Department of Pediatrics, University of South Florida, St. Petersburg, FL 33701, United States.
J Anxiety Disord. 2010 Mar;24(2):275-83. doi: 10.1016/j.janxdis.2009.12.004. Epub 2009 Dec 16.
The current study examined factors associated with obsessive-compulsive disorder (OCD) related functional impairment among 99 youth with OCD. A trained evaluator administered the Children's Yale-Brown Obsessive-Compulsive Scale, items assessing family accommodation, and a version of the Brown Assessment of Beliefs Scale that was modified for children. Youth completed the Child Obsessive-Compulsive Impact Scale-Child Version, Obsessive-Compulsive Inventory-Child Version, Multidimensional Anxiety Scale for Children, and Children's Depression Inventory-Short Form. The child's parent completed the Child Obsessive-Compulsive Impact Scale-Parent Version. Results indicated that OCD symptom severity, depressive symptoms, and family accommodation were directly related to impairment, while insight was inversely related to functional impairment. Insight, family accommodation, and depressive symptoms predicted parent- and/or child-rated functional impairment above and beyond OCD symptom severity. Among symptom dimensions, contamination/cleaning and aggressive/checking symptoms were the only dimensions significantly associated with impairment. Assessment and treatment implications are discussed; specifically, we highlight how the variables of interest may impact clinical presentation and treatment course.
本研究调查了 99 名强迫症（OCD）青少年中与 OCD 相关的功能障碍相关的因素。一名经过培训的评估员对儿童耶鲁-布朗强迫症量表、评估家庭迁就的项目以及针对儿童的布朗信念量表的一个版本进行了评估。青少年完成了儿童强迫症影响量表-儿童版、强迫症清单-儿童版、多维焦虑量表儿童版和儿童抑郁量表-短版。孩子的父母完成了儿童强迫症影响量表-父母版。结果表明，强迫症症状严重程度、抑郁症状和家庭迁就与障碍直接相关，而洞察力与功能障碍呈负相关。洞察力、家庭迁就和抑郁症状预测了父母和/或儿童评定的功能障碍，超出了强迫症症状严重程度的预测。在症状维度中，污染/清洁和攻击/检查症状是唯一与障碍显著相关的维度。讨论了评估和治疗的意义；具体而言，我们强调了感兴趣的变量如何影响临床表现和治疗过程。
