Skip to main content
Top
Gepubliceerd in: Journal of Child and Family Studies 4/2019

13-02-2019 | Original Paper

Internet Help-Seeking Juveniles with OCD: An Examination of Severity, Symptoms, Disability and Motivation

Auteurs: Katrina A. Rufino, Elizabeth McIngvale, Eric A. Storch

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 4/2019

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

Despite increasing research in obsessive compulsive disorder (OCD), a great deal still needs to be learned regarding how the disorder manifests in the juvenile population. This study sought to expound on previous research in adults to explore the characteristics of juveniles with OCD who are seeking help via the Internet, namely their OCD symptomology and its impact on disabilty and severity, and the value of a self-perception severity screener.

Methods

This study utilized a population of 157 juveniles who were accessing an online website for program-guided treatment of OCD (ages 7 to 17 years, M = 14.55, SD = 2.33).

Results

Results revealed that the most frequently reported subtype for juveniles was not just right (n = 73, 88.0%) followed by contamination (n = 58, 69.9%) OCD, almost half the participants 45% (n= 46) accurately reported their symptom severity, and over-reporting of symptom severity was associated with an increase in disability compared to both those who accurately reported [t(97) = −2.642, p = 0.010, r = .26] and under-reported [t(97) = −4.184, p < 0.001, r = .39] symptoms.

