Clinical characteristics of inpatient adolescents with severe obsessive-compulsive disorder

被引:22
作者
Shoval, G
Zalsman, G
Sher, L
Apter, A
Weizman, A
机构
[1] Geha Mental Hlth Ctr, Rabin Med Ctr, Impatient Adolescent Unit, IL-49100 Petah Tiqwa, Israel
[2] Tel Aviv Univ, Sackler Fac Med, IL-69978 Tel Aviv, Israel
[3] New York State Psychiat Inst & Hosp, Dept Neurosci, New York, NY 10032 USA
[4] Columbia Univ, New York, NY USA
[5] Schneider Childrens Med Ctr Israel, Feinberg Child Study Ctr, Petah Tiqwa, Israel
[6] Felsenstein Med Res Ctr, Petah Tiqwa, Israel
关键词
obsessive-compulsive disorder; adolescents; inpatient; suicide; aggression; defense mechanism;
D O I
10.1002/da.20135
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Obsessive-compulsive disorder (OCD) is a common disorder in adolescents, usually treated in the outpatient setting. Our aim in this study was to evaluate the clinical characteristics of adolescents with severe OCD that required hospitalization. A total of 342 patients consecutively admitted to a psychiatric adolescent inpatient unit and 87 healthy volunteers were assessed by a semistructured interview for clinical diagnosis, suicide risk factors, aggression, ego defense mechanisms, and intelligence. Patients with OCD (n = 40) were compared to other four diagnostic patient groups with psychotic, affective, conduct, and eating disorders, as well as to normal controls. Adolescent inpatients with OCD experienced less separation anxiety than all the other psychiatric groups (P < .01) and were less impulsive than controls (P < .001). They differed in aggressive/impulsive traits and hospital-related behaviors from other diagnostic groups. Adolescent inpatients with OCD consist of a unique subgroup in the inpatient unit in terms of their clinical characteristics and risk factors for suicide. These characteristics should be taken into account when developing a treatment plan for these difficult-to-treat inpatients.
引用
收藏
页码:62 / 70
页数:9
相关论文
共 41 条
  • [11] Effect of gender on suicide attempters versus nonattempters in an adolescent inpatient unit
    Fennig, S
    Geva, K
    Zalzman, G
    Weitzman, A
    Fennig, S
    Apter, A
    [J]. COMPREHENSIVE PSYCHIATRY, 2005, 46 (02) : 90 - 97
  • [12] OBSESSIVE COMPULSIVE DISORDER IN ADOLESCENCE - AN EPIDEMIOLOGICAL-STUDY
    FLAMENT, MF
    WHITAKER, A
    RAPOPORT, JL
    DAVIES, M
    BERG, CZ
    KALIKOW, K
    SCEERY, W
    SHAFFER, D
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1988, 27 (06) : 764 - 771
  • [13] FAILURE IN TREATING OBSESSIVE-COMPULSIVES
    FOA, EB
    [J]. BEHAVIOUR RESEARCH AND THERAPY, 1979, 17 (03) : 169 - 176
  • [14] FREUD A, 1966, INT J PSYCHOANAL, V47, P116
  • [15] FREUD S, 1953, STANDARD EDITION COM, P153
  • [16] Hollander E, 1996, Depress Anxiety, V4, P111, DOI 10.1002/(SICI)1520-6394(1996)4:3<111::AID-DA3>3.0.CO
  • [17] 2-J
  • [18] OBSESSIVE-COMPULSIVE SYMPTOMS IN CHILDHOOD AND ADOLESCENCE
    HONJO, S
    HIRANO, C
    MURASE, S
    KANEKO, T
    SUGIYAMA, T
    OHTAKA, K
    AOYAMA, T
    TAKEI, Y
    INOKO, K
    WAKABAYASHI, S
    [J]. ACTA PSYCHIATRICA SCANDINAVICA, 1989, 80 (01) : 83 - 91
  • [19] JENIKE MA, 1990, J CLIN PSYCHIAT, V51, P15
  • [20] JENIKE MA, 1990, OBSESSIVE COMPULSIVE, P306