Obsessive–compulsive symptoms are associated with psychiatric comorbidities, behavioral and clinical problems: a population-based study of Brazilian school children
Pediatric-onset obsessive–compulsive disorder (OCD) is underdiagnosed, and many affected children are untreated. The present study seeks to evaluate the presence and the clinical impact of OCD and obsessive–compulsive symptoms (OCS) in a large sample of school-age children. In Phase I, we performed...
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| creator | Alvarenga, Pedro G. do Rosario, Maria C. Cesar, Raony C. Manfro, Gisele G. Moriyama, Tais S. Bloch, Michael H. Shavitt, Roseli G. Hoexter, Marcelo Q. Coughlin, Catherine G. Leckman, James F. Miguel, Euripedes C. |
| description | Pediatric-onset obsessive–compulsive disorder (OCD) is underdiagnosed, and many affected children are untreated. The present study seeks to evaluate the presence and the clinical impact of OCD and obsessive–compulsive symptoms (OCS) in a large sample of school-age children. In Phase I, we performed an initial screening using the
Family History Screen
(FHS). In Phase II, we identified an “at-risk” sample, as well as a randomly selected group of children. A total of 2,512 children (6–12 years old) were assessed using the FHS, the
Development and Well
-
Being Assessment
(DAWBA), the
Strengths and Difficulties Questionnaire
(SDQ), and the
Child Behavior Checklist
(CBCL). Data analyses included descriptive and multivariate analytical techniques. 2,512 children (mean age: 8.86 ± 1.84 years; 55.0 % male) were categorized into one of the three diagnostic groups: OCD (
n
= 77), OCS (
n
= 488), and unaffected controls (
n
= 1,947). There were no significant socio-demographic differences (age, gender, socioeconomic status) across groups. The OCS group resembled the OCD on overall impairment, including school problems and delinquent behaviors. However, the OCD group did have significantly higher rates of several comorbid psychiatric disorders, including separation anxiety, generalized anxiety, and major depressive disorder, than OCS or unaffected controls. Moreover, the OCD group also scored higher than the SDQ, as well as on each of CBCL items rated by the parent. Our findings suggest that there is a psychopathological continuum between OCS and OCD in school-aged children. The presence of OCS is associated with functional impairment, which needs further investigation in longitudinal studies. |
| doi_str_mv | 10.1007/s00787-015-0723-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1762340875</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3939290931</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-44302ecef15215c90342b6fe81953600ea7b0a1d480358f47bfba1260afba5cf3</originalsourceid><addsrcrecordid>eNp1kctu1TAQhiMEoqXwAGyQJTYsGvA1zmFXqnKRKnUDErvIdiYcV04cPEnRYcU78A48GE_CHJ2CEBIbz4z8zT-j-avqseDPBef2BdLT2poLU3MrVa3uVMdCK1OLxny8SzkXbd220h5VDxCvOYEbLu9XR7KhVFl9XP248giI8QZ-fvse8jivaV8w3I3zkkdkrgBziDlEt0DPvsRly2bchS3VJQZGPbn42MclAp4yD1t3E3NxibmpZyHFKQYq5pJ9ghFfMsfmTFPcEvNUe4ckisva71ge2KvivsYU3cQwbHNOjMakvsD0sLo3uITw6DaeVB9eX7w_f1tfXr15d352WQet5VJrrbiEAIMwUpiw4UpL3wzQio1RDefgrOdO9LrlyrSDtn7wTtA1HEUTBnVSPTvo0r6fV8ClGyMGSMlNkFfshG2k0ry1htCn_6DXeS0TbbenRCPsRlqixIEKJSMWGLq5xNGVXSd4tzexO5jYkSHd3sROUc-TW-XVj9D_6fjtGgHyACB9TZ-g_DX6v6q_ABYfrFE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1761617927</pqid></control><display><type>article</type><title>Obsessive–compulsive symptoms are associated with psychiatric comorbidities, behavioral and clinical problems: a population-based study of Brazilian school children</title><source>MEDLINE</source><source>SpringerLink Journals</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Alvarenga, Pedro G. ; do Rosario, Maria C. ; Cesar, Raony C. ; Manfro, Gisele G. ; Moriyama, Tais S. ; Bloch, Michael H. ; Shavitt, Roseli G. ; Hoexter, Marcelo Q. ; Coughlin, Catherine G. ; Leckman, James F. ; Miguel, Euripedes C.