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ocd childhood

Seval Birdal, Burak Doğangün
AIM: Enuresis is defined as involuntary or intentional repeated voiding of urine into clothes or bed at least twice a week for a period of three consecutive months in children older than five years old. It is one of the most frequent chronic childhood disorders. The aim of this study was to investigate the frequency of behavioural problems in children with enuresis. MATERIAL AND METHODS: The research compared 30 children aged between 7 and 11 years who had consulted to Bakırköy Prof...
September 2016: Türk Pediatri Arşivi
Lara J Farrell, Rachel Sluis, Allison M Waters
While cognitive behavior therapy (CBT) either alone or in combination with pharmacotherapy (e.g., selective serotonin reuptake inhibitor) has received strong empirical support for obsessive-compulsive disorder (OCD; Geller & March, 2012), this treatment is often inaccessible for children and their families. Barriers to accessing CBT include a lack of trained therapists, clinician and patient beliefs about CBT, and geographical and financial barriers (Goisman et al., 1993; Marques et al., 2010; Turner, Heyman, Futh, & Lovell, 2009)...
November 2016: Journal of Clinical Psychology
Fabian Lenhard, Sarah Vigerland, Hedvig Engberg, Anna Hallberg, Hanna Thermaenius, Eva Serlachius
INTRODUCTION: Childhood Obsessive-Compulsive Disorder (OCD) is a prevalent and impairing condition that can be effectively treated with Cognitive Behavior Therapy (CBT). However, a majority of children and adolescents do not have access to CBT. Internet-delivered CBT (ICBT) has been suggested as a way to increase availability to effective psychological treatments. Yet, the research on ICBT in children and adolescents has been lagging behind significantly both when it comes to quantitative as well as qualitative studies...
2016: PloS One
Jennifer A Gola, Rinad S Beidas, Diana Antinoro-Burke, Hilary E Kratz, Randy Fingerhut
Despite the abundance of research that supports the efficacy of exposure therapy for childhood anxiety disorders and OCD, negative views and myths about the harmfulness of this treatment are prevalent. These beliefs contribute to the underutilization of this treatment and less robust effectiveness in community settings compared to randomized clinical trials. Although research confirms that exposure therapy is efficacious, safe, tolerable, and bears minimal risk when implemented correctly, there are unique ethical considerations in exposure therapy, especially with children...
May 2016: Cognitive and Behavioral Practice
Gregory L Hanna, Yanni Liu, Yona E Isaacs, Angela M Ayoub, Jose J Torres, Nolan B O'Hara, William J Gehring
OBJECTIVE: The pathophysiology of obsessive-compulsive disorder (OCD) involves increased activity in corticostriatal circuits connecting the anterior cingulate cortex with other brain regions. The error-related negativity (ERN) is a negative deflection in the event-related potential after an incorrect response that is believed to reflect anterior cingulate cortex activity. This study examined the relation of the ERN to OCD symptom dimensions and other childhood symptom dimensions. METHOD: The ERN, correct response negativity, and accuracy were measured during a flanker task to assess performance monitoring in 80 youth with a lifetime diagnosis of OCD and 80 matched healthy comparison participants ranging from 8 to 18 years old...
October 2016: Journal of the American Academy of Child and Adolescent Psychiatry
Fahri Çelebi, Ahmet Koyuncu, Erhan Ertekin, Behiye Alyanak, Raşit Tükel
OBJECTIVE: Our aim is to investigate the impact of childhood ADHD comorbidity on the clinical features of obsessive compulsive disorder (OCD). METHOD: Ninety-five adult outpatients with a diagnosis of OCD were assessed by using the Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version, ADHD module, and the Yale-Brown Obsessive Compulsive Scale. Patients with or without childhood ADHD were compared in terms of the sociodemographic and clinical features, psychiatric comorbidities, and rating scales...
September 20, 2016: Journal of Attention Disorders
Carly Johnco
Family accommodation is a common and widely studied phenomenon in families of youth with obsessive-compulsive disorder (OCD). Family accommodation has been associated with increased symptom severity, poorer functional outcomes, and reduced treatment response. While family accommodation is increasingly targeted in family-based treatment of OCD, there are cases where youth refuse treatment. In these circumstances, parent-focused treatments that target reduction of family accommodation can be used to improve outcomes for youth with OCD...
