Adaptive, Emotional, and Family Functioning of Children With Obsessive-Compulsive Disorder and Comorbid Attention Deficit Hyperactivity Disorder
Autor: | Diane B. Findley, Denis G. Sukhodolsky, Bradley S. Peterson, Maria Conceição do Rosario-Campos, Lily Katsovich, Lawrence Scahill, David L. Pauls, Robert A. King, Paul J. Lombroso, James F. Leckman |
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Jazyk: | angličtina |
Rok vydání: | 2005 |
Předmět: |
Male
medicine.medical_specialty Obsessive-Compulsive Disorder Adolescent Personality Inventory Cross-sectional study Health Status Emotions Comorbidity behavioral disciplines and activities Article Surveys and Questionnaires mental disorders Adaptation Psychological medicine Attention deficit hyperactivity disorder Humans Psychiatry Child Family Health Psychiatric Status Rating Scales medicine.disease Vineland Adaptive Behavior Scale Diagnostic and Statistical Manual of Mental Disorders Psychiatry and Mental health Cross-Sectional Studies El Niño Attention Deficit Disorder with Hyperactivity Structured interview Female Personality Assessment Inventory Psychology Anxiety disorder |
Popis: | The purpose of the study was to examine adaptive, emotional, and family functioning in a well-characterized group of children and adolescents with obsessive-compulsive disorder (OCD) and to evaluate the influence of comorbid attention deficit hyperactivity disorder (ADHD) on the levels of impairment in various functional domains.The study group included 287 children and adolescents (191 boys, 96 girls) ages 7-18 years. Fifty-six subjects had a diagnosis of OCD only, 43 had both OCD and ADHD, 95 had ADHD, and 93 were unaffected comparison children. Best estimate DSM-IV diagnoses were assigned on the basis of structured interviews and clinical ratings. The children's functioning was evaluated with a comprehensive battery of well-established, standardized measures, including the Vineland Adaptive Behavior Scales, parents' ratings of social and family functioning, and children's self-reports of emotional adjustment.The children with OCD only were more impaired than were unaffected comparison subjects in most areas of adaptive functioning and emotional adjustment. Children with OCD plus ADHD had additional difficulties in social functioning, school problems, and self-reported depression. Impairment in daily living skills, reduced number of activities, and self-reported anxiety were uniquely associated with the diagnosis of OCD. Family dysfunction was associated with ADHD but not with OCD.Children and adolescents with OCD are impaired in multiple domains of adaptive and emotional functioning. When comorbid ADHD is present, there is an additional burden on social, school, and family functioning. |
Databáze: | OpenAIRE |
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