NDLI: Understudied clinical dimensions in pediatric obsessive compulsive disorder.

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Understudied clinical dimensions in pediatric obsessive compulsive disorder.

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Understudied clinical dimensions in pediatric obsessive compulsive disorder.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lewin, Adam B. Caporino, Nicole Murphy, Tanya K. Geffken, Gary R. Storch, Eric A.
Description	Country affiliation: United States Author Affiliation: Lewin AB ( Department of Pediatrics, Rothman Center for Neuropsychiatry, University of South Florida College of Medicine, 800 Sixth Street South, Saint Petersburg, FL 33701, USA. alewin@health.usf.edu)
Abstract	The present study aimed to assess the phenomenology and treatment sensitivity of insight, avoidance, indecisiveness, overvalued responsibility, pervasive slowness, and pathological doubting among youth with Obsessive-compulsive disorder (OCD) using the ancillary items on the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS). These factors are believed to be relevant to the clinical presentation of youth with OCD but remain understudied. Eighty-nine youth with OCD were administered the CY-BOCS, including six subsidiary items aimed at the constructs of interest in this research. Participants also completed measures of OCD symptom clusters, depressive and anxious symptoms, externalizing/internalizing behavioral problems, and functional impairment. Associations between OCD symptom clusters and insight, avoidance, indecisiveness, overvalued responsibility, pervasive slowness, and pathological doubting are presented. Low insight, significant avoidance, indecisiveness, pervasive slowness and excessive sense of responsibility were all related to elevations in functional impairment. Clinical improvement in OCD severity was related to reductions in avoidance, doubting, and sense of responsibility. The six ancillary items of the CY-BOCS appear to be a practical and valid assessment of several constructs that are prognostically linked to cognitive-behavioral therapy outcomes in youth with OCD. Implications for clinicians are discussed.
File Format	HTM / HTML
ISSN	0009398X
Issue Number	6
Volume Number	41
e-ISSN	15733327
Journal	Child Psychiatry & Human Development
Language	English
Publisher	Springer
Publisher Date	2010-12-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Psychiatry Discipline Pediatrics Obsessive-compulsive Disorder Diagnosis Adolescent Child Cognitive Therapy Depression Psychology Female Humans Male Therapy Psychiatric Status Rating Scales Psychometrics Severity Of Illness Index Questionnaires Journal Article
Content Type	Text
Resource Type	Article
Subject	Developmental and Educational Psychology Pediatrics, Perinatology and Child Health Psychiatry and Mental Health

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