</creator><creatorcontrib>Alvarenga, Pedro G. ; do Rosario, Maria C. ; Cesar, Raony C. ; Manfro, Gisele G. ; Moriyama, Tais S. ; Bloch, Michael H. ; Shavitt, Roseli G. ; Hoexter, Marcelo Q. ; Coughlin, Catherine G. ; Leckman, James F. ; Miguel, Euripedes C.</creatorcontrib><description>Pediatric-onset obsessive–compulsive disorder (OCD) is underdiagnosed, and many affected children are untreated. The present study seeks to evaluate the presence and the clinical impact of OCD and obsessive–compulsive symptoms (OCS) in a large sample of school-age children. In Phase I, we performed an initial screening using the
Family History Screen
(FHS). In Phase II, we identified an “at-risk” sample, as well as a randomly selected group of children. A total of 2,512 children (6–12 years old) were assessed using the FHS, the
Development and Well
-
Being Assessment
(DAWBA), the
Strengths and Difficulties Questionnaire
(SDQ), and the
Child Behavior Checklist
(CBCL). Data analyses included descriptive and multivariate analytical techniques. 2,512 children (mean age: 8.86 ± 1.84 years; 55.0 % male) were categorized into one of the three diagnostic groups: OCD (
n
= 77), OCS (
n
= 488), and unaffected controls (
n
= 1,947). There were no significant socio-demographic differences (age, gender, socioeconomic status) across groups. The OCS group resembled the OCD on overall impairment, including school problems and delinquent behaviors. However, the OCD group did have significantly higher rates of several comorbid psychiatric disorders, including separation anxiety, generalized anxiety, and major depressive disorder, than OCS or unaffected controls. Moreover, the OCD group also scored higher than the SDQ, as well as on each of CBCL items rated by the parent. Our findings suggest that there is a psychopathological continuum between OCS and OCD in school-aged children. The presence of OCS is associated with functional impairment, which needs further investigation in longitudinal studies.</description><identifier>ISSN: 1018-8827</identifier><identifier>EISSN: 1435-165X</identifier><identifier>DOI: 10.1007/s00787-015-0723-3</identifier><identifier>PMID: 26015374</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age ; Age differences ; Anxiety ; Anxiety-Depression ; At risk ; Behavior ; Brazil - epidemiology ; Case-Control Studies ; Child ; Child & adolescent psychiatry ; Child and Adolescent Psychiatry ; Child Behavior Disorders - diagnosis ; Child Behavior Disorders - epidemiology ; Child Behavior Disorders - psychology ; Child Behaviour Checklist ; Child development ; Children ; Children & youth ; Comorbidity ; Cross-Sectional Studies ; Data analysis ; Data processing ; Depression ; Depressive Disorder, Major - diagnosis ; Depressive Disorder, Major - epidemiology ; Depressive Disorder, Major - psychology ; Depressive personality disorders ; Epidemiology ; Families & family life ; Female ; Functional impairment ; Gender differences ; Genetic family histories ; Humans ; Male ; Medical screening ; Medicine ; Medicine & Public Health ; Mental depression ; Mental disorders ; Mental Disorders - diagnosis ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Multivariate Analysis ; Neuroses ; Obsessive compulsive disorder ; Obsessive-Compulsive Disorder - diagnosis ; Obsessive-Compulsive Disorder - epidemiology ; Obsessive-Compulsive Disorder - psychology ; Original Contribution ; Pediatrics ; Population studies ; Psychiatric Status Rating Scales ; Psychiatric symptoms ; Psychiatry ; Psychopathology ; Risk assessment ; Schools ; Separation anxiety ; Sociodemographics ; Socioeconomic Factors ; Socioeconomic status ; Studies ; Surveys and Questionnaires ; Teenagers ; Untreated ; Well