Relationship between insight level and clinical and familial features in pediatric obsessive-compulsive disorder

被引:0
作者
Miniksar, Dilsad Yildiz [1 ,6 ]
Oz, Busra [2 ]
Ozdemir, Mikail [3 ,5 ]
Yuksel, Tugba [4 ]
机构
[1] Yozgat Bozok Univ, Dept Child & Adolescent Psychiat, Fac Med, Yozgat, Turkiye
[2] Duzce Ataturk Training & Res Hosp, Dept Child & Adolescent Psychiat, Duzce, Turkiye
[3] Osmaniye Community Hlth Ctr, TB Dispensary, Osmaniye, Turkiye
[4] Dicle Univ, Dept Child & Adolescent Psychiat, Fac Med, Diyarbakir, Turkiye
[5] Gaziantep Prov Hlth Directorate, Gaziantep, Turkiye
[6] Yozgat Bozok Univ, Cocuk & Ergen Ruh Sagligi & Hastaliklari Anabilim, Tip Fak, Yozgat, Turkiye
关键词
Adolescent; children; family; obsessive-compulsive disorder; POOR INSIGHT; DEVELOPMENTAL SUBTYPE; CHILDREN; ADOLESCENTS; SCHIZOPHRENIA; PHENOMENOLOGY; DEPRESSION; CHILDHOOD; SYMPTOMS; ANXIETY;
D O I
10.14744/nci.2021.91979
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE: The aim of this study was to explore the relationship between insight level and clinical and familial psychiatric features of children with obsessive-compulsive disorder (OCD). METHODS: Children's Yale-Brown Obsessive-Compulsive Scale-Symptom Checklist, 11th item of the Children's Yale-Brown Obsessive-Compulsive Scale, Wechsler Intelligence Scale for Children Revised Form, Affective Disorders and Schizophrenia for School Aged Children Present and Lifetime Version 1.0, and Structured Diagnostic Interview for Diagnostic and Statistical Manual of Mental Disorders-IV Axis I Disorders were applied to 92 pediatric OCD patients. RESULTS: In this study, the prevalence of OCD in the first children of the family was high (41.3%), and low insight was significantly related with concomitant intellectual disability (p=0.003). The level of insight was high in patients with comorbid OCD spectrum disorders (p<0.001). Attention deficit and hyperactivity disorder (ADHD) was the most common psychiatric diagnosis accompanying OCD (19.5%). Among the obsession-compulsion subscales, the symmetry/hoarding was higher in males (p=0.046). OCD patients with a family history of major depressive disorder (MDD) had high ADHD comorbidity rates (p=0.038). In OCD patients, whose family had psychiatric disorders besides MDD and anxiety disorders, the diagnosis rate of intellectual disability was higher than other diagnoses (p<0.001). CONCLUSION: The sociodemographic, clinical, and familial features of pediatric OCD patients cannot be adequately clarified if the patient has limited insight. Therefore, the insight of children with OCD should be considered a range or continuity.
引用
收藏
页码:289 / 297
页数:9
相关论文
共 48 条
  • [1] A study of phenomenology, psychiatric co-morbidities, social and adaptive functioning in children and adolescents with OCD
    Agarwal, Vivek
    Yaduvanshi, Rakesh
    Arya, Amit
    Gupta, Pawan Kumar
    Sitholey, Prabhat
    [J]. ASIAN JOURNAL OF PSYCHIATRY, 2016, 22 : 69 - 73
  • [2] American Psychiatric Association A, 1994, DIAGNOSTIC STAT MANU, DOI [10.1176/appi.books.9780890425596, DOI 10.1176/APPI.BOOKS.9780890425596]
  • [3] [Anonymous], 2010, Psikiyatr Guncel Yaklasimlar
  • [4] Anxiety and major depression comorbidity in a family study of obsessive-compulsive disorder
    Carter, AS
    Pollock, RA
    Suvak, MK
    Paul, DL
    [J]. DEPRESSION AND ANXIETY, 2004, 20 (04) : 165 - 174
  • [5] Obsessive-compulsive disorder with poor insight: A three-year prospective study
    Catapano, Francesco
    Perris, Francesco
    Fabrazzo, Michele
    Cioffi, Valeria
    Giacco, Domenico
    De Santis, Valeria
    Maj, Mario
    [J]. PROGRESS IN NEURO-PSYCHOPHARMACOLOGY & BIOLOGICAL PSYCHIATRY, 2010, 34 (02) : 323 - 330
  • [6] Disease, deficit or denial? Models of poor insight in psychosis
    Cooke, MA
    Peters, ER
    Kuipers, E
    Kumari, V
    [J]. ACTA PSYCHIATRICA SCANDINAVICA, 2005, 112 (01) : 4 - 17
  • [7] Insight in psychosis: influence of cognitive ability and self-esteem
    Cooke, Michael A.
    Peters, Emmanuelle R.
    Greenwood, Kathryn E.
    Fisher, Peter L.
    Kumari, Veena
    Kuipers, Elizabeth
    [J]. BRITISH JOURNAL OF PSYCHIATRY, 2007, 191 : 234 - 237
  • [8] Obsessive-compulsive symptoms in a large population-based twin-family sample are predicted by clinically based polygenic scores and by genome-wide SNPs
    den Braber, A.
    Zilhao, N. R.
    Fedko, I. O.
    Hottenga, J-J
    Pool, R.
    Smit, D. J. A.
    Cath, D. C.
    Boomsma, D. I.
    [J]. TRANSLATIONAL PSYCHIATRY, 2016, 6 : e731 - e731
  • [9] Diler RS, 2002, CROAT MED J, V43, P324
  • [10] CHILDREN OF DEPRESSED PARENTS - AN INTEGRATIVE REVIEW
    DOWNEY, G
    COYNE, JC
    [J]. PSYCHOLOGICAL BULLETIN, 1990, 108 (01) : 50 - 76