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Research on Child and Adolescent Psychopathology

Gepubliceerd in:

31-05-2023

Psychotic Vulnerability and its Associations with Clinical Characteristics in Adolescents with Obsessive-Compulsive Disorder

Auteurs: Davide Fausto Borrelli, Matti Cervin, Rebecca Ottoni, Carlo Marchesi, Matteo Tonna

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 10/2023

Abstract

Compared to peers, children and adolescents with obsessive-compulsive disorder (OCD) are at increased risk of developing psychotic disorders. Yet very few studies have examined early indicators of psychosis in pediatric OCD. In the present study, 52 youth with a primary diagnosis of OCD (M_age = 15.66 [SD = 2.33], 59.6% girls) were interviewed using the Schizophrenia Proneness Instrument Child and Adolescent version (SPI-CY), which is a comprehensive clinical interview assessing both Cognitive–Perceptual basic symptoms (COPER) and high-risk criterion Cognitive Disturbances (COGDIS). Associations between COPER/COGDIS symptoms and demographic and clinical characteristics were examined. Findings showed that COPER or COGDIS symptoms were present in 44% of participants, with no significant difference between girls and boys. Psychotic vulnerability was associated with an earlier age of OCD onset, greater OCD severity, poorer insight, and more contamination/cleaning symptoms. Psychotic vulnerability was also strongly associated with worse psychosocial functioning. Findings suggest that early indicators of psychosis are frequent in pediatric OCD and associated with more severe OCD and poorer functioning. Research examining how psychotic vulnerability is associated with short- and long-term outcomes for youth with OCD is needed.

vorige artikel Discordance Indices of Stress Sensitivity and Trajectories of Internalizing Symptoms in Adolescence

volgende artikel Correction to: The Role of Peer- and Self-Appraisals in the Association Between Maltreatment and Symptomatology

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Titel: Psychotic Vulnerability and its Associations with Clinical Characteristics in Adolescents with Obsessive-Compulsive Disorder
Auteurs: Davide Fausto Borrelli
Matti Cervin
Rebecca Ottoni
Carlo Marchesi
Matteo Tonna
Publicatiedatum: 31-05-2023
Uitgeverij: Springer US
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 10/2023
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-023-01089-2

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