Conclusions

Clinical implications (e.g., OCD severity ratings, symptom categories, disability ratings and treatment implications), limitations (e.g., lack of confirmed diagnoses and self-reported data), and future directions (i.e., replication studies with juvenile specific measures) are discussed.
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th edn). Arlington: American Psychiatric Association. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th edn). Arlington: American Psychiatric Association.
go back to reference Brezinka, V. (2013). Ricky and the Spider—a video game to support cognitive behavioural treatment of children with obsessive-compulsive disorder. Clinical Neuropsychiatry, 10(3), 6–12. Brezinka, V. (2013). Ricky and the Spider—a video game to support cognitive behavioural treatment of children with obsessive-compulsive disorder. Clinical Neuropsychiatry, 10(3), 6–12.
go back to reference Dettore, D., Pozza, A., & Andersson, G. (2015). Efficacy of technology-delivered cognitive behavioural therapy for OCD versus control conditions, and in comparison with therapist-administered CBT: meta-analysis of randomized controlled trials. Cognitive Behaviour Therapy, 44(3), 190–211.CrossRefPubMed Dettore, D., Pozza, A., & Andersson, G. (2015). Efficacy of technology-delivered cognitive behavioural therapy for OCD versus control conditions, and in comparison with therapist-administered CBT: meta-analysis of randomized controlled trials. Cognitive Behaviour Therapy, 44(3), 190–211.CrossRefPubMed
go back to reference Garcia, A. M., Freeman, J. B., Himle, M. B., Berman, N. C., Ogata, A. K., Ng, J., & Leonard, H. (2009). Phenomenology of early childhood onset obsessive compulsive disorder. Journal of Psychopathology and Behavioral Assessment, 31, 104–111.CrossRefPubMedPubMedCentral Garcia, A. M., Freeman, J. B., Himle, M. B., Berman, N. C., Ogata, A. K., Ng, J., & Leonard, H. (2009). Phenomenology of early childhood onset obsessive compulsive disorder. Journal of Psychopathology and Behavioral Assessment, 31, 104–111.CrossRefPubMedPubMedCentral
go back to reference Geller, D. A., Biederman, J., Stewart, S. E., Mullin, B., Farrell, C., Wagner, K. D., & Carpenter, D. (2003). Impact of comorbidity on treatment response to paroxetine in pediatric obsessive-compulsive disorder: is the use of exclusion criteria empirically supported in randomized clinical trials? Journal of Child and Adolescent Pharmacology, 13(1), S19–29.CrossRef Geller, D. A., Biederman, J., Stewart, S. E., Mullin, B., Farrell, C., Wagner, K. D., & Carpenter, D. (2003). Impact of comorbidity on treatment response to paroxetine in pediatric obsessive-compulsive disorder: is the use of exclusion criteria empirically supported in randomized clinical trials? Journal of Child and Adolescent Pharmacology, 13(1), S19–29.CrossRef
go back to reference Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., & Charney, D. S. (1989). The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Archives of General Psychiatry, 46(11), 1006–1011.CrossRefPubMed Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., & Charney, D. S. (1989). The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Archives of General Psychiatry, 46(11), 1006–1011.CrossRefPubMed
go back to reference Jenike, M. A. (2004). Clinical practice. Obsessive-compulsive disorder. New England Journal of Medicine, 350(3), 259–265.CrossRefPubMed Jenike, M. A. (2004). Clinical practice. Obsessive-compulsive disorder. New England Journal of Medicine, 350(3), 259–265.CrossRefPubMed
go back to reference Lack, C. W., Storch, E. A., Keeley, M. L., Geffken, G. R., Ricketts, E. D., Murphy, T. K., & Goodman, W. K. (2009). Quality of life in children and adolescents with obsessive-compulsive dsorder: base rates, parent-child agreement, and clinical correlates. Social Psyciatry and Psychiatric Epidemiology, 44, 935–942.CrossRef Lack, C. W., Storch, E. A., Keeley, M. L., Geffken, G. R., Ricketts, E. D., Murphy, T. K., & Goodman, W. K. (2009). Quality of life in children and adolescents with obsessive-compulsive dsorder: base rates, parent-child agreement, and clinical correlates. Social Psyciatry and Psychiatric Epidemiology, 44, 935–942.CrossRef
go back to reference Lenhard, F., Andersson, E., Mataix-Cols, D., Rück, C., Vigerland, D., Högström, J., Hillborg, & Serlachius, E. (2017). Therapist-guided internet-delivered cognitive-behavioral therapy for adolescents with obsessive-compulsive disorder: a randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 56, 10–19.CrossRef Lenhard, F., Andersson, E., Mataix-Cols, D., Rück, C., Vigerland, D., Högström, J., Hillborg, & Serlachius, E. (2017). Therapist-guided internet-delivered cognitive-behavioral therapy for adolescents with obsessive-compulsive disorder: a randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 56, 10–19.CrossRef
go back to reference Maj, M., Sartorius, N., Okasha, A. & Zohar, J. (Eds.) (2002). Obsessive-compulsive disorder (2nd edn). Hoboken: John Wiley & Sons. Maj, M., Sartorius, N., Okasha, A. & Zohar, J. (Eds.) (2002). Obsessive-compulsive disorder (2nd edn). Hoboken: John Wiley & Sons.
go back to reference McIngvale, E., Rufino, K. A., Katz, J., & Hart, J. (2017). Value of a one item OCD severity perception assessment. Journal of Technology in Behavioral Science, 2(2), 88–93.CrossRef McIngvale, E., Rufino, K. A., Katz, J., & Hart, J. (2017). Value of a one item OCD severity perception assessment. Journal of Technology in Behavioral Science, 2(2), 88–93.CrossRef
