Volume 7, Issue 4 (2019)
Health Educ Health Promot 2019, 7(4): 157-162 |
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Rashid S, Khorramdel K, Shahimi S, Mahmoudi H, Zare M. Relationship between the Obsessive-Compulsive Disorder Dimensions, Severity and Insight in Adolescents: An Iranian Sample. Health Educ Health Promot 2019; 7 (4) :157-162
URL: http://hehp.modares.ac.ir/article-5-14971-en.html
URL: http://hehp.modares.ac.ir/article-5-14971-en.html
1- International Education Faculty, China Medical University, Shenyang, China
2- Psychology Department, Institute of Higher Education, Shiraz, Iran ,khoramdel.psy@gmail.com
3- Population & Global Health Faculty, University of Melbourne, Melbourne, Australia
4- Psychology Department, Education & Psychology Faculty, Mohaghegh Ardabili University, Ardabil, Iran
2- Psychology Department, Institute of Higher Education, Shiraz, Iran ,
3- Population & Global Health Faculty, University of Melbourne, Melbourne, Australia
4- Psychology Department, Education & Psychology Faculty, Mohaghegh Ardabili University, Ardabil, Iran
Abstract: (2125 Views)
Aims: The goal of the present study was to assess the relationship between obsessive-compulsive disorder dimensions and severity with insight into an adolescent’s population.
Materials & Methods: This study was done in Iran. The study sample included 84 adolescents with OCD according to DSM-5. The participants completed materials of Obsessive Compulsive Inventory-Child Version (OCI-CV), Children Depression Questionnaire (CDQ), Children’s Yale-Brown Obsessive Compulsive Scale-Severity Rating (CY-BOCS-SR), and Child Assessment of Belief Scale (CABS). Data were analyzed through descriptive statistics’ indices, Pearson correlation, separation coefficient, and multi-variant regression, using SPSS.
Findings: There was a strong positive relationship between the hoarding dimension and delusional insight. Also, severity, ordering, and doubting/checking were significantly correlated with insight, while this result disappeared by controlling the hoarding dimension via partial correlation. Moreover, adolescents with more symptoms of hoarding demonstrated a significantly higher score in OCI-CV, severity and delusional insight but not in the depression inventory.
Conclusion: Findings of the present study consistent with prior findings suggest a non-significant relationship between OCD clinical dimensions and insight in adolescents.
Materials & Methods: This study was done in Iran. The study sample included 84 adolescents with OCD according to DSM-5. The participants completed materials of Obsessive Compulsive Inventory-Child Version (OCI-CV), Children Depression Questionnaire (CDQ), Children’s Yale-Brown Obsessive Compulsive Scale-Severity Rating (CY-BOCS-SR), and Child Assessment of Belief Scale (CABS). Data were analyzed through descriptive statistics’ indices, Pearson correlation, separation coefficient, and multi-variant regression, using SPSS.
Findings: There was a strong positive relationship between the hoarding dimension and delusional insight. Also, severity, ordering, and doubting/checking were significantly correlated with insight, while this result disappeared by controlling the hoarding dimension via partial correlation. Moreover, adolescents with more symptoms of hoarding demonstrated a significantly higher score in OCI-CV, severity and delusional insight but not in the depression inventory.
Conclusion: Findings of the present study consistent with prior findings suggest a non-significant relationship between OCD clinical dimensions and insight in adolescents.
