14 publications

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“…With regard to the current prevalence of OCD among adolescents, the rate found in our study (3.3%) is close to the findings reported by Zohar et al 27 and Valleni-Basile et al, 23 who found rates of 3.6 and 3%, respectively. Both studies assessed adolescents only, and Valleni-Basile et al 23 also adopted a two-stage approach, using K-SADS to diagnose OCD.…”

Section: Discussionsupporting

confidence: 90%

Obsessive-compulsive symptoms and obsessive-compulsive disorder in adolescents: a population-based study

Vivan

Rodrigues

Wendt

et al. 2013

Rev. Bras. Psiquiatr.

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Objectives: To estimate the prevalence of obsessive-compulsive symptoms (OCS) and disorder (OCD) among adolescents and to describe OCD characteristics according to gender. Methods: Participants were selected by cluster sampling at seven high-schools in southern Brazil. In the first stage, 2,323 students were screened for OCS; in the second stage, adolescents scoring o 21 on the OCI-R scale were individually interviewed. OCD diagnosis was established using a semistructured interview (Schedule for Affective Disorders and Schizophrenia for School Aged Children: Present and Lifetime Version --K-SADS-PL).Results: The past-month estimated prevalence of OCS was 18.3%, and the point estimated prevalence of OCD, 3.3%. Girls showed higher scores (OCS: 24.8 vs. 14.4%; OCD: 4.9 vs. 1.4%; p , 0.001). Only 9.3% of OCD adolescents had been diagnosed and 6.7% received treatment. The most frequent/severe DY-BOCS dimensions were miscellaneous (86.7%; mean score 6.363.8) and symmetry (85.3%; 5.963.8). Female OCD adolescents predominantly showed depression (p = 0.032), and male adolescents, tic disorders (p = 0.006). Conclusions: OCD is underdiagnosed in adolescents, and few are treated. Future studies should investigate the relationship between OCS and the onset of OCD.

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Section: Discussionsupporting

confidence: 90%

Obsessive-compulsive symptoms and obsessive-compulsive disorder in adolescents: a population-based study

Vivan

Rodrigues

Wendt

et al. 2013

Rev. Bras. Psiquiatr.

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“…O bsessive-compulsive disorder is a common disorder, with a lifetime prevalence in adolescence of 2%-3% (1,2). The rising frequency of diagnosis of obsessive-compulsive disorder over the last decade (3) has motivated researchers to distinguish subtypes of obsessive-compulsive disorder.…”

mentioning

confidence: 99%

Obsessive-compulsive disorder with and without tics in an epidemiological sample of adolescents

Zohar

Pauls²,

Ratzoni³

et al. 1997

AJP

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O bsessive-compulsive disorder is a common disorder, with a lifetime prevalence in adolescence of 2%-3% (1, 2). The rising frequency of diagnosis of obsessive-compulsive disorder over the last decade (3) has motivated researchers to distinguish subtypes of obsessive-compulsive disorder. Several studies (4-6 and unpublished study by V. Eapen et al.) have compared adult patients with obsessive-compulsive disorder with and without chronic tic disorder or Gilles de la Tourette's disorder on the content of their obsessions and compulsions. The subjects were patients ascertained through clinical facilities, and the study groups may therefore have been biased toward greater severity and comorbidity. In addition, the patients were adults and might have been further along in the natural course of obsessive-compulsive disorder than would be younger patients. Thus, the differences found between the two manifestations of obsessive-compulsive disorder, with and without tics or Tourette's disorder, may not provide profiles for the full range of obsessive-compulsive disorder.The present study focused on an epidemiological sample of unreferred adolescents diagnosed with obsessive-compulsive disorder. The analyses were directed at distinguishing qualitatively between obsessive-compulsive disorder with and without tics. METHODThe sample included 861 adolescents 17 years old, 436 boys and 425 girls. The screening was part of the physical examination that precedes induction into the Israel Defence Force. The induction centers screen over 95% of a complete cohort, and the present sample comprised consecutively sampled adolescents. The diagnostic interview used was the Yale Schedule for Tourette Syndrome and Other Behavioral Disorders, Hebrew Version (7). The adolescents were first interviewed by child psychiatrists using abridged modules from this schedule, which includes an extended Tourette's disorder module and an obsessive-compulsive disorder module with the 58-item YaleBrown Obsessive Compulsive Scale (8). They were screened for anxiety disorders, Tourette's disorder, and tics. Subsequently, 100 subjects who received a preliminary diagnosis of anxiety disorder, Tourette's disorder, or tics were invited for a full diagnostic interview using the unabridged Yale Schedule for Tourette Syndrome and Other Behavioral Disorders, Hebrew Version, administered by a child psychiatrist.Fifty comparison subjects, whose interviews indicated the absence of these disorders in the initial assessment, were randomly interspersed to reduce expectation bias in the second-level interviewer. For this second phase, 144 individuals were seen: 94 subjects with a preliminary diagnosis of anxiety disorder, Tourette's disorder, or tics and 50 comparison subjects. Written informed consent was obtained from the 144 individuals after the aims, procedure, and implications

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“…First, OCD is quite common. According to international studies, prevalence rates of OCD in children and adolescents range between 0.35 and 4 percent with sub-clinical manifestations varying even between 2.7 and 19 percent (Apter et al, 1996;Brynska & Wolanczyk, 2005;Douglass, Moffitt, Dar, McGee, & Silva, 1995;Flament et al, 1989;Heyman et al, 2001;Lewinsohn, Pettit, Joiner, & Seeley, 2003;Maina, Albert, Bogetto, & Ravizza, 1999;Valleni-Basile et al, 1994;Zohar et al, 1992). Differences in age distribution of the samples, methodology of assessment, and diagnostic criteria contribute to the diversity of findings.…”

Section: Performance Of the Adolescentmentioning

confidence: 99%

Performance of the adolescent obsessive-compulsive scale in a community survey

Steinhausen

Peloso

Metzke

2009

Journal of Anxiety Disorders

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An Epidemiological Study of Obsessive-Compulsive Disorder and Related Disorders in Israeli Adolescents

Cited by 198 publications

References 14 publications

Obsessive-compulsive symptoms and obsessive-compulsive disorder in adolescents: a population-based study

Obsessive-compulsive symptoms and obsessive-compulsive disorder in adolescents: a population-based study

Obsessive-compulsive disorder with and without tics in an epidemiological sample of adolescents

Performance of the adolescent obsessive-compulsive scale in a community survey

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