Obsessive-compulsive disorder in children and adolescents: epidemiology, diagnosis and management

被引：46

作者：

Nazeer, Ahsan ^{[1
]}

Latif, Finza ^{[2
]}

Mondal, Aisha ^{[2
]}

Azeem, Muhammad Waqar ^{[3
]}

Greydanus, Donald E. ^{[4
]}

机构：

[1] Sidra Med, Div Child & Adolescent Psychiat, Dept Psychiat, Doha, Qatar

[2] George Washington Univ, Childrens Natl Med Ctr, Div Psychiat & Behav Sci, Washington, DC USA

[3] Sidra Med, Dept Psychiat, Doha, Qatar

[4] Western Michigan Univ, Homer Stryker MD Sch Med, Dept Pediat & Adolescent Med, Kalamazoo, MI 49008 USA

来源：

TRANSLATIONAL PEDIATRICS | 2020年 / 9卷

关键词：

Obsessions; compulsions; diagnosis; co-morbidities; quality of life; psychological therapy; selective serotonin reuptake inhibitors; COGNITIVE-BEHAVIORAL THERAPY; RANDOMIZED CONTROLLED-TRIAL; YOUNG-CHILDREN; PSYCHOMETRIC PROPERTIES; GUT MICROBIOME; TIC DISORDERS; MATTER VOLUME; D-CYCLOSERINE; OCD TREATMENT; DOUBLE-BLIND;

D O I：

10.21037/tp.2019.10.02

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Obsessive-compulsive disorder (OCD) can be found in about 4% of the general population and is characterized by various compulsions and obsessions that interfere with the person's quality of life from a mild to severe degree. The following discussion reflects on current concepts in this condition, including its epidemiology and etiologic underpinnings (behavioral, neurological, immunological, gastroenterological, as well as genetic). The interplay of PANS and PANDAS are included in this review. In addition, the core concepts of OCD diagnosis, differential diagnosis, and co-morbidities are considered. It is stressed that the quality of life for persons with pediatric OCD as well as for family members can be quite limited and challenged. Thus, principles of management are presented as a guide to improve the quality of life for these persons as much as possible.

引用

页码：76 / 93

页数：18

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