Article Type: Original Research |
Subject:
Health Communication
Received: 2017/06/14 | Accepted: 2019/08/28 | Published: 2019/12/21
Received: 2017/06/14 | Accepted: 2019/08/28 | Published: 2019/12/21
References
1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). 5th Edition. Washington, D.C.: American Psychiatric Pub; 2013. [Link] [DOI:10.1176/appi.books.9780890425596]
2. Ruscio AM, Stein DJ, Chiu WT, Kessler RC. The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Mol Psychiatr. 2010;15(1):53-63. [Link] [DOI:10.1038/mp.2008.94]
3. Pinto A, Mancebo MC, Eisen JL, Pagano ME, Rasmussen SA. The brown longitudinal obsessive compulsive study: Clinical features and symptoms of the sample at intake. J Clin Psychiatr. 2006;67(5):703-11. [Link] [DOI:10.4088/JCP.v67n0503]
4. Millet B, Kochman F, Gallarda T, Krebs MO, Demonfaucon F, Barrot I, et al. Phenomenological and comorbid features associated in obsessive-compulsive disorder: Influence of age of onset. J Affect Disord. 2004;79(1-3):241-6. [Link] [DOI:10.1016/S0165-0327(02)00351-8]
5. Lewin AB, Lindsey Bergman R, Peris TS, Chang S, McCracken JT, Piacentini J. Correlates of insight among youth with obsessive-compulsive disorder. J Child Psychol Psychiatr. 2010;51(5):603-11. [Link] [DOI:10.1111/j.1469-7610.2009.02181.x]
6. Storch EA, Milsom VA, Merlo LJ, Larson M, Geffken GR, Jacob ML, et al. Insight in pediatric obsessive-compulsive disorder: Associations with clinical presentation. Psychiatr Res. 2008;160(2):212-20. [Link] [DOI:10.1016/j.psychres.2007.07.005]
7. Alonso P, Menchón JM, Segalàs C, Jaurrieta N, Jiménez-Murcia S, Cardoner N, et al. Clinical implications of insight assessment in obsessive-compulsive disorder. Compr Psychiatr. 2008;49(3):305-12. [Link] [DOI:10.1016/j.comppsych.2007.09.005]
8. Türksoy N, Tükel R, Özdemir Ö, Karali A. Comparison of clinical characteristics in good and poor insight obsessive-compulsive disorder. J Anxiety Disord. 2002;16(4):413-23. [Link] [DOI:10.1016/S0887-6185(02)00135-4]
9. Kishore VR, Samar R, Reddy YJ, Chandrasekhar CR, Thennarasu K. Clinical characteristics and treatment response in poor and good insight obsessive-compulsive disorder. Eur Psychiatr. 2004;19(4):202-8. [Link] [DOI:10.1016/j.eurpsy.2003.12.005]
10. Leckman JF, Denys D, Simpson HB, Mataix-Cols D, Hollander E, Saxena S, et al. Obsessive-compulsive disorder: A review of the diagnostic criteria and possible subtypes and dimensional specifiers for DSM-V. Depress Anxiety. 2010;27(6):507-27. [Link] [DOI:10.1002/da.20669]
11. Murray CJ, Lopez AD, editors. The global burden of disease: A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Geneva: World Health Organization; 1996. [Link]
12. Barrett P, Farrell L, Dadds M, Boulter N. Cognitive-behavioral family treatment of childhood obsessive-compulsive disorder: Long-term follow-up and predictors of outcome. J Am Acad Child Adolesc Psychiatr. 2005;44(10):1005-14. [Link] [DOI:10.1097/01.chi.0000172555.26349.94]
13. Geller DA, Biederman J, Stewart SE, Mullin B, Farrell C, Wagner KD, et al. Impact of comorbidity on treatment response to paroxetine in pediatric obsessive-compulsive disorder: Is the use of exclusion criteria empirically supported in randomized clinical trials?. J Child Adolesc Psychopharmacol. 2003;13(suppl 1):S19-29. [Link] [DOI:10.1089/104454603322126313]
14. Mancebo MC, Garcia AM, Pinto A, Freeman JB, Przeworski A, Stout R, et al. Juvenile-onset OCD: Clinical features in children, adolescents and adults. Acta Psychiatr Scand. 2008;118(2):149-59. [Link] [DOI:10.1111/j.1600-0447.2008.01224.x]
