Predictors of functional impairment in pediatric obsessive-compulsive disorder

Storch, Eric A.; Larson, Michael J.; Muroff, Jordana; Caporino, Nicole E.; Geller, Daniel; Reid, Jeannette M.; Morgan, Jessica; Jordan, Patrice; Murphy, Tanya K.

doi:10.1016/j.janxdis.2009.12.004

Cited by 160 publications

(93 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…OCD compulsions are also quite distinct from avoidance behaviors in classic anxiety disorders in that they are more ritualistic and driven than avoidance behaviors in anxiety disorders. In addition, the severity of anxiety in OCD does not correlate strongly with measures of OCD severity and overall disability [10,11]. Epidemiological studies additionally show that OCD differs from anxiety disorders in several other ways, including childhood onset in up to 50% of all patients [4], more variable comorbidity profiles [12,13], and more chronic waxing and waning course [3].…”

Section: Phenomenologymentioning

confidence: 99%

“…Archives of Psychiatry and Psychotherapy, 2017; 3: [7][8][9][10][11][12][13][14][15] and impulsive disorders tend to share similar disease burden characteristics, including young age at onset, high rates of comorbidity and misdiagnosis, chronic course with unpredictable response to treatment, high level of occupational and social disability, and a high socioeconomic cost to society [27].…”

Section: Compulsivity As a Core Symptom Of Ocdmentioning

confidence: 99%

“…Collectively, these findings suggest that the compulsivity model of OCD may be overly simplistic and that the model incorporating anxiety, and possibly depression [11,55] in addition to compulsivity, may better capture the complex psychopathology of OCD. Future studies are needed to validate the diagnostic validity and clinical utility of the new classification of OCD and related disorders and to further elucidate the essential genetic relationship and other correlations among OCD, related disorders, anxiety, depression, and other disorders from the compulsivity -impulsivity spectrum.…”

Section: The New Category -Ocrdsmentioning

confidence: 99%

See 2 more Smart Citations

From anxiety to compulsivity – a review of changes to OCD classification in DSM-5 and ICD-11

Krzanowska¹,

Kuleta²

2017

Arch Psych Psych

View full text Add to dashboard Cite

SummaryObsessive-compulsive disorder (OCD) is no longer classified as an anxiety disorder in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). It has become a flagship disorder of the new category of Obsessive Compulsive and Related Disorders (OCRDs) -a group of five disorders linked together by the core symptom of repetitive thoughts and behaviors and phenomenological and neurobiological similarity to OCD. Body dysmorphic disorder, hoarding disorder, trichotillomania, and skin picking disorder are the other disorders included in this group. In the upcoming eleventh edition of the International Classification of Diseases (ICD)-11, the World Health Organization (WHO) is planning to introduce similar changes to its own classification of OCD, further recommending the inclusion of olfactory reference disorder and hypochondriasis, in addition to the disorders listed in the DSM-5. In this article, we will review the classifications of OCD and OCDRs in the DSM-5 and the upcoming ICD-11, as well as describe the rationale and research leading to the creation of this new class of disorders.

show abstract

Section: Phenomenologymentioning

confidence: 99%

Section: Compulsivity As a Core Symptom Of Ocdmentioning

confidence: 99%

Section: The New Category -Ocrdsmentioning

confidence: 99%

See 1 more Smart Citation

From anxiety to compulsivity – a review of changes to OCD classification in DSM-5 and ICD-11

Krzanowska¹,

Kuleta²

2017

Arch Psych Psych

View full text Add to dashboard Cite

show abstract

“…71,72 insight and motivation Children with poor insight and low motivation may not respond optimally to treatment due to limited symptom resistance and poor adherence to treatment recommendations (eg, taking medication, participating in CBT). 67,73 Poor insight is associated with more severe obsessive-compulsive symptoms, higher levels of internalizing behaviors, greater impairment in school, social, and family contexts, and poor treatment response to CBT and pharmacotherapy. 7,67,71,74,75 For children who refuse or have low motivation to engage in CBT, medication treatment may be considered.…”

