Abstract
A two-stage epidemiologic study conducted between 1986 and 1988 in the southeastern United States investigated family and psychosocial predictors of obsessive compulsive disorder (OCD) and subclinical OCD in young adolescents. In the first stage, a life-event schedule and a family adaptability and cohesion scale were administered to a community sample of 3,283 adolescents. In stage two, the Schedule for Affective Disorders and Schizophrenia in School Age Children and the Children's Global Assessment Scale were administered to 488 mother-child pairs. In multivariable models family cohesion was the only significant correlate of OCD (odds ratio=0.95, 95% confidence interval 0.91–0.98). Gender, race, age, socioeconomic status, guardian status, adaptability, undesirable life events and desirable life events were not found to be significant predictors of OCD in models adjusting for cohesion. Note of the above variables were significantly associated with subclinical OCD. However, separate analyses of the 41 individual life events indicated seven specific events were significantly associated with OCD or subclinical OCD. These findings are at odds with the theory that overinvolvement of family members is a risk factor for OCD, though an association with overly rigid family structure cannot be eliminated based on these data. Further exploration of family characteristics is warranted.
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Addy, C. L., Jackson, K. L., McKeown, R. E., Waller, J. L., & Garrison, C. Z. (1994). A two-stage sampling design for study of adolescent depression. In:Case Studies in Biometry, Lange, N., et al, (eds.), New York, NY: John Wiley & Sons, Inc., pp. 409–428.
American Psychiatric Association (1987).Diagnostic and statistical manual of mental disorders (rev. 3rd ed.). Washington, DC.
Bird, H. R., Canino, G., Rubio-Stipec, M., Gould, M. S., Ribera, J., Sesman, M., Woodbury, M., Huertas-Goldman, S., Pagan, A., Sanchez-Lacay, A., & Moscoso, M. (1988). Estimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico. The use of combined measures.Archives of General Psychiatry, 45, 1120–6.
Chambers, W. J., Puig-Antich, J., Hirsch, M., Paez, P., Ambrosini, P. J., Tabrizi, M. A., & Davies, M. (1985). The assessment of affective disorders in children and adolescents by semi-structured interview: Test-retest reliability of the schedule for affective disorders and schizophrenia for school-age children, present episode version.Archives of General Psychiatry, 42, 696–702.
Coddington, R. D. (1972). The significance of life events as etiologic factors in the diseases of children.Journal of Psychosomatic Research, 16, 7–18.
Garrison, C. Z., Addy, C. L., Jackson, K. L., McKeown, R. E., & Waller, J. L. (1991a). The CES-D as a screen for depression and other psychiatric disorders in adolescents.Journal of the American Academy of Child and Adolescent Psychiatry, 30, 636–641.
Garrison, C. Z., Addy, C. L., Jackson, K. L., McKeown, R. E., & Waller, J. L. (1991b). A longitudinal study of suicidal ideation in young adolescents.Journal of the American Academy of Child Adolescent Psychiatry, 30, 597–603.
Garrison, C. Z., Jackson, K. L., Addy, C. L., McKeown, R. E., & Waller, J. L. (1992). Major depressive disorder and dysthymia in young adolescents.American Journal of Epidemiology, 135, 792–802.
Green, R. G., Harris, R. N., Forte, J. A., & Robinson, M. (1991). Evaluating FACES III and the Circumplex Model: 2,440 Families.Family Process, 30, 55–73.
Harrell, F. E. (1983).SUGI: Supplemental library user's guide. Cary, NC: SAS Institute.
Hibbs, E. D., Hamburger, S. D., Lenane, M., Rapoport, J. L., Kruesi, M. J. P., Caesar, C. S., & Goldstein, M. J. (1991). Determinants of expressed emotion in families of disturbed and normal children.Journal of Child Psychology and Psychiatry, 32, 757–770.
Hollingshead, A. B., & Redlich, F. C. (1958).Social class & mental illness. New York: John Wiley & Sons, Inc.
Hollingsworth, C. E., Tanquay, P. E., Grossman, L., & Pabst, P. (1980). Longterm outcome of obsessive-compulsive disorder in childhood.Journal of the American Academy of Child Psychiatry, 19, 134–144.
Judd, L. L. (1965). Obsessive compulsive neurosis in children.Archives of General Psychiatry, 12, 136–143.
Kanner, L. (1962).Child psychiatry (3rd ed.). Springfield, II, Charles C. Thomas.
Kashani, J. H., Beck, N. C., Hoeper, E. W., Fallahi, C., Corcoran, C. M., McAllister, J. A., Rosenberg, T. K., & Reid, J. C. (1987). Psychiatric disorders in a community sample of adolescents.American Journal of Psychiatry, 144, 584–589.
McGee, R., Feehan, M., Williams, S., Partridge, F., Silva, P. A., & Kelly, J. (1990). DSM-III disorders in a large sample of adolescents.Journal of the American Academy of Child and Adolescent Psychiatry, 29(4), 611–619.
Marti, D. & Gehring, T. M. (1992). Is there a relationship between children's mental disorders and their ideal family constructs?Journal of the American Academy of Child and Adolescent Psychiatry, 31, 490–494.
Olson, D. H. (1991). Commentary: Three dimensional (3-D) circumplex model and revised scoring of FACES III.Family Process, 30, 74–79.
Olson, D., Bell, R., & Portner, J. (1982).FACES II. St. Paul: University of Minnesota.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population.Applied Psychological Measurement, 1, 385–401.
Rasmussen, S. A., & Tsuang, M. T. (1986). Clinical characteristics and family history in DSM-III obsessive-compulsive disorders.American Journal of Psychiatry, 143, 317–322.
Rettew, D. C., Swedo, S. E., Leonard, H. L., Lenane, M. C., & Rapoport, J. L., (1992). Obsessions and compulsions across time in 79 children and adolescents with obsessive-compulsive disorder.Journal of the American Academy of Child and Adolescent Psychiatry, 31, 1050–1056.
Schoenbach, V. J., Kaplan, B. H., Grimson, R. C., & Wagner, E. H. (1982). Use of a symptom scale of study the prevalence of a depressive syndrome in young adolescents.American Journal of Epidemiology, 116, 791–800.
Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P., Bird, H. R., & Aluwahlia, S. (1983). A children's global assessment scale (CGAS).Archives of General Psychiatry, 40, 1228–1231.
Shah, B. V., Folsom, R. E., Harrell, F. E., & Dillard, C. N. (1984).Survey data analysis software for logistic regression. Research Triangle, NC: Research Triangle Institute.
Swedo, S. E., Rapoport, J. L., Leonard, H., Lenane, M., & Cheslow, D. (1989). Obsessive-compulsive disorder in children and adolescents.Archives of General Psychiatry, 46, 335–341.
Waller, J. L., Addy, C. L., Jackson, K. L., & Garrison, C. Z. (1994). Confidence intervals for weighted proportions.Statistics in Medicine, 13, 1071–1082.
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Valleni-Basile, L.A., Garrison, C.Z., Jackson, K.L. et al. Family and psychosocial predictors of obsessive compulsive disorder in a community sample of young adolescents. J Child Fam Stud 4, 193–206 (1995). https://doi.org/10.1007/BF02234095
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DOI: https://doi.org/10.1007/BF02234095