November 2016: Journal of Clinical Psychology
Amy M Rapp, R Lindsay Bergman, John Piacentini, Joseph F McGuire
Obsessive-compulsive disorder (OCD) is a neuropsychiatric illness that often develops in childhood, affects 1%-2% of the population, and causes significant impairment across the lifespan. The first step in identifying and treating OCD is a thorough evidence-based assessment. This paper reviews the administration pragmatics, psychometric properties, and limitations of commonly used assessment measures for adults and youths with OCD. This includes diagnostic interviews, clinician-administered symptom severity scales, self-report measures, and parent/child measures...
2016: Journal of Central Nervous System Disease
Jean-François Pelletier, Christine Boisvert, Marie-Claude Galipeau-Leduc, Christian Ducasse, Denis Pouliot-Morneau, Julie Bordeleau
Objectives Located at the heart of a mental health university institute in Montreal, Canada, the University of Recovery (UR) is a peer-run agency of service users who came together as a private non-profit organization to promote their experiential knowledge in science and public health, and to transform the academic milieu as an inclusive work environment conducive to recovery and full citizenship. UR students can thus have access to scientific conferences and classes on various topics and invite scientists or other professionals to further discuss new discoveries and techniques, and possible ways of improving healthcare from a patients' and service users' perspective...
2016: Santé Mentale Au Québec
Rosa Behar, Marcelo Arancibia, Cristóbal Heitzer, Nicolás Meza
There is strong evidence about the co-existence of body dysmorphic disorder (BDD) and eating disorders (ED), particularly with anorexia nervosa (AN). An exhaustive review of the specialised literature regarding these disorders was carried out. The results show that their co-occurrence implies a more complex diagnosis and treatment, a more severe clinical symptomatology and a worse prognosis and outcome. Both disorders display common similarities, differences and comorbidities, which allow authors to classify them in different nosological spectra (somatomorphic, anxious, obsessive-compulsive, affective and psychotic)...
May 2016: Revista Médica de Chile
Vivek Agarwal, Rakesh Yaduvanshi, Amit Arya, Pawan Kumar Gupta, Prabhat Sitholey
OBJECTIVE: To study the phenomenology, social, adaptive and global functioning of children and adolescents with OCD. BACKGROUND: Studies have shown varying prevalence of paediatric OCD ranging from 1% to 4%. Childhood-onset OCD have some important differences in sex distribution, presentation, co-morbidities and insight. MATERIALS AND METHODS: 25 subjects (6 to ≤18 years) with a DSM-IV-TR diagnosis of OCD were included in this study. Subjects were evaluated using K-SADS-PL, Children's Y-BOCS, HoNOSCA, C-GAS and VABS-II...
August 2016: Asian Journal of Psychiatry
Jennifer M Park, Jack F Samuels, Marco A Grados, Mark A Riddle, O Joseph Bienvenu, Fernando S Goes, Bernadette Cullen, Ying Wang, Janice Krasnow, Dennis L Murphy, Steven A Rasmussen, Nicole C McLaughlin, John Piacentini, David L Pauls, S Evelyn Stewart, Yin-Yao Shugart, Brion Maher, Ann E Pulver, James A Knowles, Benjamin D Greenberg, Abby J Fyer, James T McCracken, Gerald Nestadt, Daniel A Geller
Hoarding is common among youth with obsessive compulsive disorder (OCD), with up to 26% of OCD youth exhibiting hoarding symptoms. Recent evidence from adult hoarding and OCD cohorts suggests that hoarding symptoms are associated with executive functioning deficits similar to those observed in subjects with attention deficit hyperactivity disorder (ADHD). However, while hoarding behavior often onsets during childhood, there is little information about executive function deficits and ADHD in affected children and adolescents...
November 2016: Journal of Psychiatric Research
Bernardo Dell'Osso, Beatrice Benatti, Eric Hollander, Naomi Fineberg, Dan J Stein, Christine Lochner, Humberto Nicolini, Nuria Lanzagorta, Carlotta Palazzo, A Carlo Altamura, Donatella Marazziti, Stefano Pallanti, Michael Van Ameringen, Oguz Karamustafalioglu, Lynne M Drummond, Luchezar Hranov, Martijn Figee, Jon E Grant, Joseph Zohar, Damiaan Denys, Jose M Menchon
OBJECTIVE: Many studies suggest that age at onset (AAO) is an important factor for clinically differentiating patients with juvenile and adult onset of obsessive-compulsive disorder (OCD). The present international study aimed to assess the prevalence of different AAO groups and compare related socio-demographic and clinical features in a large sample of OCD patients. METHODS: A total of 431 OCD outpatients, participating in the ICOCS network, were first categorised in groups with childhood (≤12 years), adolescent (13-17 years) and adult-onset (≥18 years), then in pre-adult and adult onset (≥18 years) and their socio-demographic and clinical features compared...