go back to reference McIngvale, E., Bordnick, P. S., & Hart, J. (2015). A self-help website for obsessive compulsive disorder: who is accessing the website?. Journal of Technology in Human Services, 33(2), 191–203.CrossRef McIngvale, E., Bordnick, P. S., & Hart, J. (2015). A self-help website for obsessive compulsive disorder: who is accessing the website?. Journal of Technology in Human Services, 33(2), 191–203.CrossRef
go back to reference Open Science Collaboration. (2015). Estimating the reproducibility of psychological science. Science, 349, aac4716.CrossRef Open Science Collaboration. (2015). Estimating the reproducibility of psychological science. Science, 349, aac4716.CrossRef
go back to reference Pauls, D. L., Alsobrook, J. P., Goodman, W., Rasmussen, S., & Leckman, J. F. (1995). A family study of obsessive-compulsive disorder. American Journal of Psychiatry, 152, 76–84.CrossRefPubMed Pauls, D. L., Alsobrook, J. P., Goodman, W., Rasmussen, S., & Leckman, J. F. (1995). A family study of obsessive-compulsive disorder. American Journal of Psychiatry, 152, 76–84.CrossRefPubMed
go back to reference Piacentini, J., Bergman, R. L., Keller, M., & McCracken, J. (2003). Functional impairment in children and adolescents with obsessive-compulsive disorder. Journal of Adolescent Psychopharmacology, 13, S61–69.CrossRef Piacentini, J., Bergman, R. L., Keller, M., & McCracken, J. (2003). Functional impairment in children and adolescents with obsessive-compulsive disorder. Journal of Adolescent Psychopharmacology, 13, S61–69.CrossRef
go back to reference Ruscio, A. M., Stein, D. J., Chiu, W. T., & Kessler, R. C. (2010). The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Molecular Psychiatry, 15, 53–63.CrossRefPubMed Ruscio, A. M., Stein, D. J., Chiu, W. T., & Kessler, R. C. (2010). The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Molecular Psychiatry, 15, 53–63.CrossRefPubMed
go back to reference Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. I., King, R. A., Goodman, W. K., & Leckman, J. (1997). Children's Yale-Brown Obsessive-compulsive Scale: reliability and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 844–852.CrossRefPubMed Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. I., King, R. A., Goodman, W. K., & Leckman, J. (1997). Children's Yale-Brown Obsessive-compulsive Scale: reliability and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 844–852.CrossRefPubMed
go back to reference Sheehan, D. V., Sheehan, K., & Raj, B. A. (1996). The measurement of disability. International Clinical Psychopharmacology, 11, 89–95.CrossRefPubMed Sheehan, D. V., Sheehan, K., & Raj, B. A. (1996). The measurement of disability. International Clinical Psychopharmacology, 11, 89–95.CrossRefPubMed
go back to reference Steketee, G., Frost, R., & Bogart, K. (1996). The Yale-Brown Obsessive Compulsive Scale: interview versus self-report. Behaviour Research and Therapy, 34, 675–684.CrossRefPubMed Steketee, G., Frost, R., & Bogart, K. (1996). The Yale-Brown Obsessive Compulsive Scale: interview versus self-report. Behaviour Research and Therapy, 34, 675–684.CrossRefPubMed
go back to reference Storch, E. A., Caorino, N. E., Morgan, J. R., Lewin, A. B., Rojas, A., Brauer, L., & Murphy, T. K. (2011). Preliminary investigation of web-camera delivered cognitive-behavioral therapy for youth with obsessive-compulsive disorder. Psychiatry Research, 189, 407–412.CrossRefPubMed Storch, E. A., Caorino, N. E., Morgan, J. R., Lewin, A. B., Rojas, A., Brauer, L., & Murphy, T. K. (2011). Preliminary investigation of web-camera delivered cognitive-behavioral therapy for youth with obsessive-compulsive disorder. Psychiatry Research, 189, 407–412.CrossRefPubMed
go back to reference Storch, E. A., Nadeau, J. M., De Nadai, A. S., Cepeda, S. L., Reimann, B. C., Seibell, P., & Kay, B. (2017). Symptom correspondence between clinicians and patients on the Yale-Brown Obsessive Compulsive Scale. Comprehensive Psychiatry, 73, 105–110.CrossRefPubMed Storch, E. A., Nadeau, J. M., De Nadai, A. S., Cepeda, S. L., Reimann, B. C., Seibell, P., & Kay, B. (2017). Symptom correspondence between clinicians and patients on the Yale-Brown Obsessive Compulsive Scale. Comprehensive Psychiatry, 73, 105–110.CrossRefPubMed
go back to reference Storch, E. A., Small, B. J., McGuire, J. F., Murphy, T. K., Wilhelm, S., & Geller, D. A. (2018). Quality of life in children and youth with obsessive-compulsive disorder. Journal of Child and Adolescent Psychopharmacology, 28(8), 104–110.CrossRefPubMedPubMedCentral Storch, E. A., Small, B. J., McGuire, J. F., Murphy, T. K., Wilhelm, S., & Geller, D. A. (2018). Quality of life in children and youth with obsessive-compulsive disorder. Journal of Child and Adolescent Psychopharmacology, 28(8), 104–110.CrossRefPubMedPubMedCentral
go back to reference Storch, E. A., Wilhelm, S., Sprich, S., Henin, A., Micco, J., Small, B. J., McGuire, J., & Geller, D. A. (2016). Efficacy of augmentation of cognitive behavior therapy with weight-adjusted D-Cycloserine vs placebo in pediatric obsessive-compulsive disorder: a randomized clinical trial. JAMA Psychiatry, 73, 779–788.CrossRefPubMedPubMedCentral Storch, E. A., Wilhelm, S., Sprich, S., Henin, A., Micco, J., Small, B. J., McGuire, J., & Geller, D. A. (2016). Efficacy of augmentation of cognitive behavior therapy with weight-adjusted D-Cycloserine vs placebo in pediatric obsessive-compulsive disorder: a randomized clinical trial. JAMA Psychiatry, 73, 779–788.CrossRefPubMedPubMedCentral
Metagegevens
Titel
Internet Help-Seeking Juveniles with OCD: An Examination of Severity, Symptoms, Disability and Motivation
Auteurs
Katrina A. Rufino
Elizabeth McIngvale
Eric A. Storch
Publicatiedatum
13-02-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 4/2019
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-019-01335-6

Andere artikelen Uitgave 4/2019

Journal of Child and Family Studies 4/2019 Naar de uitgave