being</subject><ispartof>European child & adolescent psychiatry, 2016-02, Vol.25 (2), p.175-182</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><rights>Springer-Verlag Berlin Heidelberg 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-44302ecef15215c90342b6fe81953600ea7b0a1d480358f47bfba1260afba5cf3</citedby><cites>FETCH-LOGICAL-c442t-44302ecef15215c90342b6fe81953600ea7b0a1d480358f47bfba1260afba5cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00787-015-0723-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00787-015-0723-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,12846,27924,27925,30999,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26015374$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alvarenga, Pedro G.</creatorcontrib><creatorcontrib>do Rosario, Maria C.</creatorcontrib><creatorcontrib>Cesar, Raony C.</creatorcontrib><creatorcontrib>Manfro, Gisele G.</creatorcontrib><creatorcontrib>Moriyama, Tais S.</creatorcontrib><creatorcontrib>Bloch, Michael H.</creatorcontrib><creatorcontrib>Shavitt, Roseli G.</creatorcontrib><creatorcontrib>Hoexter, Marcelo Q.</creatorcontrib><creatorcontrib>Coughlin, Catherine G.</creatorcontrib><creatorcontrib>Leckman, James F.</creatorcontrib><creatorcontrib>Miguel, Euripedes C.</creatorcontrib><title>Obsessive–compulsive symptoms are associated with psychiatric comorbidities, behavioral and clinical problems: a population-based study of Brazilian school children</title><title>European child & adolescent psychiatry</title><addtitle>Eur Child Adolesc Psychiatry</addtitle><addtitle>Eur Child Adolesc Psychiatry</addtitle><description>Pediatric-onset obsessive–compulsive disorder (OCD) is underdiagnosed, and many affected children are untreated. The present study seeks to evaluate the presence and the clinical impact of OCD and obsessive–compulsive symptoms (OCS) in a large sample of school-age children. In Phase I, we performed an initial screening using the
Family History Screen
(FHS). In Phase II, we identified an “at-risk” sample, as well as a randomly selected group of children. A total of 2,512 children (6–12 years old) were assessed using the FHS, the
Development and Well
-
Being Assessment
(DAWBA), the
Strengths and Difficulties Questionnaire
(SDQ), and the
Child Behavior Checklist
(CBCL). Data analyses included descriptive and multivariate analytical techniques. 2,512 children (mean age: 8.86 ± 1.84 years; 55.0 % male) were categorized into one of the three diagnostic groups: OCD (
n
= 77), OCS (
n
= 488), and unaffected controls (
n
= 1,947). There were no significant socio-demographic differences (age, gender, socioeconomic status) across groups. The OCS group resembled the OCD on overall impairment, including school problems and delinquent behaviors. However, the OCD group did have significantly higher rates of several comorbid psychiatric disorders, including separation anxiety, generalized anxiety, and major depressive disorder, than OCS or unaffected controls. Moreover, the OCD group also scored higher than the SDQ, as well as on each of CBCL items rated by the parent. Our findings suggest that there is a psychopathological continuum between OCS and OCD in school-aged children. The presence of OCS is associated with functional impairment, which needs further investigation in longitudinal studies.