Chabane Nadia, Delorme Richard
Service de psychiatrie de l'enfant et de l'adolescent, hôpital Robert-Debré, 75935 Paris 19.
Rev Prat. 2007 Jan 15;57(1):45-51.
Obsessive compulsive disorder (OCD) involves obsessions and compulsions that cause impairment and distress, and which interfere with children's developmental adaptation, daily functioning. Further more, OCD often disrupts peer and family relationships and school performance. One considered rare, recent epidemiological studies report prevalence rates ranging from 1% in prepubertal children to 3% in adolescents. Recently, significant advances have been made in understanding of the aetiology, pathophysiology, phenomenology, and treatment in children. The ongoing refinement of cognitive-behaviour and pharmacological treatment approaches has increased the likelihood that many youngsters with OCD will lead satisfying and relatively normal lives.
强迫症(OCD)涉及导致损害和痛苦的强迫观念和强迫行为,这些会干扰儿童的发育适应和日常功能。此外,强迫症常常扰乱同伴关系、家庭关系和学业表现。曾经被认为较为罕见,最近的流行病学研究报告患病率从青春期前儿童的1%到青少年的3%不等。最近,在儿童强迫症的病因学、病理生理学、现象学及治疗方面取得了重大进展。认知行为和药物治疗方法的不断完善增加了许多患有强迫症的青少年过上满意且相对正常生活的可能性。