Bryńska A
Klinika Psychiatrii Wieku Rozwojowego AM w Warszawie.
Psychiatr Pol. 1997 Jul-Aug;31(4):417-28.
The literature on obsessive-compulsive disorder (OCD) in children and adolescents is reviewed. The disorder is characterized by obsessions (recurrent troublesome thoughts) and compulsions (ritualized thoughts or behaviors performed repetitively in response to an irresistible urge). OCD is far more common among children and adolescents than was previously believed. Good epidemiological studies from different parts of the world are still needed to determine if prevalence is equally high. Boys seem to have an earlier age of onset of OCD than girls. Male female ratio changed with age of onset, with males predominating in early onset and increasing numbers of females occurring during adolescence. Increasing evidence supports a neurobiological theory for etiology of OCD, specifically a frontal lobe--basal ganglia dysfunction.
本文综述了关于儿童和青少年强迫症（OCD）的文献。该疾病的特征为强迫观念（反复出现的烦扰性想法）和强迫行为（为回应无法抗拒的冲动而重复进行的仪式化想法或行为）。强迫症在儿童和青少年中的发病率比之前认为的要高得多。仍需要来自世界不同地区的良好流行病学研究来确定患病率是否同样高。男孩的强迫症发病年龄似乎比女孩更早。男女比例随发病年龄而变化，男性在早发时占主导，而在青春期女性患者数量增加。越来越多的证据支持强迫症病因的神经生物学理论，特别是额叶 - 基底神经节功能障碍。
