Body Dysmorphic Symptoms in Youth with Obsessive-compulsive Disorder: Prevalence, Clinical Correlates, and Cognitive Behavioral Therapy Outcome

被引:0
作者
Olafsdottir, Porhildur [1 ]
Weidle, Bernhard [2 ,3 ]
Ivarsson, Tord [4 ]
Hojgaard, Davio R. M. A. [5 ]
Melin, Karin [6 ]
Nissen, Judith Becker [5 ]
Torp, Nor Christian [7 ,8 ]
Thomsen, Per Hove [2 ,3 ,5 ]
Skarphedinsson, Gudmundur [1 ]
机构
[1] Univ Iceland, Fac Psychol, Saemundargata 12, IS-102 Reykjavik, Iceland
[2] Norwegian Univ Sci & Technol, Dept Child & Adolescent Psychiat, Reg Ctr Child & Youth Mental Hlth, Trondheim, Norway
[3] St Olavs Univ Hosp, Trondheim, Norway
[4] Univ Gothenburg, Inst Neurosci & Physiol, Gothenburg, Sweden
[5] Aarhus Univ Hosp Psychiat, Dept Child & Adolescent Psychiat, Aarhus, Denmark
[6] Sahlgrens Univ Hosp, Queen Silvia Childrens Hosp, Dept Child & Adolescent Psychiat, Gothenburg, Sweden
[7] Vestre Viken Hosp, Dept Child & Adolescent Psychiat, Div Mental Hlth & Addict, Drammen, Norway
[8] Akershus Univ Hosp, Div Mental Hlth Serv, Lorenskog, Norway
关键词
Body dysmorphic disorder; Obsessive-compulsive disorder; Children; Adolescents; Cognitive-behavioral treatment; AGE-CHILDREN-PRESENT; SPECTRUM DISORDERS; COMMUNITY SAMPLE; ASPERGER-SYNDROME; TOTAL POPULATION; IMPACT SCALE; VALIDITY; INSIGHT; ANXIETY; QUESTIONNAIRE;
D O I
10.1007/s10578-021-01298-0
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
The aims of the study were to estimate the prevalence of body dysmorphic symptoms in a sample of children and adolescents with obsessive-compulsive disorder, possible clinical correlates and whether BDD symptoms predict poorer treatment outcomes after cognitive behavioral therapy. The study included 269 children and adolescents with OCD, aged 7-17 years, from Denmark, Sweden, and Norway, who were treated with 14 weekly sessions of manualized, exposure-based CBT. Twenty-one patients (7.8%) had BDD symptoms. BDD symptoms were associated with older age (p = 0.003) and a higher prevalence of comorbid anxiety disorders (p = 0.025). In addition, patients with BDD symptoms endorsed a greater number of OCD symptoms than did those without BDD symptoms. Having symptoms of BDD did not affect the CBT outcome on OCD. The results of the study suggest that CBT for OCD is equally effective for those with and without comorbid BDD symptoms.
引用
收藏
页码:939 / 948
页数:10
相关论文
共 70 条
[51]   Childhood obsessive-compulsive disorder in the NIMH MECA study: Parent versus child identification of cases [J].
Rapoport, JL ;
Inoff-Germain, G ;
Weissman, MM ;
Greenwald, S ;
Narrow, WE ;
Jensen, PS ;
Lahey, BB ;
Canino, G .
JOURNAL OF ANXIETY DISORDERS, 2000, 14 (06) :535-548
[52]   Clinical characteristics of 172 children and adolescents with body dysmorphic disorder [J].
Rautio, Daniel ;
Jassi, Amita ;
Krebs, Georgina ;
Andren, Per ;
Monzani, Benedetta ;
Gumpert, Martina ;
Lewis, Angela ;
Peile, Lauren ;
Sevilla-Cermeno, Laura ;
Jansson-Frojmark, Markus ;
Lundgren, Tobias ;
Hillborg, Maria ;
Silverberg-Morse, Maria ;
Clark, Bruce ;
Fernandez de la Cruz, Lorena ;
Mataix-Cols, David .
EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, 2022, 31 (01) :133-144
[53]   The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication [J].
Ruscio, A. M. ;
Stein, D. J. ;
Chiu, W. T. ;
Kessler, R. C. .
MOLECULAR PSYCHIATRY, 2010, 15 (01) :53-63
[54]   Children's Yale-Brown obsessive compulsive scale: Reliability and validity [J].
Scahill, L ;
Riddle, MA ;
McSwigginHardin, M ;
Ort, SI ;
King, RA ;
Goodman, WK ;
Cicchetti, D ;
Leckman, JF .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1997, 36 (06) :844-852
[55]   The classification of body dysmorphic disorder symptoms in male and female adolescents [J].
Schneider, Sophie C. ;
Baillie, Andrew J. ;
Mond, Jonathan ;
Turner, Cynthia M. ;
Hudson, Jennifer L. .
JOURNAL OF AFFECTIVE DISORDERS, 2018, 225 :429-437
[56]   Prevalence and correlates of body dysmorphic disorder in a community sample of adolescents [J].
Schneider, Sophie C. ;
Turner, Cynthia M. ;
Mond, Jonathan ;
Hudson, Jennifer L. .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2017, 51 (06) :595-603
[57]   Symptom Insight in Pediatric Obsessive-Compulsive Disorder: Outcomes of an International Aggregated Cross-Sectional Sample [J].
Selles, Robert R. ;
Hojgaard, Davio R. M. A. ;
Ivarsson, Tord ;
Thomsen, Per Hove ;
McBride, Nicole ;
Storch, Eric A. ;
Geller, Daniel ;
Wilhelm, Sabine ;
Farrell, Lara J. ;
Waters, Allison M. ;
Mathieu, Sharna ;
Lebowitz, Eli ;
Elgie, Melissa ;
Soreni, Noam ;
Stewart, S. Evelyn .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2018, 57 (08) :615-619
[58]  
SIMEON D, 1995, AM J PSYCHIAT, V152, P1207
[59]   Evaluation of the factor structure of the Child Obsessive-Compulsive Impact Scale - Revised (COIS-R) in Scandinavia with confirmatory factor analysis [J].
Skarphedinsson, Gudmundur ;
Melin, Karin Holmgren ;
Valderhaug, Robert ;
Wentzel-Larsen, Tore ;
Hojgaard, David R. M. A. ;
Thomsen, Per Hove ;
Ivarsson, Tord .
JOURNAL OF OBSESSIVE-COMPULSIVE AND RELATED DISORDERS, 2015, 7 :65-72
[60]   Severe Obsessive-Compulsive Disorder with and without Body Dysmorphic Disorder: Clinical Correlates and Implications [J].
Stewart, S. Evelyn ;
Stack, Denise Egan ;
Wilhelm, Sabine .
ANNALS OF CLINICAL PSYCHIATRY, 2008, 20 (01) :33-38