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Cited by 65Obsessive-Compulsive Spectrum DisordersPsychoanalysis and Psychopathology ResearchAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Childhood-Onset Obsessive Compulsive Disorder

Swedo, Susan E., Leonard, Henrietta L., Rapoport, Judith L.·1992·Psychiatric Clinics of North America
DOI 10.1016/s0193-953x(18)30207-7
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Abstract

The clinical presentation of OCD in children and adolescents is quite similar to that in adults, with overlapping obsessional content and compulsive ritualistic patterns. In addition, both age groups provide essentially identical descriptions of the anxiety accompanying their compulsions and invoke similar mechanisms to resist acting out the ritualistic behavior. Responses to behavioral treatment and pharmacotherapy are similar across ages, and the disorder appears to be chronic and unremitting in the studied populations whether its onset is in childhood or adulthood. Conversely, the strong familial influence, male predominance, neuroendocrine abnormalities, presence of tics and other neurologic abnormalities, and possible impact on personality development suggest that pediatric OCD has important differences from its adult counterpart. Further investigations of these unique features of childhood-onset OCD are warranted and may provide etiologic clues to the disorder.

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  • Double-blind, placebo-controlled drug treatment trials required assembly of large numbers of children, and the recognition that obsessive-compulsive disorder could best be diagnosed and assessed using the child as informant.

    “Again, doubleblind, placebo-controlled drug treatment trials required assembly of large numbers of children, and the recognition that obsessive-compulsive disorder could best be diagnosed and assessed using the child as informant (27).”

    From Pediatric psychopharmacology: Too much or too little? (2013) · cites this paper as [27]

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Authors
Swedo, S. E., Leonard, H. L., & Rapoport, J. L.
Affiliations
National Institutes of Health (US)
Corresponding author
Swedo, Susan E.
ORCID
Swedo, Susan E.
Venue
Psychiatric Clinics of North America
Publisher
Elsevier BV
Published
1992-12
Volume
15
Issue
4
Pages
767-775
ISSN
0193-953X (ISSN-L)
DOI
10.1016/s0193-953x(18)30207-7
OpenAlex
W1726574218
Cited by
65
References
32
Citations by year
2024: 1 · 2023: 1 · 2022: 3 · 2020: 2 · 2018: 1 · 2015: 3 · 2014: 1 · 2013: 3 · 2012: 2
FWCI
2.61
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Psychiatric Clinics of North America (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
pediatric OCD, obsession, compulsive behavior, anxiety, behavior therapy, pharmacotherapy, family influence, male predominance, neuroendocrine abnormalities, tics, personality development, etiology
MeSH terms
Mental Disorders, Child, Combined Modality Therapy, Follow-Up Studies, Humans, Obsessive-Compulsive Disorder, Comorbidity, Selective Serotonin Reuptake Inhibitors

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