Overvalued ideation in adolescents with obsessive-compulsive disorder
Autor: | Tania Borda, Fugen Neziroglu, Leah Frenkiel, William Taboas, Dean McKay |
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Rok vydání: | 2016 |
Předmět: |
Male
medicine.medical_specialty Obsessive-Compulsive Disorder Adolescent Treatment outcome Population Culture Severity of Illness Index Delusions 03 medical and health sciences 0302 clinical medicine Cognition Quality of life Obsessive compulsive medicine Humans education Psychiatry Biological Psychiatry Psychiatric Status Rating Scales education.field_of_study Cognitive Behavioral Therapy Ideation Response to treatment 030227 psychiatry Adolescent population Psychiatry and Mental health Treatment Outcome Quality of Life Female Psychology 030217 neurology & neurosurgery Clinical psychology |
Zdroj: | Psychiatry research. 255 |
ISSN: | 1872-7123 |
Popis: | In Obsessive Compulsive Disorder (OCD), overvalued ideas (OVI) are considered poor prognostic indicators in adults. To date, OVI has not been studied in an adolescent population with OCD, nor has it been examined in relation to obsessive-compulsive beliefs. To investigate the relationship between OVI and specific cognitions, fifty-five adolescents with OCD (35 male; 20 female; age range 13–17 years; M = 14.05 years, SD = 1.75 years) participated. It was predicted that OVI would be associated with symptom severity and would moderate obsessive-compulsive beliefs and functional disability. Results showed that OVI was associated with symptom severity, but did not moderate the relationship with any OC beliefs or functional domains. To evaluate the role of OVI in treatment outcome, thirteen adolescents completed a cognitive-behavioral treatment program. Severity of their OCD symptoms, OVI, degree of functional impairment and quality of life were assessed. It was expected that all variables would change in response to treatment. Further, it was expected that OVI would mediate treatment outcome for all measures of obsessive-compulsive symptom and belief assessments. Results indicated that there was clinically significant change in symptom severity and functional disability, as well as beliefs regarding responsibility/overestimation of threat. Treatment, assessment, and methodological recommendations for this population are offered. |
Databáze: | OpenAIRE |
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