Section: Family Accommodationmentioning

confidence: 99%

Optimal management of pediatric obsessive-compulsive disorder

Ung¹,

Ale²,

Storch³

2012

PHMT

View full text Add to dashboard Cite

Abstract:The last two decades have seen an increase in evidence supporting behavioral and pharmacologic treatments of pediatric obsessive-compulsive disorder, a debilitating anxiety disorder that affects about 1% of youth. However, dissemination of knowledge about these treatments to pediatric health care providers and families of affected children has been less successful. Following best practice guidelines, specific evidence for cognitive-behavioral therapy with exposure and response prevention and pharmacotherapy with serotonin reuptake inhibitors are presented. A discussion of clinical features and their impact on treatment delivery and empirically based suggestions for overcoming these barriers are also presented. Future directions for enhancing treatment implementation and dissemination are discussed.

show abstract

“…En la actualidad los instrumentos más común-mente utilizados para evaluar y cuantifi car los síntomas TOC son instrumentos validados en adultos que han sido revisados y adaptados para su uso en infancia y adolescencia, como por ejemplo la Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS), escala aplicada mediante evaluador (Scahill et al, 1997), y el Leyton Obsessional Inventory-Child Version (LOI-CV), cuestionario auto y heteroaplicado (Storch et al, 2010).…”

Section: Introductionunclassified

Subescala OCS-CBCL de Nelson para la evaluación del trastorno obsesivo-compulsivo infanto-juvenil: Análisis de validez en una muestra española [Nelson’s OCS-CBCL Subscale for the assessment of Obsessive-Compulsive Disorder (OCD) in children and adolescent

Batlle

Duñó

Camprodon

et al. 2014

RPPC

View full text Add to dashboard Cite

Resumen: El objetivo del estudio es investigar la utilidad de la escala obsesivo-compulsiva basada en el Child Behavior Checklist, OCS-CBCL (Nelson et al., 2001). Se determina la consistencia interna, la sensibilidad, la especificidad y el valor predictivo positivo y negativo para identificar el trastorno obsesivo-compulsivo (TOC) en tres muestras de niños y adolescentes (N = 26) apareadas por edad y género: (1) pacientes con TOC, (2) pacientes psiquiátricos sin TOC, (3) población general. El ANOVA muestra diferencias significativas entre grupos (p < 0,001) y el análisis pot-hoc de Scheffé diferencias significativas del grupo TOC con los otros dos grupos. La sensibilidad es del 73,1% al 76,9%, la especificidad del 78,8% al 86,5%, el VPP del 78,4% al 84,4% y el VPN del 76,3% al 77,3%. Los resultados sugieren la utilidad de la OCS-CBCL para la detección del TOC infanto-juvenil.Palabras clave: Adolescencia; CBCL; evaluación; infancia; ROC; trastorno obsesivo-compulsivo. Nelson's OCS-CBCL Subscale for the assessment of Obsessive-Compulsive Disorder (OCD) in children and adolescents: Validity analysis in a Spanish sampleAbstract: The aim of this study was to investigate the usefulness of the obsessive-compulsive scale based upon the Child Behavior Checklist, OCS-CBCL (Nelson et al., 2001). We determined internal consistency, sensitivity, specificity and positive and negative predictive value to identify obsessive-compulsive disorder (OCD) in three samples of children and adolescents (N = 26) matched for age and gender: (1) patients with OCD, (2) psychiatric patients without OCD, and (3) general population. The ANOVA revealed significant differences between groups (p < 0,001) and post-hoc Scheffé analysis showed significant differences between the OCD group and the other two. The sensitivity was 73.1% to 76.9%, specificity 78.8% to 86.5%, PPV 78.4% to 84.4% and NPV was 76.3% to 77,3%. The results suggest the usefulness of the OCS-CBCL for the detection of child and adolescent OCD.

show abstract

Predictors of functional impairment in pediatric obsessive-compulsive disorder

Cited by 160 publications

References 50 publications

From anxiety to compulsivity – a review of changes to OCD classification in DSM-5 and ICD-11

From anxiety to compulsivity – a review of changes to OCD classification in DSM-5 and ICD-11

Optimal management of pediatric obsessive-compulsive disorder

Subescala OCS-CBCL de Nelson para la evaluación del trastorno obsesivo-compulsivo infanto-juvenil: Análisis de validez en una muestra española [Nelson’s OCS-CBCL Subscale for the assessment of Obsessive-Compulsive Disorder (OCD) in children and adolescent

Contact Info

Product

Resources

About