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25-05-2016 | Original Article

Distinguishing Fear Versus Distress Symptomatology in Pediatric OCD

Auteurs: Michelle Rozenman, Tara Peris, R. Lindsey Bergman, Susanna Chang, Joseph O’Neill, James T. McCracken, John Piacentini

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 1/2017

Abstract

Prior research has identified OCD subtypes or “clusters” of symptoms that differentially relate to clinical features of the disorder. Given the high comorbidity between OCD and anxiety, OCD symptom clusters may more broadly associate with fear and/or distress internalizing constructs. This study examines fear and distress dimensions, including physical concerns (fear), separation anxiety (fear), perfectionism (distress), and anxious coping (distress), as predictors of previously empirically-derived OCD symptom clusters in a sample of 215 youth diagnosed with primary OCD (ages 7–17, mean age = 12.25). Self-reported separation fears predicted membership in Cluster 1 (aggressive, sexual, religious, somatic obsessions, and checking compulsions) while somatic/autonomic fears predicted membership in Cluster 2 (symmetry obsessions and ordering, counting, repeating compulsions). Results highlight the diversity of pediatric OCD symptoms and their differential association with fear, suggesting the need to carefully assess both OCD and global fear constructs that might be directly targeted in treatment.

vorige artikel Predicting Depression and Anxiety from Oppositional Defiant Disorder Symptoms in Elementary School-Age Girls and Boys with Conduct Problems

volgende artikel Emotional Control Mediates the Association Between Dimensions of Perfectionism and Worry in Children

It should be noted that the MASC harm avoidance subscale and use of the phrase “harm avoidance” in this paper refers to perfectionism and anxious coping. This is distinct from use of the term “harm avoidance” to describe intrusive aggressive/harm thoughts in OCD. In this paper, we use “harm avoidance” to describe the MASC subscale, and the term “aggression” to describe OCD symptoms related to harm to self or others.

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Titel: Distinguishing Fear Versus Distress Symptomatology in Pediatric OCD
Auteurs: Michelle Rozenman
Tara Peris
R. Lindsey Bergman
Susanna Chang
Joseph O’Neill
James T. McCracken
John Piacentini
Publicatiedatum: 25-05-2016
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 1/2017
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-016-0653-4

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