Relationship between insight level and clinical and familial features in pediatric obsessive-compulsive disorder.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Northern Clinics of Istanbul Pub Date : 2023-06-05 eCollection Date: 2023-01-01 DOI:10.14744/nci.2021.91979
Dilsad Yildiz Miniksar, Busra Oz, Mikail Ozdemir, Tugba Yuksel
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Abstract

Objective: The aim of this study was to explore the relationship between insight level and clinical and familial psychiatric features of children with obsessive-compulsive disorder (OCD).

Methods: Children's Yale-Brown Obsessive-Compulsive Scale-Symptom Checklist, 11th item of the Children's Yale-Brown Obsessive-Compulsive Scale, Wechsler Intelligence Scale for Children Revised Form, Affective Disorders and Schizophrenia for School Aged Children Present and Lifetime Version 1.0, and Structured Diagnostic Interview for Diagnostic and Statistical Manual of Mental Disorders-IV Axis I Disorders were applied to 92 pediatric OCD patients.

Results: In this study, the prevalence of OCD in the first children of the family was high (41.3%), and low insight was significantly related with concomitant intellectual disability (p=0.003). The level of insight was high in patients with comorbid OCD spectrum disorders (p<0.001). Attention deficit and hyperactivity disorder (ADHD) was the most common psychiatric diagnosis accompanying OCD (19.5%). Among the obsession-compulsion subscales, the symmetry/hoarding was higher in males (p=0.046). OCD patients with a family history of major depressive disorder (MDD) had high ADHD comorbidity rates (p=0.038). In OCD patients, whose family had psychiatric disorders besides MDD and anxiety disorders, the diagnosis rate of intellectual disability was higher than other diagnoses (p<0.001).

Conclusion: The sociodemographic, clinical, and familial features of pediatric OCD patients cannot be adequately clarified if the patient has limited insight. Therefore, the insight of children with OCD should be considered a range or continuity.

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小儿强迫症患者的洞察力水平与临床和家族特征之间的关系。
研究目的本研究旨在探讨强迫症(OCD)儿童的洞察力水平与临床和家族精神特征之间的关系:方法:对92名儿童强迫症患者应用儿童雅礼-布朗强迫症量表-症状核对表、儿童雅礼-布朗强迫症量表第11项、韦氏儿童智力量表修订版、学龄儿童情感障碍和精神分裂症现时和终生版本1.0、《精神疾病诊断与统计手册-IV轴一疾病结构化诊断访谈》:在这项研究中,强迫症在家庭第一个孩子中的发病率很高(41.3%),低洞察力与伴随的智力障碍有显著关系(P=0.003)。在合并有强迫症谱系障碍的患者中,洞察力水平较高(P=0.003):如果儿童强迫症患者的洞察力有限,就无法充分明确其社会人口学、临床和家庭特征。因此,应将儿童强迫症患者的洞察力视为一个范围或连续性。
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来源期刊
Northern Clinics of Istanbul
Northern Clinics of Istanbul MEDICINE, GENERAL & INTERNAL-
CiteScore
0.40
自引率
0.00%
发文量
48
审稿时长
10 weeks
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