Comorbid Psychopathology and the Clinical Profile of Family Accommodation in Pediatric OCD
| Autor: | Sabine Wilhelm, Tanya K. Murphy, Eric A. Storch, Sophie C. Schneider, Monica S. Wu, Brent J. Small, Daniel A. Geller |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Obsessive-Compulsive Disorder 050103 clinical psychology Adolescent Comorbid anxiety Anxiety Severity of Illness Index Article law.invention Randomized controlled trial law mental disorders Developmental and Educational Psychology medicine Humans 0501 psychology and cognitive sciences Child Comorbid psychopathology business.industry 05 social sciences medicine.disease Psychiatry and Mental health Caregivers Mood disorders Oppositional defiant Pediatrics Perinatology and Child Health Attention deficit Female Family Relations Self Report Psychology business Accommodation 050104 developmental & child psychology Clinical psychology Psychopathology |
| Zdroj: | Child Psychiatry Hum Dev |
| ISSN: | 1573-3327 0009-398X |
| DOI: | 10.1007/s10578-019-00876-7 |
| Popis: | Family accommodation (FA) has been linked with myriad negative outcomes in pediatric obsessive-compulsive disorder (OCD), but extant literature has yielded differential relationships between FA and clinical variables of interest. Consequently, this study examined the phenomenology, clinical profile, and effects of comorbid psychopathology on FA to better understand these behaviors. A total of 150 youths and their caregivers completed clinician- and self-reported measures at a baseline visit for a larger randomized controlled trial. Sociodemographic variables were not associated with FA, but specific types of OCD symptom clusters were. Higher OC-symptom severity and functional impairment were associated with increased FA. Comorbid anxiety disorders moderated the relationship between OC-symptom severity and FA, but comorbid attention deficit hyperactivity, oppositional defiant, and mood disorders did not. Internalizing and externalizing problems both mediated the relationship between FA and functional impairment. These findings provide clinical implications for important treatment targets and factors that may impact FA. |
| Databáze: | OpenAIRE |
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