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22-12-2022 | Original Article

The Relationship Between Adverse Childhood Experiences, Symptom Severity, Negative Thinking, Comorbidity, and Treatment Response in Youth with Obsessive-Compulsive Disorder

Auteurs: Mariana Vazquez, Amanda Palo, McKenzie Schuyler, Brent J. Small, Joseph F. McGuire, Sabine Wilhelm, Wayne K. Goodman, Daniel Geller, Eric A. Storch

Gepubliceerd in: Child Psychiatry & Human Development

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Abstract

Although youth and adults with obsessive-compulsive disorder (OCD) endorse elevated incidence of exposure to traumatic life events during childhood, the existing literature on adverse childhood experiences (ACEs) and OCD is mixed and studies focusing on pediatric OCD are limited. The present study examines the relationship between ACEs and OCD onset, symptom severity, negative cognitive patterns, comorbidity, and cognitive-behavioral therapy (CBT) response in 142 children and adolescents with OCD. ACEs were ascertained from parent reports. Most parents reported child exposure to ACEs. Out of the parents who reported ACEs, 50% reported ACE exposure prior to OCD diagnosis and 50% reported ACE exposure after OCD diagnosis. No significant associations between ACEs and comorbidity or CBT response were found, suggesting that CBT for pediatric OCD is effective regardless of ACE exposure. Family financial problems were associated with increased obsessive-compulsive symptom severity and negative thinking. Implications for research and practice are discussed.
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Metagegevens
Titel
The Relationship Between Adverse Childhood Experiences, Symptom Severity, Negative Thinking, Comorbidity, and Treatment Response in Youth with Obsessive-Compulsive Disorder
Auteurs
Mariana Vazquez
Amanda Palo
McKenzie Schuyler
Brent J. Small
Joseph F. McGuire
Sabine Wilhelm
Wayne K. Goodman
Daniel Geller
Eric A. Storch
Publicatiedatum
22-12-2022
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-022-01488-4