</description><subject>Age</subject><subject>Age differences</subject><subject>Anxiety</subject><subject>Anxiety-Depression</subject><subject>At risk</subject><subject>Behavior</subject><subject>Brazil - epidemiology</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child & adolescent psychiatry</subject><subject>Child and Adolescent Psychiatry</subject><subject>Child Behavior Disorders - diagnosis</subject><subject>Child Behavior Disorders - epidemiology</subject><subject>Child Behavior Disorders - psychology</subject><subject>Child Behaviour Checklist</subject><subject>Child development</subject><subject>Children</subject><subject>Children & youth</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Data analysis</subject><subject>Data processing</subject><subject>Depression</subject><subject>Depressive Disorder, Major - diagnosis</subject><subject>Depressive Disorder, Major - epidemiology</subject><subject>Depressive Disorder, Major - psychology</subject><subject>Depressive personality disorders</subject><subject>Epidemiology</subject><subject>Families & family life</subject><subject>Female</subject><subject>Functional impairment</subject><subject>Gender differences</subject><subject>Genetic family histories</subject><subject>Humans</subject><subject>Male</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - psychology</subject><subject>Multivariate Analysis</subject><subject>Neuroses</subject><subject>Obsessive compulsive disorder</subject><subject>Obsessive-Compulsive Disorder - diagnosis</subject><subject>Obsessive-Compulsive Disorder - epidemiology</subject><subject>Obsessive-Compulsive Disorder - psychology</subject><subject>Original Contribution</subject><subject>Pediatrics</subject><subject>Population studies</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychiatric symptoms</subject><subject>Psychiatry</subject><subject>Psychopathology</subject><subject>Risk assessment</subject><subject>Schools</subject><subject>Separation anxiety</subject><subject>Sociodemographics</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomic status</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Teenagers</subject><subject>Untreated</subject><subject>Well being</subject><issn>1018-8827</issn><issn>1435-165X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kctu1TAQhiMEoqXwAGyQJTYsGvA1zmFXqnKRKnUDErvIdiYcV04cPEnRYcU78A48GE_CHJ2CEBIbz4z8zT-j-avqseDPBef2BdLT2poLU3MrVa3uVMdCK1OLxny8SzkXbd220h5VDxCvOYEbLu9XR7KhVFl9XP248giI8QZ-fvse8jivaV8w3I3zkkdkrgBziDlEt0DPvsRly2bchS3VJQZGPbn42MclAp4yD1t3E3NxibmpZyHFKQYq5pJ9ghFfMsfmTFPcEvNUe4ckisva71ge2KvivsYU3cQwbHNOjMakvsD0sLo3uITw6DaeVB9eX7w_f1tfXr15d352WQet5VJrrbiEAIMwUpiw4UpL3wzQio1RDefgrOdO9LrlyrSDtn7wTtA1HEUTBnVSPTvo0r6fV8ClGyMGSMlNkFfshG2k0ry1htCn_6DXeS0TbbenRCPsRlqixIEKJSMWGLq5xNGVXSd4tzexO5jYkSHd3sROUc-TW-XVj9D_6fjtGgHyACB9TZ-g_DX6v6q_ABYfrFE</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Alvarenga, Pedro G.</creator><creator>do Rosario, Maria C.</creator><creator>Cesar, Raony C.</creator><creator>Manfro, Gisele G.</creator><creator>Moriyama, Tais S.</creator><creator>Bloch, Michael H.</creator><creator>Shavitt, Roseli G.</creator><creator>Hoexter, Marcelo Q.</creator><creator>Coughlin, Catherine G.</creator><creator>Leckman, James F.</creator><creator>Miguel, Euripedes C.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20160201</creationdate><title>Obsessive–compulsive symptoms are associated with psychiatric comorbidities, behavioral and clinical problems: a population-based study of Brazilian school children</title><author>Alvarenga, Pedro G. ; do Rosario, Maria C. ; Cesar, Raony C. ; Manfro, Gisele G. ; Moriyama, Tais S. ; Bloch, Michael H. ; Shavitt, Roseli G. ; Hoexter, Marcelo Q. ; Coughlin, Catherine G. ; Leckman, James F. ; Miguel, Euripedes C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-44302ecef15215c90342b6fe81953600ea7b0a1d480358f47bfba1260afba5cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Age</topic><topic>Age differences</topic><topic>Anxiety</topic><topic>Anxiety-Depression</topic><topic>At risk</topic><topic>Behavior</topic><topic>Brazil - epidemiology</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Child & adolescent psychiatry</topic><topic>Child and Adolescent Psychiatry</topic><topic>Child Behavior Disorders - diagnosis</topic><topic>Child Behavior Disorders - epidemiology</topic><topic>Child