Treatment of a Child With Obsessive‐Compulsive Disorder With Limited Motivation: Course and Outcome of Cognitive‐Behavior Therapy

Weidle, Bernhard; Skarphéðinsson, Guðmundur

doi:10.1002/jclp.22394

Cited by 5 publications

(4 citation statements)

References 21 publications

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“…Moreover, therapists and parents often find it challenging to differentiate avoidance, and anxiety-related impairment from, say, oppositional behaviours. In this context, a comorbid ODD rate of 12% indicates the need for comprehensive functional behavioural analysis, as well as a careful psychotherapeutic plan that ties in treatment components for both disorders ( 88 ).…”

Section: Discussionmentioning

confidence: 99%

Comorbidities in Obsessive-Compulsive Disorder Across the Lifespan: A Systematic Review and Meta-Analysis

Sharma

Balachander

et al. 2021

Front. Psychiatry

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Comorbidities are seen with obsessive-compulsive disorder (OCD) across the lifespan. Neurodevelopmental comorbidities are common in young children, followed by mood, anxiety, and obsessive-compulsive related disorders (OCRDs) in children, adolescents and adults, and neurological and degenerative disorders in the elderly. Understanding comorbidity prevalence and patterns has clinical and research implications. We conducted a systematic review and meta-analysis on comorbidities in OCD across the lifespan, with the objective to, first, estimate age-wise pattern and prevalence of comorbidities with OCD and, second, to examine associations of demographic (age at assessment, gender distribution) and clinical characteristics (age of onset, illness severity) with comorbidities. Four electronic databases (PubMed, EMBASE, SCOPUS, and PsycINFO) were searched using predefined search terms for articles published between 1979 and 2020. Eligible studies, across age, reported original findings on comorbidities and had an OCD sample size of ≥100. We excluded studies that did not use standardised diagnostic assessments, or that excluded patients on the basis of comorbidity. We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The review protocol has been registered on the International Prospective Register of Systematic Reviews. A comorbidity rate of 69% was found in a pooled sample of more than 15,000 individuals. Mood disorders (major depressive disorder), anxiety disorders (generalised anxiety disorder), neurodevelopmental disorders (NDDs) and OCRDs were the commonest comorbidities. Anxiety disorders prevailed in children, mood disorders in adults, whereas NDDs were similarly prevalent. Higher comorbidity with any psychiatric illness, NDDs, and severe mental disorders was seen in males, vs. females. Illness severity was inversely associated with rates for panic disorder, tic disorders, OCRDs, obsessive compulsive personality disorder, and anorexia nervosa. This systematic review and meta-analysis provides base rates for comorbidities in OCD across the lifespan. This has implications for comprehensive clinical evaluation and management planning. The high variability in comorbidity rates suggests the need for quality, multi-centric, large studies, using prospective designs.Systematic Review Registration: Unique Identifier: CRD42020215904.

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Section: Discussionmentioning

confidence: 99%

Comorbidities in Obsessive-Compulsive Disorder Across the Lifespan: A Systematic Review and Meta-Analysis

Sharma

Balachander

et al. 2021

Front. Psychiatry

Self Cite

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“…Ability to demonstrate knowledge of the barriers to homework compliance (e.g., safety behaviors, time, energy, motivation, ASI, anticipatory anxiety, expectations) Evidence: CR, Weidle and Skarphedinsson (2016). TrPN, Huppert et al (2006).…”

Section: Ability To Demonstrate Knowledge Of How To Assess Homework Compliance (Eg Peas Monitoring) Evidencementioning

confidence: 99%

“…CS, Anand et al (2011). CR, Farrell et al (2016); Weidle and Skarphedinsson (2016). TrPN, CR, Hudson and Kendall (2002).…”

Section: Ability To Educate Family Members On the Role Of Homework In Treatmentmentioning

confidence: 99%

Knowledge and competency standards for specialized cognitive behavior therapy for adult obsessive-compulsive disorder

Sookman

Phillips

Anholt

et al. 2021

Psychiatry Research

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“…Encouraging the child to be the boss of their behaviour and not let their condition dictate their decisions is an approach that is used successfully in Obsessive-Compulsive Disorder (OCD) [5]. In this situation OCD is framed as an entity separate from the child, who is then encouraged to 'fight the OCD'.…”

Section: Discussionmentioning

confidence: 99%

Rules of Oppositional Defiant Disorder: A New Therapeutic Concept

Poulton¹,

Nivendkar²,

Rajabalee³

et al. 2022

austinjpsychiatrybehavsci

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Objective: Oppositional Defiant Disorder (ODD) commonly co-exists with ADHD and merits specific interventions. Our aim was to reframe ODD as a set of external rules that the child can reject. We surveyed parents for their views on ‘Rules of ODD’ as a therapeutic concept. Method: Parents of 85 children with ADHD and ODD were invited to rank 7 Rules of ODD in order of relevance and give additional comments. Results: Sixty-six (77%) considered the concept useful; 24 (31%) made additional comments or suggestions. The highest ranked rules were: ‘Always argue or disagree’ and ‘Never admit to being wrong’. No parent suggested the concept was harmful. Conclusions: Rules of ODD was considered useful by most parents. We hope that by redefining ODD as a series of external rules, the stigma of this diagnosis may be lessened, and the child empowered to make their own more rational decisions.

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Treatment of a Child With Obsessive‐Compulsive Disorder With Limited Motivation: Course and Outcome of Cognitive‐Behavior Therapy

Cited by 5 publications

References 21 publications

Comorbidities in Obsessive-Compulsive Disorder Across the Lifespan: A Systematic Review and Meta-Analysis

Comorbidities in Obsessive-Compulsive Disorder Across the Lifespan: A Systematic Review and Meta-Analysis

Knowledge and competency standards for specialized cognitive behavior therapy for adult obsessive-compulsive disorder

Rules of Oppositional Defiant Disorder: A New Therapeutic Concept

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