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Correlates of comorbid anxiety and externalizing disorders in childhood obsessive compulsive disorder
The present study examines the influence of diagnostic comorbidity on the demographic, psychiatric, and functional status of youth with a primary diagnosis of obsessive compulsive disorder (OCD). Two hundred and fifteen children (ages 5–17) referred to a university-based OCD specialty clinic were co...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
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Springer-Verlag
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2910305/ https://www.ncbi.nlm.nih.gov/pubmed/20349255 http://dx.doi.org/10.1007/s00787-010-0101-0 |
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author | Langley, Audra K. Lewin, Adam B. Bergman, R. Lindsey Lee, Joyce C. Piacentini, John |
author_facet | Langley, Audra K. Lewin, Adam B. Bergman, R. Lindsey Lee, Joyce C. Piacentini, John |
author_sort | Langley, Audra K. |
collection | PubMed |
description | The present study examines the influence of diagnostic comorbidity on the demographic, psychiatric, and functional status of youth with a primary diagnosis of obsessive compulsive disorder (OCD). Two hundred and fifteen children (ages 5–17) referred to a university-based OCD specialty clinic were compared based on DSM-IV diagnostic profile: OCD without comorbid anxiety or externalizing disorder, OCD plus anxiety disorder, and OCD plus externalizing disorder. No age or gender differences were found across groups. Higher OCD severity was found for the OCD + ANX group, while the OCD + EXT group reported greater functional impairment than the other two groups. Lower family cohesion was reported by the OCD + EXT group compared to the OCD group and the OCD + ANX group reported higher family conflict compared to the OCD + EXT group. The OCD + ANX group had significantly lower rates of tic disorders while rates of depressive disorders did not differ among the three groups. The presence of comorbid anxiety and externalizing psychopathology are associated with greater symptom severity and functional and family impairment and underscores the importance of a better understanding of the relationship of OCD characteristics and associated disorders. Results and clinical implications are further discussed. |
format | Text |
id | pubmed-2910305 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Springer-Verlag |
record_format | MEDLINE/PubMed |
spelling | pubmed-29103052010-08-09 Correlates of comorbid anxiety and externalizing disorders in childhood obsessive compulsive disorder Langley, Audra K. Lewin, Adam B. Bergman, R. Lindsey Lee, Joyce C. Piacentini, John Eur Child Adolesc Psychiatry Original Contribution The present study examines the influence of diagnostic comorbidity on the demographic, psychiatric, and functional status of youth with a primary diagnosis of obsessive compulsive disorder (OCD). Two hundred and fifteen children (ages 5–17) referred to a university-based OCD specialty clinic were compared based on DSM-IV diagnostic profile: OCD without comorbid anxiety or externalizing disorder, OCD plus anxiety disorder, and OCD plus externalizing disorder. No age or gender differences were found across groups. Higher OCD severity was found for the OCD + ANX group, while the OCD + EXT group reported greater functional impairment than the other two groups. Lower family cohesion was reported by the OCD + EXT group compared to the OCD group and the OCD + ANX group reported higher family conflict compared to the OCD + EXT group. The OCD + ANX group had significantly lower rates of tic disorders while rates of depressive disorders did not differ among the three groups. The presence of comorbid anxiety and externalizing psychopathology are associated with greater symptom severity and functional and family impairment and underscores the importance of a better understanding of the relationship of OCD characteristics and associated disorders. Results and clinical implications are further discussed. Springer-Verlag 2010-03-28 2010 /pmc/articles/PMC2910305/ /pubmed/20349255 http://dx.doi.org/10.1007/s00787-010-0101-0 Text en © The Author(s) 2010 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. |
spellingShingle | Original Contribution Langley, Audra K. Lewin, Adam B. Bergman, R. Lindsey Lee, Joyce C. Piacentini, John Correlates of comorbid anxiety and externalizing disorders in childhood obsessive compulsive disorder |
title | Correlates of comorbid anxiety and externalizing disorders in childhood obsessive compulsive disorder |
title_full | Correlates of comorbid anxiety and externalizing disorders in childhood obsessive compulsive disorder |
title_fullStr | Correlates of comorbid anxiety and externalizing disorders in childhood obsessive compulsive disorder |
title_full_unstemmed | Correlates of comorbid anxiety and externalizing disorders in childhood obsessive compulsive disorder |
title_short | Correlates of comorbid anxiety and externalizing disorders in childhood obsessive compulsive disorder |
title_sort | correlates of comorbid anxiety and externalizing disorders in childhood obsessive compulsive disorder |
topic | Original Contribution |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2910305/ https://www.ncbi.nlm.nih.gov/pubmed/20349255 http://dx.doi.org/10.1007/s00787-010-0101-0 |
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