Coercive and disruptive behaviors in pediatric obsessive-compulsive disorder
2011; Wiley; Volume: 28; Issue: 10 Linguagem: Inglês
10.1002/da.20858
ISSN1520-6394
AutoresEli R. Lebowitz, Haim Omer, James F. Leckman,
Tópico(s)Child and Adolescent Psychosocial and Emotional Development
ResumoDepression and AnxietyVolume 28, Issue 10 p. 899-905 Research Article Coercive and disruptive behaviors in pediatric obsessive–compulsive disorder Eli R. Lebowitz Ph.D., Corresponding Author Eli R. Lebowitz Ph.D. [email protected] Yale Child Study Center, New Haven, ConnecticutPO Box 207900, New Haven, CT 06520-7900Search for more papers by this authorHaim Omer Ph.D., Haim Omer Ph.D. Tel Aviv University, Tel Aviv, IsraelSearch for more papers by this authorJames F. Leckman M.D., James F. Leckman M.D. Yale Child Study Center, New Haven, ConnecticutSearch for more papers by this author Eli R. Lebowitz Ph.D., Corresponding Author Eli R. Lebowitz Ph.D. [email protected] Yale Child Study Center, New Haven, ConnecticutPO Box 207900, New Haven, CT 06520-7900Search for more papers by this authorHaim Omer Ph.D., Haim Omer Ph.D. Tel Aviv University, Tel Aviv, IsraelSearch for more papers by this authorJames F. Leckman M.D., James F. Leckman M.D. Yale Child Study Center, New Haven, ConnecticutSearch for more papers by this author First published: 18 July 2011 https://doi.org/10.1002/da.20858Citations: 70Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract Background: This study explored the nature of disruptive and coercive behaviors in pediatric obsessive–compulsive disorder (OCD). Method: Thirty children with OCD and a disruptive behavior disorder (DBD) were compared to 30 children with DBD alone using the Child Behavior Checklist and a novel 18-item questionnaire focused on distinctive coercive and disruptive behaviors seen in pediatric OCD (CD-POC). Results: Although youth with DBD alone had higher ratings of Externalizing Behaviors on the CBCL compared to the youth with OCD + DBD, their ratings on the CB-POC scale were lower. For example, 83% of OCD + DBD parents reported that their child “Imposes rules or behaviors on others due to tactile or other sensitivity and reacts to disobedience with rage or violence (e.g. forbids certain sounds, demands specific temperature settings)” compared to 23% of the parents of youth with DBD alone. Other highly discriminating behaviors included: “Demands special ‘cuddling’ or ritualized contact without regard for the will of others” and “Forbids the use of objects in his/her vicinity because of feelings of fear or disgust (e.g. knives, scissors, creams).” Total scores on the CD-POC were also correlated with OCD severity (P<.01). Conclusion: The results suggest that the nature of DBD in pediatric OCD may be distinctive and worthy of further study. Depression and Anxiety, 2011.© 2011 Wiley-Liss, Inc. REFERENCES 1Douglass HM, Moffitt TE, Dar R, McGee R. Obsessive–compulsive disorder in a birth cohort of 18-year-olds: prevalence and predictors. J Am Acad Child Adolesc Psychiatry 1995; 34: 1424– 1431. 2Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry 2005; 62: 617– 627. 3Langley AK, Lewin AB, Bergman RL, Lee JC, Piacentini J. Correlates of comorbid anxiety and externalizing disorders in childhood obsessive–compulsive disorder. Eur Child Adolesc Psychiatry 2010; 19: 637– 645. 4Storch EA, Lewin AB, Geffken GR, Morgan JR, Murphy TK. The role of comorbid disruptive behavior in the clinical expression of pediatric obsessive–compulsive disorder. Behav Res Ther 2010; 48: 1204– 1209. 5Ivarsson T, Melin K, Wallin L. Categorical and dimensional aspects of co-morbidity in obsessive–compulsive disorder (OCD). Eur Child Adolesc Psychiatry 2008; 17: 20– 31. 