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Symptom Insight in Pediatric Obsessive-Compulsive Disorder: Outcomes of an International Aggregated Cross-Sectional Sample.
- Source :
-
Journal of the American Academy of Child and Adolescent Psychiatry [J Am Acad Child Adolesc Psychiatry] 2018 Aug; Vol. 57 (8), pp. 615-619.e5. - Publication Year :
- 2018
-
Abstract
- Insight in obsessive-compulsive disorder (OCD) refers to patients' recognition that their obsessions and compulsions are symptoms rather than necessary or natural thoughts and behaviors. <superscript>1</superscript> It has been estimated that 20% to 45% of youth with OCD exhibit poor or absent insight. <superscript>2-4</superscript> Identified correlates of poor insight include younger age, <superscript>2,3,5,6</superscript> increased OCD severity, <superscript>2,4,7</superscript> impairment, <superscript>4,7,8</superscript> and family accommodation <superscript>2,4</superscript> ; lower intellectual and adaptive functioning <superscript>3</superscript> ; and greater depressive symptoms. <superscript>2,3</superscript> Poorer insight has also been associated with reduced response across treatment groups (ie, selective serotonin reuptake inhibitor [SSRI], cognitive behavioral therapy [CBT], combined SSRI plus CBT, or pill placebo). <superscript>9</superscript> .<br /> (Copyright © 2018 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1527-5418
- Volume :
- 57
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Journal of the American Academy of Child and Adolescent Psychiatry
- Publication Type :
- Report
- Accession number :
- 30071984
- Full Text :
- https://doi.org/10.1016/j.jaac.2018.04.012