Navigating recovery in childhood OCD: a qualitative analysis of barriers and facilitators.

IF 3.4 3区医学 Q1 PEDIATRICS Child and Adolescent Psychiatry and Mental Health Pub Date : 2024-12-18 DOI:10.1186/s13034-024-00851-8

Lakshmi Sravanti, Rajendra Kiragasur Madegowda, Arul Jayendra Pradeep Velusamy, John Vijay Sagar Kommu, Satish Chandra Girimaji, Shekhar Seshadri

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Abstract

Objective: The objective is to examine barriers and facilitators to recovery in children and adolescents with obsessive-compulsive disorder (OCD) using a qualitative approach.

Methods: Ten semi-structured interviews were conducted, audio-recorded, and analyzed using thematic analysis. Findings were validated through investigator triangulation, peer validation and member check.

Results: Barriers to recovery were internal-lack of awareness; poor motivation to seek treatment; and perceived stigma, or external-poor parental support; parental anxiety; inadequate awareness in schools; social misconceptions about illness; myths about medication; and frustrations in treatment processes. Facilitators were internal-will and determination; self-discipline; keeping calm; sense of purpose, and external-general awareness; parental support; peer support; and good therapeutic engagement.

Conclusions: To the best of our knowledge, this is the first study to explore barriers and facilitators to recovery in-depth in pediatric OCD. Findings underscore the importance of tailored interventions, robust support networks, and cultural sensitivity for successful recovery outcomes.

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在儿童强迫症中导航康复：障碍和促进因素的定性分析。

目的：目的是检查障碍和促进恢复的儿童和青少年强迫症（OCD）使用定性方法。方法：进行10次半结构化访谈，录音，采用主题分析法进行分析。研究结果通过研究者三角测量、同行验证和成员检查进行验证。结果：康复的障碍是内在意识的缺乏；寻求治疗的动机差；以及感知到的耻辱，或者缺乏父母的外部支持；父母的焦虑;学校意识不足；社会对疾病的误解；关于药物的误解；以及治疗过程中的挫折。促成因素是内在的意志和决心；自律;保持冷静;目的感和外部一般意识；父母的支持;同伴支持;良好的治疗参与。结论：据我们所知，这是第一个深入探讨儿童强迫症恢复障碍和促进因素的研究。研究结果强调了量身定制的干预措施、强大的支持网络和文化敏感性对成功恢复结果的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child and Adolescent Psychiatry and Mental Health PEDIATRICSPSYCHIATRY-PSYCHIATRY

CiteScore

7.00

自引率

3.60%

发文量

审稿时长

16 weeks

期刊介绍： Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.