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Parents' Perceptions of Internalizing and Externalizing Features in Childhood OCD.
- Source :
-
Child psychiatry and human development [Child Psychiatry Hum Dev] 2019 Aug; Vol. 50 (4), pp. 692-701. - Publication Year :
- 2019
-
Abstract
- Although obsessive-compulsive disorder (OCD) has often been characterized as an internalizing disorder, some children with OCD exhibit externalizing behaviors that are specific to their OCD. This study sought to demonstrate that parents perceive both internalizing and externalizing behaviors in childhood OCD by examining the factor structure of the Child Obsessive-Compulsive Externalizing/Internalizing Scale (COCEIS), a parent-report questionnaire intended to measure these constructs. This study also investigated clinical correlates of internalizing and externalizing factors in the COCEIS. A factor analysis of questionnaire responses from 122 parents of youth with OCD revealed both externalizing and internalizing factors in the COCEIS. Externalizing behaviors in childhood OCD were associated with other, co-occurring externalizing behavior problems, while both factors were positively correlated with OCD severity and co-occurring internalizing symptoms. They were positively associated with each other at a trend level, and neither showed a significant relationship with insight. Sixty-two percent of parents endorsed "often" or "always" to at least one externalizing item, though modal responses to items suggested that each individual feature captured by the COCEIS may be relatively uncommon. Mean responses were significantly greater for internalizing items. This study provides evidence for distinct but related externalizing and internalizing behaviors specific to childhood OCD. Treatment for children with OCD presenting with more externalizing behaviors may require a greater emphasis on behavioral parent training and motivational enhancement.
- Subjects :
- Adolescent
Behavior Observation Techniques
Child
Defense Mechanisms
Female
Humans
Parent-Child Relations
Problem Behavior
Surveys and Questionnaires
Symptom Assessment
Behavioral Symptoms diagnosis
Behavioral Symptoms psychology
Family Health
Obsessive-Compulsive Disorder diagnosis
Obsessive-Compulsive Disorder psychology
Parents psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1573-3327
- Volume :
- 50
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Child psychiatry and human development
- Publication Type :
- Academic Journal
- Accession number :
- 30778711
- Full Text :
- https://doi.org/10.1007/s10578-019-00873-w