Behavior Disorders - psychology</topic><topic>Child Behaviour Checklist</topic><topic>Child development</topic><topic>Children</topic><topic>Children & youth</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Data analysis</topic><topic>Data processing</topic><topic>Depression</topic><topic>Depressive Disorder, Major - diagnosis</topic><topic>Depressive Disorder, Major - epidemiology</topic><topic>Depressive Disorder, Major - psychology</topic><topic>Depressive personality disorders</topic><topic>Epidemiology</topic><topic>Families & family life</topic><topic>Female</topic><topic>Functional impairment</topic><topic>Gender differences</topic><topic>Genetic family histories</topic><topic>Humans</topic><topic>Male</topic><topic>Medical screening</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental Disorders - diagnosis</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - psychology</topic><topic>Multivariate Analysis</topic><topic>Neuroses</topic><topic>Obsessive compulsive disorder</topic><topic>Obsessive-Compulsive Disorder - diagnosis</topic><topic>Obsessive-Compulsive Disorder - epidemiology</topic><topic>Obsessive-Compulsive Disorder - psychology</topic><topic>Original Contribution</topic><topic>Pediatrics</topic><topic>Population studies</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychiatric symptoms</topic><topic>Psychiatry</topic><topic>Psychopathology</topic><topic>Risk assessment</topic><topic>Schools</topic><topic>Separation anxiety</topic><topic>Sociodemographics</topic><topic>Socioeconomic Factors</topic><topic>Socioeconomic status</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Teenagers</topic><topic>Untreated</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alvarenga, Pedro G.</creatorcontrib><creatorcontrib>do Rosario, Maria C.</creatorcontrib><creatorcontrib>Cesar, Raony C.</creatorcontrib><creatorcontrib>Manfro, Gisele G.</creatorcontrib><creatorcontrib>Moriyama, Tais S.</creatorcontrib><creatorcontrib>Bloch, Michael H.</creatorcontrib><creatorcontrib>Shavitt, Roseli G.</creatorcontrib><creatorcontrib>Hoexter, Marcelo Q.</creatorcontrib><creatorcontrib>Coughlin, Catherine G.</creatorcontrib><creatorcontrib>Leckman, James F.</creatorcontrib><creatorcontrib>Miguel, Euripedes C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European child & adolescent psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alvarenga, Pedro G.</au><au>do Rosario, Maria C.</au><au>Cesar, Raony C.</au><au>Manfro, Gisele G.</au><au>Moriyama, Tais S.</au><au>Bloch, Michael H.</au><au>Shavitt, Roseli G.</au><au>Hoexter, Marcelo Q.</au><au>Coughlin, Catherine G.</au><au>Leckman, James F.</au><au>Miguel, Euripedes C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obsessive–compulsive symptoms are associated with psychiatric comorbidities, behavioral and clinical problems: a population-based study of Brazilian school children</atitle><jtitle>European child & adolescent psychiatry</jtitle><stitle>Eur Child Adolesc Psychiatry</stitle><addtitle>Eur Child Adolesc Psychiatry</addtitle><date>2016-02-01</date><risdate>2016</risdate><volume>25</volume><issue>2</issue><spage>175</spage><epage>182</epage><pages>175-182</pages><issn>1018-8827</issn><eissn>1435-165X</eissn><abstract>Pediatric-onset obsessive–compulsive disorder (OCD) is underdiagnosed, and many affected children are untreated. The present study seeks to evaluate the presence and the clinical impact of OCD and obsessive–compulsive symptoms (OCS) in a large sample of school-age children. In Phase I, we performed an initial screening using the
Family History Screen
(FHS). In Phase II, we identified an “at-risk” sample, as well as a randomly selected group of children. A total of 2,512 children (6–12 years old) were assessed using the FHS, the
Development and Well
-
Being Assessment
(DAWBA), the
