The Relationship between Childhood Trauma and Obsessive-Compulsive Disorder, Comorbid Attention Deficit Hyperactivity Disorder, and Impulsivity v

Abstract

Introduction: A growing body of research associates childhood trauma with obsessive-compulsive disorder (OCD). The aim of this study was to investigate the relationships between childhood trauma and OCD, including both its severity and OCD patients' comorbid impulsivity, ADHD, anxiety, and depressive symptoms. Methods: A convenient sample consisting of 106 patients with OCD was given the Childhood Trauma Questionnaire (CTQ), Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Wender Utah Rating Scale (WURS), Hamilton Rating Scale for Depression (HAM-D), Beck Anxiety Inventory (BAI), and Barratt Impulsivity Scale-11 (BIS-11). Results: The results showed that childhood trauma indirectly predicts the severity of OCD and directly predicts comorbidities in OCD patients, including anxiety, ADHD, WURS, and impulsivity. Patients with childhood trauma had higher WURS, BAI, and BIS-11 scores and fewer years of education. Ongoing adult ADHD was more common in individuals with childhood trauma. Conclusion: A history of childhood trauma in OCD patients has indirect effects on the severity of OCD and depressive symptoms and is associated with more severe anxiety, higher levels of impulsivity, higher prevalence of ADHD, and lower levels of education. More research is needed to clarify the effects of childhood trauma on OCD severity and comorbidity.

Association Between Childhood Maltreatment and Symptoms of Obsessive-Compulsive Disorder: A Meta-Analysis

“…Sensitivity analyses revealed that the total heterogeneity of the meta-analysis was reduced when removing the study of Semiz et al ( 34 ) or Coban et al ( 36 ), with the I 2 reduced to 0 and 37%, respectively.…”

The immediate effect of COVID-19 pandemic on children and adolescents with obsessive compulsive disorder

“…Several studies have shown a relation between childhood traumas and the severity of anxiety [4], depression [5], psychosis [6] and bipolar disorder [7]. Likewise, a recent study has shown a relation between childhood traumas and the severity of OCD symptoms, the occurrence of comorbid anxiety, increased impulsivity, increased incidence of attention deficit hyperactivity disorder (ADHD) and a lower educational level [8]. Even though fear of COVID-19 infection may not be fully comparable with the above mentioned traumas in childhood, it has been suggested that both depression, anxiety disorders, post-traumatic stress disorder, psychotic disorders and suicide may by consequences of fear of COVID-19, where individuals, who previously have experienced psychological disorders, may be specially prone [9].…”

The Immediate Effect of COVID-19 Pandemic on Children and Adolescents with Obsessive Compulsive Disorder

“…Several studies have shown a relation between childhood traumas and the severity of anxiety [4], depression [5], psychosis [6] and bipolar disorder [7]. Likewise, a recent study has shown a relation between childhood traumas and the severity of OCD symptoms, the occurrence of comorbid anxiety, increased impulsivity, increased incidence of attention de cit hyperactivity disorder (ADHD) and a lower educational level [8]. Even though fear of COVID-19 infection may not be fully comparable with the above mentioned traumas in childhood, it has been suggested that both depression, anxiety disorders, post-traumatic stress disorder, psychotic disorders and suicide may by consequences of fear of COVID-19, where individuals, who previously have experienced psychological disorders, may be specially prone [9].…”