15. Storch EA, De Nadai AS, Jacob ML, Lewin AB, Muroff J, Eisen J, et al. Phenomenology and correlates of insight in pediatric obsessive-compulsive disorder. Compr Psychiatr. 2014;55(3):613-20. [Link] [DOI:10.1016/j.comppsych.2013.09.014]
16. Garcia AM, Sapyta JJ, Moore PS, Freeman JB, Franklin ME, March JS, et al. Predictors and moderators of treatment outcome in the pediatric obsessive compulsive treatment study (POTS I). J Am Acad Child Adolesc Psychiatr. 2010;49(10):1024-33. [Link] [DOI:10.1016/j.jaac.2010.06.013]
17. Rodowski MF, Cagande CC, Riddle MA. Childhood obsessive-compulsive disorder presenting as schizophrenia spectrum disorders. J Child Adolesc Psychopharmacol. 2008;18(4):395-401. [Link] [DOI:10.1089/cap.2007.0027]
18. Foa EB, Coles M, Huppert JD, Pasupuleti RV, Franklin ME, March J. Development and validation of a child version of the obsessive compulsive inventory. Behav Ther. 2010;41(1):121-32. [Link] [DOI:10.1016/j.beth.2009.02.001]
19. Jones AM, De Nadai AS, Arnold EB, McGuire JF, Lewin AB, Murphy TK, et al. Psychometric properties of the obsessive compulsive inventory: Child version in children and adolescents with obsessive-compulsive disorder. Child Psychiatr Hum Dev. 2013;44(1):137-51. [Link] [DOI:10.1007/s10578-012-0315-0]
20. Martínez-González AE, Rodríguez-Jiménez T, Piqueras JA, Vera-Villarroel P, Godoy A. Psychometric properties of the Obsessive-Compulsive Inventory-Child Version (OCI-CV) in Chilean children and adolescents. PLoS ONE. 2015;10(8):e0136842. [Link] [DOI:10.1371/journal.pone.0136842]
21. Rosa-Alcázar AI, Ruiz-García B, Iniesta-Sepúlveda M, López-Pina JA, Rosa-Alcázar Á, Parada-Navas JL. Obsessive compulsive inventory-child version (OCI-CV) in a Spanish community sample of children and adolescents. Psicothema. 2014;26(2):174-9. [Link]
22. Cook NE, Freeman JB, Garcia AM, Sapyta JJ, Franklin ME. Assessment of obsessive compulsive disorder in young children: Psychometric properties of the Children's Yale-Brown Obsessive Compulsive Scale. J Psychopathol Behav Assess. 2015;37(3):432-41. [Link] [DOI:10.1007/s10862-014-9465-7]
23. Storch EA, Murphy TK, Geffken GR, Soto O, Sajid M, Allen P, et al. Psychometric evaluation of the Children's yale-brown obsessive-compulsive scale. Psychiatr Res. 2004;129(1):91-8. [Link] [DOI:10.1016/j.psychres.2004.06.009]
24. Karno M, Golding JM, Sorenson SB, Burnam MA. The epidemiology of obsessive-compulsive disorder in five US communities. Arch Gen Psychiatr. 1988;45(12):1094-9. [Link] [DOI:10.1001/archpsyc.1988.01800360042006]
25. Kovacs M. The children's depression inventory (CDI). Psychopharmacol bull. 1985;21(4):995-8. [Link]
26. Rajabi G. Validity and reliability of depression inventory (CDI in 13-15 year olds). J Psychol Educ Sci. 2008;37(1):1-15. [Persian] [Link]
27. Andrews-McClymont JG, Lilienfeld SO, Duke MP. Evaluating an animal model of compulsive hoarding in humans. Rev Gen Psychol. 2013;17(4):399-419. [Link] [DOI:10.1037/a0032261]
28. Friedman, HS. Encyclopedia of mental health. 2nd Edition. Oxford: Academic Press; 2016. pp. 319-24. [Link]
29. Samuels JF, Joseph Bienvenu O, Pinto A, Murphy DL, Piacentini J, Rauch SL, et al. Sex-specific clinical correlates of hoarding in obsessive-compulsive disorder. Behav Res Therap. 2008;46(9):1040-6. [Link] [DOI:10.1016/j.brat.2008.06.005]
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