Strengths and Difficulties Questionnaire
(SDQ), and the
Child Behavior Checklist
(CBCL). Data analyses included descriptive and multivariate analytical techniques. 2,512 children (mean age: 8.86 ± 1.84 years; 55.0 % male) were categorized into one of the three diagnostic groups: OCD (
n
= 77), OCS (
n
= 488), and unaffected controls (
n
= 1,947). There were no significant socio-demographic differences (age, gender, socioeconomic status) across groups. The OCS group resembled the OCD on overall impairment, including school problems and delinquent behaviors. However, the OCD group did have significantly higher rates of several comorbid psychiatric disorders, including separation anxiety, generalized anxiety, and major depressive disorder, than OCS or unaffected controls. Moreover, the OCD group also scored higher than the SDQ, as well as on each of CBCL items rated by the parent. Our findings suggest that there is a psychopathological continuum between OCS and OCD in school-aged children. The presence of OCS is associated with functional impairment, which needs further investigation in longitudinal studies.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26015374</pmid><doi>10.1007/s00787-015-0723-3</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1018-8827 |
| ispartof | European child & adolescent psychiatry, 2016-02, Vol.25 (2), p.175-182 |
| issn | 1018-8827 1435-165X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1762340875 |
| source | MEDLINE; SpringerLink Journals; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Age Age differences Anxiety Anxiety-Depression At risk Behavior Brazil - epidemiology Case-Control Studies Child Child & adolescent psychiatry Child and Adolescent Psychiatry Child Behavior Disorders - diagnosis Child Behavior Disorders - epidemiology Child Behavior Disorders - psychology Child Behaviour Checklist Child development Children Children & youth Comorbidity Cross-Sectional Studies Data analysis Data processing Depression Depressive Disorder, Major - diagnosis Depressive Disorder, Major - epidemiology Depressive Disorder, Major - psychology Depressive personality disorders Epidemiology Families & family life Female Functional impairment Gender differences Genetic family histories Humans Male Medical screening Medicine Medicine & Public Health Mental depression Mental disorders Mental Disorders - diagnosis Mental Disorders - epidemiology Mental Disorders - psychology Multivariate Analysis Neuroses Obsessive compulsive disorder Obsessive-Compulsive Disorder - diagnosis Obsessive-Compulsive Disorder - epidemiology Obsessive-Compulsive Disorder - psychology Original Contribution Pediatrics Population studies Psychiatric Status Rating Scales Psychiatric symptoms Psychiatry Psychopathology Risk assessment Schools Separation anxiety Sociodemographics Socioeconomic Factors Socioeconomic status Studies Surveys and Questionnaires Teenagers Untreated Well being |
| title | Obsessive–compulsive symptoms are associated with psychiatric comorbidities, behavioral and clinical problems: a population-based study of Brazilian school children |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T01%3A04%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Obsessive%E2%80%93compulsive%20symptoms%20are%20associated%20with%20psychiatric%20comorbidities,%20behavioral%20and%20clinical%20problems:%20a%20population-based%20study%20of%20Brazilian%20school%20children&rft.jtitle=European%20child%20&%20adolescent%20psychiatry&rft.au=Alvarenga,%20Pedro%20G.&rft.date=2016-02-01&rft.volume=25&rft.issue=2&rft.spage=175&rft.epage=182&rft.pages=175-182&rft.issn=1018-8827&rft.eissn=1435-165X&rft_id=info:doi/10.1007/s00787-015-0723-3&rft_dat=%3Cproquest_cross%3E3939290931%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1761617927&rft_id=info:pmid/26015374&rfr_iscdi=true |