Abstract
Three major changes will probably be introduced in the DSM-5 regarding obsessive–compulsive disorder: OCD will be classified in the diagnostic category ‘obsessive–compulsive and related disorders’, the clinician should consider the degree of insight into a symptomatology (good to poor insight) and a subtype of tic-related OCD will be introduced. The recommended treatment for OCD is CBT, in severe cases with addition of SSRI treatment.
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References
Westphal C (1878) Über Zwangsvorstellungen. Arch Psychiat Nervenkr 8:734–750
Rottemanden Freud S (1991) Bemærkninger om et tilfælde af tvangsneurose. Hans Reitzels Forlag, København
Thomsen PH (1990) Child and adolescent psychiatric inpatients in Denmark. Demographic and diagnostic characteristics of children and adolescents admitted from 1970 to 1986. A registerbased study. Nord Psykiatr Tidsskr 44:337–343
Rutter M, Tizard J, Yule W, Graham P, Whitmore K (1976) Reserach report: Isle of Wight Studies, 1964–1974. Psychol Med 6(2):313–332
Berman L (1942) Obsessive-compulsive neurosis in children. J Nerv Ment Dis 96:26–39
Bakwin H, Bakwin RM (1953) Behaviour disorders in children. Saunders, Philadelphia
Piaget J (1937) The construction of reality in the child. Basic Books, New York
Leonard HL, Goldberger EL, Rapoport JL, Cheslow DL, Swedo SE (1990) Childhood rituals: normal development or obsessive–compulsive symptoms? J Am Acad Child Adolesc Psychiatry 29(1):17–23
Rapoport JL (1986) Childhood obsessive compulsive disorder. J Child Psychol Psychiatry 27(3):289–295
Rapoport JL, Swedo SE, Leonard HL (1992) Childhood obsessive compulsive disorder. J Clin Psychiatry 53(4 suppl):1–6
Swedo SE, Rapoport JL, Leonard HL, Lenane M, Cheslow D (1989) Obsessive–compulsive disorder in children and adolescents. Clinical phenomenology of 70 consecutive cases. Arch Gen Psychiatry 46:335–342
Flament M, Whitaker A, Rapoport JL, Vies MD, Berg CZ, Kalikow K et al (1988) Obsessive compulsive disorder in adolescence: an epidemiological study. J Am Acad Child Adolesc Psychiatry 27(6):764–771
Karno M, Golding JM, Sorenson SB (1988) The epidemiology of obsessive–compulsive disorder in five US Communities. Arch Gen Psychiatry 45:1094–1099
Thomsen PH (1993) Obsessive–compulsive disorder in children and adolescents. Self-reported obsessive–compulsive behaviour in pupils in Denmark. Acta Psych Scand 88:212–217
Heyman I, Fombonne E, Simmons H, Ford T, Meltzer H, Goodman R (2001) Prevalence of obsessive–compulsive disorder in the British nationwide survey of child mental health. Br J Psychiatry 179:324–329
Leckman JF, Denys D, Simpson HB, Mataix-Cols D, Hollander E, Saxena S et al (2010) Obsessive–compulsive disorder: a review of the diagnostic criteria and possible subtypes and dimensional specifiers for DSM-V. Depress Anxiety 27(6):507–527
Stein DJ, Fineberg NA, Bienvenu OJ, Denys D, Lochner C, Nestadt G et al (2010) Should OCD be classified as an anxiety disorder in DSM-V? Depress Anxiety 27(6):495–506
The Pediatric OCD Treatment Study (POTS) Team (2004) Cognitive-behavior therapy, sertraline, and their combination for children and adolescents with obsessive–compulsive disorder. The Pediatric OCD Treatment Study (POTS) randomized controlled trial. JAMA 292(16):1969–1976
Mancebo MC, Greenberg B, Grant JE, Pinto A, Eisen JL, Dyck I et al (2008) Correlates of occupational disability in a clinical sample of obsessive–compulsive disorder. Compr Psychiatry 49(1):43–50
