Functional impairment in children and adolescents with obsessive-compulsive disorder
Functional impairment in children and adolescents with obsessive-compulsive disorder
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DOI：
10.1089/104454603322126359
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发表时间：
2003-01-01
影响因子：
1.9
通讯作者：
McCracken, J
中科院分区：
文献类型：
--
作者：
Piacentini, J;Bergman, RL;McCracken, J
虽然强迫症（OCD）是一种慢性且经常使人衰弱的疾病，但这种疾病对受影响青少年的心理社会功能的具体影响尚未系统地描述。共有151名临床转介的青少年（平均年龄11.8岁，57%男性，83%白人）与初级精神疾病诊断和统计手册（第四版）OCP和初级看护人完成了一份旨在评估强迫症对学校，社会和家庭功能的影响的清单。最常见的两个强迫症相关的问题是集中在功课和做作业。与强迫症的异质性相一致，受试者表现出广泛的特定障碍。然而，近90%的青少年报告至少有一个明显的强迫症相关的功能障碍，近一半的青少年报告在学校，家庭和社会上有明显的强迫症相关问题。父母比孩子更有可能报告家庭和学校功能的重大障碍。然而，很少有系统的性别或年龄的影响。损害评级与临床医生产生的强迫症严重程度的措施显着相关。这些结果提供了最具体的描述，到目前为止的不利影响，强迫症对儿童的心理社会功能。鉴于心理社会功能障碍的不良发展后果，治疗研究需要仔细跟踪和解决受影响青少年的OCD特异性功能障碍。
Although obsessive-compulsive disorder (OCD) is a chronic and oftentimes debilitating disorder, the specific impact of this illness on the psychosocial functioning of affected youngsters has not been systematically described. A total of 151 clinic-referred youngsters (mean age 11.8 years, 57% male, 83% Caucasian) with primary Diagnostic and Statistical Manual of Mental Disorders (fourth edition) OCP and a primary caretaker completed a checklist designed to assess the impact of OCD on school, social, and family functioning. The two most common OCD-related problems were concentrating on schoolwork and doing homework. Consistent with the heterogeneous nature of OCD, subjects exhibited a broad range of specific impairments. However, almost 90% of youngsters reported at least one significant OCD-related dysfunction, and close to half reported significant OCD-related problems at school, home, and socially. Parents were more likely to report significant impairments in home and school functioning than children. However, few systematic gender or age effects were noted. Impairment ratings were significantly correlated with clinician-generated measures of OCD severity. These results provide the most specific description to date of the adverse impact of OCD on child psychosocial functioning. Given the adverse developmental consequences of psychosocial dysfunction, treatment studies need to carefully track and address OCD-specific functional impairments in affected youngsters.