November 2016: International Journal of Psychiatry in Clinical Practice
Muharrem Burak Baytunca, Tuğba Donuk, Serpil Erermiş
PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections) syndrome is a disorder seen before adolescence that possesses an abrupt onset of obsessive-compulsive disorder symptoms and/or tics. Swedo and colleagues defined this disorder in 1998 as a syndrome related to Group A streptoccoccus (GAS) infection with neurological issues, such as motor hyperactivation and choreiform movements. The progress of the disorder may be described as wax-and-waning, apart from abrupt onset, and this relapse and remission course is associated with exacerbating infections, according to the creators of PANDAS syndrome...
2016: Türk Psikiyatri Dergisi, Turkish Journal of Psychiatry
Anna Villadsen, Mette V Thorgaard, Katja A Hybel, Jens Søndergaard Jensen, Per H Thomsen, Charlotte U Rask
Health anxiety (HA) is an overlooked area in paediatric research. Little is known about the occurrence of HA symptoms in a child and adolescent psychiatric setting, and there are no age-appropriate diagnostic criteria and only limited number of assessment tools. It is therefore likely that HA is seen as part of obsessive-compulsive disorder (OCD) due to construct overlap and the diagnostic uncertainty of HA in this age group. In the present study, the extent of HA symptoms was investigated in 94 children and adolescents with a primary ICD-10 diagnosis of OCD...
June 29, 2016: European Child & Adolescent Psychiatry
Soumitra Das, Arjun Kartha, Sumesh Thoppil Purushothaman
Gilles de la Tourette's syndrome is a combined vocal and multiple motor tic disorder. Here, we present a case of Tourette's syndrome who attended our psychiatric causality with severe depression and suicidal ideation. On reviewing follow-up records of 23 years, we come to know about the academic decline and nicotine dependence in the early childhood. He also developed co-morbid obsessive compulsive disorder (OCD) along with severe depression. He was agitated and self-injurious. We diagnosed him as Gilles de la Tourette's syndrome with co-morbid OCD, depression, nicotine dependence...
May 2016: Indian Journal of Psychological Medicine
Archana Singal, Deepashree Daulatabad
Nail tic disorders are classic examples of overlap between the domains of dermatology and psychiatry. They are examples of body-focused repetitive behaviors in which there is an irresistible urge or impulse to perform a certain behavior. The behavior is reinforced as it results in some degree of relief and pleasure. Nail tic disorders are common, yet poorly studied and understood. The literature on nail tic disorders is relatively scarce. Common nail tics include nail biting or onychophagia, onychotillomania and the habit tic deformity...
June 16, 2016: Indian Journal of Dermatology, Venereology and Leprology
Zohreh Halvaiepour, Mehdi Nosratabadi, Mostafa Khanzadeh
BACKGROUND: Obsessive-compulsive disorder (OCD) is considered to be a significant impairment in childhood and adolescence. According to cognitive theories, parents' external criticism and emotional self-regulation are among the variables that can directly or indirectly affect obsessive beliefs. OBJECTIVE: The present study aimed to examine the mediating role of emotional self-regulation in the relationship between parents' external criticism and obsessive beliefs in adolescents...
June 14, 2016: International Journal of Adolescent Medicine and Health
Joseph F McGuire, Scott P Orr, Joey K-Y Essoe, James T McCracken, Eric A Storch, John Piacentini
INTRODUCTION: Threat conditioning and extinction play an important role in anxiety disorders, obsessive compulsive disorder (OCD), and post-traumatic stress disorder (PTSD). Although these conditions commonly affect children, threat conditioning and extinction have been primarily studied in adults. However, differences in phenomenology and neural architecture prohibit the generalization of adult findings to youth. AREAS COVERED: A comprehensive literature search using PubMed and PsycInfo was conducted to identify studies that have used differential conditioning tasks to examine threat acquisition and extinction in youth...
October 2016: Expert Review of Neurotherapeutics
Margaret C Grabb, Jogarao V S Gobburu
Many psychiatric and behavioral disorders manifest in childhood (attention deficit hyperactivity disorder, obsessive compulsive disorder, anxiety, depression, schizophrenia, autism spectrum disorder, etc.) and the opportunity for intervening early may attenuate full development of the disorder and lessen long term disability. Yet, pediatric drug approvals for CNS indications are limited, and pediatric testing generally occurs only after establishing adult efficacy, more as an afterthought rather than with the initial goal of developing the medication for a pediatric CNS indication...
May 20, 2016: Progress in Neurobiology
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