Poor insight in pediatric obsessive compulsive disorder: Developmental considerations, treatment implications, and potential strategies for improving insight

被引：11

作者：

Adelman, Caroline B. ^{[1
]}

Lebowitz, Eli R. ^{[1
]}

机构：

[1] Yale Univ, Ctr Child Study, New Haven, CT 06520 USA

来源：

JOURNAL OF OBSESSIVE-COMPULSIVE AND RELATED DISORDERS | 2012年 / 1卷 / 02期

关键词：

Obsessive compulsive disorder; Insight; Cognitive behavioral therapy; Treatment considerations; THOUGHT-ACTION FUSION; COGNITIVE-BEHAVIORAL PSYCHOTHERAPY; INFORMATION-SEEKING; SELF-OBSERVATION; CHILDREN; ADOLESCENTS; PREVALENCE;

D O I：

10.1016/j.jocrd.2012.02.003

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Insight in Obsessive Compulsive Disorder (OCD) entails recognizing obsessive thoughts as unrealistic and false. OCD is characterized by varying degrees of insight and children often demonstrate poorer insight, which has been associated with greater symptoms severity, greater functional impairment and poorer treatment response. This clinical discussion raises the following question with regard to pediatric OCD and poor insight: What is the developmental context of insight in pediatric OCD? What are the treatment implications of poor insight for conducting Cognitive Behavioral Therapy with this population? What are the potential benefits and pitfalls of clinical strategies for improving children's insight regarding their OCD symptoms? The need for empirical research in each of these domains is discussed. (C) 2012 Elsevier Ltd All rights reserved.

引用

页码：119 / 124

页数：6

共 33 条

[11] Obsessive-compulsive disorder across developmental trajectory: Cognitive processing of threat in children, adolescents and adults
Farrell, L
Barrett, P
[J]. BRITISH JOURNAL OF PSYCHOLOGY, 2006, 97 : 95 - 114
[12] Predictors and Moderators of Treatment Outcome in the Pediatric Obsessive Compulsive Treatment Study (POTS I)
Garcia, Abbe Marrs
Sapyta, Jeffrey J.
Moore, Phoebe S.
Freeman, Jennifer B.
Franklin, Martin E.
March, John S.
Foa, Edna B.
[J]. JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2010, 49 (10) : 1024 - 1033
[13] Insight in psychosis: A systematic review of treatment interventions
Henry, C
Ghaemi, SN
[J]. PSYCHOPATHOLOGY, 2004, 37 (04) : 194 - 199
[14] Inhelder B., 1958, The Growth of Logical Thinking from Childhood to Adolescence: An Essay on the Construction of Formal Operational Structures, V22
[15] Lifetime prevalence and age-of-onset distributions' of DSM-IV disorders in the national comorbidity survey replication
Kessler, RC
Berglund, P
Demler, O
Jin, R
Walters, EE
[J]. ARCHIVES OF GENERAL PSYCHIATRY, 2005, 62 (06) : 593 - 602
[16] Practice parameters for the assessment and treatment of children and adolescents with obsessive-compulsive disorder
King, RA
Leonard, H
March, J
Bernet, W
Dunne, JE
Adair, M
Arnold, V
Benson, RS
Bukstein, O
Kinlan, J
McClellan, J
Rue, D
[J]. JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1998, 37 (10) : 27S - 45S
[17] Health information-seeking behavior
Lambert, Sylvie D.
Loiselle, Carmen G.
[J]. QUALITATIVE HEALTH RESEARCH, 2007, 17 (08) : 1006 - 1019
[18] Lebowitz ER, 2012, EXPERT REV NEUROTHER, V12, P229, DOI [10.1586/ern.11.200, 10.1586/ERN.11.200]
[19] OBSESSIVE-COMPULSIVE DISORDER: A REVIEW OF THE DIAGNOSTIC CRITERIA AND POSSIBLE SUBTYPES AND DIMENSIONAL SPECIFIERS FOR DSM-V
Leckman, James E.
Denys, Damiaan
Simpson, H. Blair
Mataix-Cols, David
Hollander, Eric
Saxena, Sanjaya
Miguel, Euripedes C.
Rauch, Scott L.
Goodman, Wayne K.
Phillips, Katharine A.
Stein, Dan J.
[J]. DEPRESSION AND ANXIETY, 2010, 27 (06) : 507 - 527
[20] Understudied Clinical Dimensions in Pediatric Obsessive Compulsive Disorder
Lewin, Adam B.
Caporino, Nicole
Murphy, Tanya K.
Geffken, Gary R.
Storch, Eric A.
[J]. CHILD PSYCHIATRY & HUMAN DEVELOPMENT, 2010, 41 (06) : 675 - 691

← 1 2 3 4 →