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01-06-2012 | Original Article

Maternal and Child Expressed Emotion as Predictors of Treatment Response in Pediatric Obsessive–Compulsive Disorder

Auteurs: Amy Przeworski, Lori A. Zoellner, Martin E. Franklin, Abbe Garcia, Jennifer Freeman, John S. March, Edna B. Foa

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 3/2012

Abstract

Expressed emotion (EE) is associated with symptoms and treatment outcome in various disorders. Few studies have examined EE in pediatric OCD and none of these has assessed the child’s perspective. This study examined the relationship among maternal and child EE, child OCD severity, and OCD-related functioning pre- and post-treatment. At pre-treatment, mothers completed speech samples about the child with OCD and an unaffected sibling. Children with OCD completed speech samples about parents. There were low rates of high maternal EE (child with OCD: 16.1%; sibling: 2.6%) and high child EE about parents (mothers: 11.9%; fathers: 10.2%). High EE was primarily characterized by high criticism, not high overinvolvement. High maternal EE and child EE regarding fathers were associated with pre-treatment child OCD severity but not post-treatment severity. High child and maternal EE were predictive of post-treatment OCD-related functioning. EE may be an important child and maternal trait associated with pre-treatment OCD severity and generalization of treatment gains.

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The larger trial consisted of 112 patients, 97 of whom completed treatment. This subsample was recruited by order of entry into the larger study. Analyses indicated that the current subsample did not differ from the larger trial on demographics.

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Titel: Maternal and Child Expressed Emotion as Predictors of Treatment Response in Pediatric Obsessive–Compulsive Disorder
Auteurs: Amy Przeworski
Lori A. Zoellner
Martin E. Franklin
Abbe Garcia
Jennifer Freeman
John S. March
Edna B. Foa
Publicatiedatum: 01-06-2012
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 3/2012
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-011-0268-8

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