Sørensen CB, Kirkeby L, Thomsen PH (2004) Quality of life with OCD. A self-reported survey among members of the Danish OCD Association. Nord J Psychiatry 58:231–236
Foa EB, Kozak MJ, Goodman WK, Hollander E, Jenike MA, Rasmussen SA (1995) DSM-IV field trial: obsessive–compulsive disorder. Am J Psychiatry 152(1):90–96
Thomsen PH, Leckman JF (2000) Obsessive–compulsive disorder and the anxiety spectrum in children. CNS spectrums 5(6 (supplement 4)):18–23
Swedo SE, Leonard HL, Garvey MA, Mittleman BB, Allen AJ, Perlmutter SJ et al (1998) Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections: clinical description of the first 50 cases. Am J Psychiatry 155:264–271
Mell LK, Davis RL, Owens D (2005) Association between streptococcal infection and obsessive–compulsive disorder. Tourette’s syndrome, and tic disorder. Pediatrics 116:56–60
Singer HS, Mink JW, Loiselle CR, Burke KA, Ruchkina I, Morshed S et al (2005) Microinfusion of antineuronal antibodies into rodent striatum: failure to differentiate between elevated and low titers. J Neuroimmunol 163(1–2):8–14
do Rosário-Campos MC, Leckman JF, Curi M, Quatrano S, Katsovitch L, Miguel EC et al (2005) A family study of early-onset obsessive–compulsive disorder. Am J Med Genet Part B Neuropsychiatr genet 136B(1):92–97
Nikolajsen KH, Nissen JBB, Thomsen PH (2010) Obsessive–compulsive disorder in children and adolescents. Symptom dimensions in a naturalistic setting. Nord J Psychiatry 65(4):244–250
Mataix-Cols D, Pertusa A, Leckman JF (2007) Issues for DSM-V: how should obsessive-compulsive and related disorders be classified? Am J Psychiatry 164:1313–1314
Saxena S, Brody AL, Maidment KM, Baxter LR (2007) Paroxetine treatment of compulsive hoarding. J Psychiatr Res 41:481–487
Mataix-Cols D, Marks IM, Greist JH, Kobak KA, Baer L (2002) Obsessive–compulsive symptom dimensions as predictors of compliance with and response to behaviour therapy. Psychother Psychosom 71(5):255–262
Stein DJ, Andersen EW, Overo KF (2007) Response of symptom dimensions in obsessive–compulsive disorder to treatment with citalopram or placebo. Revista Bras Psiquiatr 29:303–307
Goodman WK, Price LH, Rasmusen SA, Riddle M, Rapoport JL (1991) Children’s Yale–Brown obsessive compulsive scale (CY-BOCS). Department of Psychiatry, Yale University School of Medicine, New Haven
National Institute for Health and Clinical Excellence (2005) Obsessive–compulsive disorder. Quick reference guide. http://guidance.nice.org.uk/nicemedia/live/10976/29945/29945.pdf
O’Kearney RT, Anstey KJ, von Sanden C (2006) Behavioural and cognitive behavioural therapy for obsessive compulsive disorder in children and adolescents (Review). Cochrane Database of Systematic Reviews 4
Ivarsson T, Kornør H, Skarphedinsson G, Axelsdottir B, Biedilæ S, Heyman I et al (2012) Selective reuptake inhibitors (SRIs) for obsessive compulsive disorder (OCD) in children and adolescents. A systematic review (in preparation)
Bloch MH, Landeros-Weisenberger A, Kelmendi B, Coric V, Bracken MB, Leckman JF (2006) A systematic review: antipsychotic augmentation with treatment refractory obsessive–compulsive disorder. Mol Psychiatry 11(7):622–632
Mancuso E, Faro A, Joshi G, Geller DA (2010) Treatment of pediatric obsessive–compulsive disorder: a review. J Child Adolesc Psychopharmacol 20(4):299–308
Conflict of interest
The corresponding author states that there are no conflicts of interest. This article is part of the supplement ‘The Future of Child and Adolescent Psychiatry and Psychology: The Impact of DSM 5 and of Guidelines for Assessment and Treatment’. This supplement was not sponsored by outside commercial interests.