6Achenbach TM. Child Behavior Checklist and Related Instruments. The Use of Psychological Testing for Treatment Planning and Outcome Assessment. Hillsdale, NJ, England: Lawrence Erlbaum Associates, Inc.; 1994: 517– 549. 7Scahill L, Riddle MA, McSwiggin-Hardin M, et al. Children's Yale-Brown obsessive–compulsive scale: reliability and validity. J Am Acad Child Adolesc Psychiatry 1997; 36: 844– 852. 8Achenbach TM. Multicultural Perspectives on Developmental Psychopathology. Developmental Psychopathology and Wellness: Genetic and Environmental Influences. Arlington, VA: American Psychiatric Publishing, Inc; 2008: 23– 47. 9Achenbach TM, Becker A, Dopfner M, et al. Multicultural assessment of child and adolescent psychopathology with ASEBA and SDQ instruments: research findings, applications, and future directions. J Child Psychold Psychiatry 2008; 49: 251– 275. 10Lebowitz ER. Violent and controling behaviors in children and adolescents with obsessive–compulsive disorder, Dissertation, Tel Aviv University, Tel Aviv, 2010. 11Lebowitz ER, Vitulano LA, Omer H. Coercive and disruptive behaviors in pediatric obsessive–compulsive disorder: a qualitative analysis. Psychiatry, in press. 12Storch EA, Murphy TK, Adkins JW, et al. The children's Yale-Brown obsessive-compulsive scale: psychometric properties of child- and parent-report formats. J Anxiety Disord 2006; 20: 1055– 1070. 13Calvocoressi L, Lewis B, Harris M, et al. Family accommodation in obsessive–compulsive disorder. Am J Psychiatry 1995; 152: 441– 443. 14Storch EA, Geffken GR, Merlo LJ, et al. Family accommodation in pediatric obsessive–compulsive disorder. J Clin Child Adolesc Psychol 2007; 36: 207– 216. 15Garcia A, Sapyta J, Moore P, et al. Predictors and moderators of treatment outcome in the pediatric obsessive compulsive treatment study (POTS I). J Am Acad Child Adolesc Psychiatry 2010; 49: 1024– 1033. 16Merlo L, Lehmkuhl H, Geffken G, Storch E. Decreased family accommodation associated with improved therapy outcome in pediatric obsessive–compulsive disorder. J Consult Clin Psychol 2009; 77: 355– 360. 17Storch E, Larson M, Muroff J, et al. Predictors of functional impairment in pediatric obsessive–compulsive disorder. J Anxiety Disord 2010; 24: 275– 283. 18Peris TS, Bergman RL, Langley A, Chang S, McCracken JT, Piacentini J. Correlates of accommodation of pediatric obsessive–compulsive disorder: parent, child, and family characteristics. J Am Acad Child Adolesc Psychiatry 2008; 47: 1173– 1181. 19Calvocoressi L, Mazure CM, Kasl SV, et al. Family accommodation of obsessive–compulsive symptoms: instrument development and assessment of family behavior. J Nerv Ment Dis 1999; 187: 636– 642. 20Piacentini J, Peris TS, Bergman RL, Chang S, Jaffer M. Functional impairment in childhood OCD: development and psychometrics properties of the Child Obsessive–Compulsive Impact Scale-Revised (COIS-R). J Clin Child Adolesc Psychol 2007; 36: 645– 653. 21Bloch MH, LanderosWeisenberger A, Rosario MC, Pittenger C, Leckman JF. Meta-analysis of the symptom structure of obsessive–compulsive disorder. Am J Psychiatry 2008; 165: 1532– 1542. 22Leckman JF, Grice DE, Boardman J, Zhang H. Symptoms of obsessive–compulsive disorder. Am J Psychiatry 1997; 154: 911– 917. 23Leckman JF, Denys D, Simpson HB, et al. Obsessive–compulsive disorder: a review of the diagnostic criteria and possible subtypes and dimensional specifiers for DSM-V. Depress Anxiety 2010; 27: 507– 527. 24Rosario M, Prado H, Borcato S, et al. Validation of the University of São Paulo sensory phenomena scale: initial psychometric properties. CNS Spectr 2009; 14: 315– 323. Citing Literature Volume28, Issue103 October 2011Pages 899-905 ReferencesRelatedInformation
Referência(s)