Emotion regulation difficulties in children and adolescents with obsessive-compulsive disorder: A multi-informant and multi-method study

被引：0

作者：

Thoustrup, Christine Lykke ^{[1
,2
]}

Blair, Robert James ^{[1
,2
]}

Christensen, Sofie Heidenheim ^{[1
,2
]}

Uhre, Valdemar ^{[1
,4
,13
]}

Pretzmann, Linea ^{[1
,2
]}

Korsbjerg, Nicoline Locke Jepsen ^{[1
,2
]}

Uhre, Camilla ^{[1
,3
,14
]}

Mora-Jensen, Anna-Rosa Cecilie ^{[1
,2
]}

Ritter, Melanie ^{[1
,2
]}

Lonfeldt, Nicole Nadine ^{[1
,5
]}

Thorsen, Emilie Damlov ^{[1
,15
]}

Quintana, Daniel S. ^{[5
,6
,7
,8
]}

Sajadieh, Ahmad ^{[9
]}

Thomsen, Jakob Hartvig ^{[9
]}

Plessen, Kerstin Jessica ^{[1
,10
,11
]}

Vangkilde, Signe ^{[1
,12
]}

Pagsberg, Anne Katrine ^{[1
,2
]}

Hagstrom, Julie ^{[1
,16
]}

机构：

[1] Copenhagen Univ Hosp, Child & Adolescent Mental Hlth Ctr, Mental Hlth Serv CPH, Gentofte Hospitalsvej 3A,1 Sal, DK-2900 Hellerup, Denmark

[2] Univ Copenhagen, Fac Hlth & Med Sci, Dept Clin Med, Blegdamsvej 3B, DK-2200 Copenhagen, Denmark

[3] Copenhagen Univ Hosp, Ctr Clin Neuropsychol Children & Adolescents, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, Denmark

[4] Copenhagen Univ Hosp, Danish Res Ctr Magnet Resonance, Ctr Funct & Diag Imaging & Res, Amager & Hvidovre, Kettegard Alle 30,Afsnit 714, DK-2650 Hvidovre, Denmark

[5] Univ Oslo, Dept Psychol, Forskningsveien 3A, N-0373 Oslo, Norway

[6] Oslo Univ Hosp, Oslo Univ Sykehus HF, Dept Rare Disorders, NevSom, POB 4950 Nydalen, N-0424 Oslo, Norway

[7] Univ Oslo, KG Jebsen Ctr Neurodev Disorders, Kirkeveien 166, N-0450 Oslo, Norway

[8] Univ Oslo, KG Jebsen Ctr Neurodev Disorders, POB 1171 Blindern, N-0318 Oslo, Norway

[9] Copenhagen Univ Hosp, Bispebjerg & Frederiksberg, Dept Cardiol, Bispebjerg Bakke 23, DK-2400 Copenhagen NV, Denmark

[10] Lausanne Univ Hosp CHUV, Dept Psychiat, Div Child & Adolescent Psychiat, Av Pierre Decker 5, CH-1011 Lausanne, Switzerland

[11] Univ Lausanne, Hop Nestle CHUV, Av Pierre Decker 5, CH-1011 Lausanne, Switzerland

[12] Univ Copenhagen, Dept Psychol, Ctr Sundhed & Samfund, Oster Farimagsgade 2A, DK-1353 Copenhagen, Denmark

[13] Novo Nord A S, Vandtarnsvej 108-110, DK-2860 Soborg, Denmark

[14] Rigshospitalet, Ctr Clin Neuropsychol Children & Adolescents, Blegdamsvej 9, DK-2100 Copenhagen O, Denmark

[15] Ctr Dagtilbud, Skole & Forebyggelse, PPR 6-18 Ar,Fureso Kommune Stiager 2, DK-3500 Vaerlose, Denmark

[16] Danish Hlth Author, Isl Brygge 67, DK-2300 Copenhagen, Denmark

来源：

JOURNAL OF ANXIETY DISORDERS | 2025年 / 111卷

关键词：

Emotional regulation; Obsessive compulsive disorder; Multidisciplinary research; Child health; Adolescent health; Heart rate variability; HEART-RATE-VARIABILITY; TRANSDIAGNOSTIC BIOMARKER; ANXIETY DISORDERS; DYSREGULATION; RELIABILITY;

D O I：

10.1016/j.janxdis.2025.103002

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Pediatric obsessive-compulsive disorder (OCD) is associated with emotion regulation (ER) difficulties. Most studies are based on self-reports, while few have examined how these difficulties are expressed across modalities, which may hold important diagnostic and therapeutic information. We applied a multi-informant and multi-method approach to examine ER difficulties in 211 children aged 8-17 years: 121 with OCD and 90 non-clinical controls. Child ER difficulties were assessed with The Difficulties in Emotion Regulation Scale (self-report and parent-report) and a Tangram frustration task with investigator-rated behavior, self-rated frustration, and heart rate variability (HRV). Children with OCD differed significantly from non-clinical controls in showing: (i) elevated child ER difficulties on self-report (partial eta squared =.068-.165) and parent-report (partial eta squared =.207-.369); (ii) more investigator-rated ER difficulties during the task (Cohen's d = -.33); (iii) increased levels of self-rated frustration before and after the task (partial eta squared =.089); notably, the magnitude of this increase did not differ between children with and without OCD. Finally, (iv) all children, regardless of group, demonstrated significant HRV changes during the frustration task, with no discernible group differences in the magnitude of these changes. Results suggest the OCD-related experience of ER difficulties may not impact autonomic functioning.

引用

页数：9

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