Department of Psychiatry, Massachusetts General Hospital, 185 Cambridge Street, Suite 2000, Boston, MA 02114, USA.
Department of Psychiatry, Massachusetts General Hospital, 185 Cambridge Street, Suite 2000, Boston, MA 02114, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.
Psychiatr Clin North Am. 2023 Mar;46(1):89-106. doi: 10.1016/j.psc.2022.10.002. Epub 2022 Dec 26.
Obsessive-compulsive disorder (OCD) frequently affects children and adolescents, with most cases beginning during this time. Symptoms of OCD in youth may present as exaggerated developmental concerns and excessive ritualistic behavior beyond what is part of normal development, yet low levels of insight may prevent recognition. Affected youth commonly have comorbid neurodevelopmental diagnoses, especially males. Early detection and intervention are critical to recovery and remission, as well as family involvement in treatment. Cognitive behavioral therapy and serotonin reuptake inhibitors are first-line treatments.
强迫症（OCD）常影响儿童和青少年，多数病例在此期间发病。青少年的 OCD 症状可能表现为发育过程中过度关注和超出正常发育范围的过度仪式性行为，但由于洞察力较低，可能无法识别。受影响的青少年通常存在共病神经发育诊断，尤其是男性。早期发现和干预对于康复和缓解至关重要，同时也需要家庭参与治疗。认知行为疗法和 5-羟色胺再摄取抑制剂是一线治疗方法。
