Swipe om te navigeren naar een ander artikel
Publisher’s note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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.
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 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.
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.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th edn). Arlington: American Psychiatric Association.
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.
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. CrossRef
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. 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
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. CrossRef
Jenike, M. A. (2004). Clinical practice. Obsessive-compulsive disorder. New England Journal of Medicine, 350(3), 259–265. 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
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
Maj, M., Sartorius, N., Okasha, A. & Zohar, J. (Eds.) (2002). Obsessive-compulsive disorder (2nd edn). Hoboken: John Wiley & Sons.
McHugh, M. (2012). Interrater reliability: the kappa statistic. Biochemia Medica, 22, 276–282. 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
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
Open Science Collaboration. (2015). Estimating the reproducibility of psychological science. Science, 349, aac4716. CrossRef
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. 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
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. CrossRef
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. CrossRef
Sheehan, D. V., Sheehan, K., & Raj, B. A. (1996). The measurement of disability. International Clinical Psychopharmacology, 11, 89–95. CrossRef
Steketee, G., Frost, R., & Bogart, K. (1996). The Yale-Brown Obsessive Compulsive Scale: interview versus self-report. Behaviour Research and Therapy, 34, 675–684. CrossRef
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. CrossRef
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. CrossRef
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. CrossRef
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. CrossRef
- Internet Help-Seeking Juveniles with OCD: An Examination of Severity, Symptoms, Disability and Motivation
Katrina A. Rufino
Eric A. Storch
- Springer US