Department of Developmental, Personality and Social Psychology, Ghent University, H. Dunantlaan 2, 9000 Ghent, Belgium.
Child Psychiatry Hum Dev. 2011 Feb;42(1):24-41. doi: 10.1007/s10578-010-0199-9.
Obsessive-compulsive disorder (OCD) is a chronic and impairing clinical disorder in childhood, often characterized by a heterogeneous symptomatic profile and high co-occurrence with other disorders. The present study introduces a new perspective on the description of OCD symptoms in youth, and empirically examines the value of a personality framework (e.g. Five Factor of Personality; FFM) for understanding early OCD symptomatology in a referred sample of 274 children and adolescents, relying on age-specific measures of general and maladaptive personality. Differences in general and maladaptive personality traits for high versus low-scoring children and adolescents on the Obsessive-Compulsive Scale of the Child Behavior Checklist (CBCL-OCS) were explored. The discriminant validity of both higher-and lower-order personality traits was supported, showing that high CBCL-OCS scorers are characterized by specific personality features ranging from adaptive to pathological, especially in terms of Conscientiousness. In addition, personality traits contributed to the accurate classification of high- versus low-scorers on the CBCL-OCS. Implications for clinical practice and recommendations for future research are discussed.
强迫症（OCD）是一种在儿童时期慢性且有损健康的临床障碍，通常表现为症状谱异质性高，且与其他障碍高度共病。本研究为青少年 OCD 症状的描述提供了一个新视角，并在一个有 274 名儿童和青少年参与的转诊样本中，基于特定年龄的一般和适应不良人格的测量，实证检验了人格框架（如五因素人格模型；FFM）对理解早期 OCD 症状学的价值。研究探讨了儿童行为清单的强迫量表（CBCL-OCS）高分和低分儿童和青少年在一般和适应不良人格特质上的差异。较高和较低阶人格特质的判别效度均得到支持，表明 CBCL-OCS 高分者具有特定的人格特征，从适应良好到病态，尤其是在尽责性方面。此外，人格特质有助于对 CBCL-OCS 高分者和低分者进行准确分类。讨论了对临床实践的影响和对未来研究的建议。
