Symptom Insight in Pediatric Obsessive-Compulsive Disorder: Outcomes of an International Aggregated Cross-Sectional Sample

Robert R Selles; Davið R M A Højgaard; Tord Ivarsson; Per Hove Thomsen; Nicole McBride; Eric A Storch; Daniel Geller; Sabine Wilhelm; Lara J Farrell; Allison M Waters; Sharna Mathieu; Eli Lebowitz; Melissa Elgie; Noam Soreni; S Evelyn Stewart

doi:10.1016/j.jaac.2018.04.012

Symptom Insight in Pediatric Obsessive-Compulsive Disorder: Outcomes of an International Aggregated Cross-Sectional Sample

J Am Acad Child Adolesc Psychiatry. 2018 Aug;57(8):615-619.e5. doi: 10.1016/j.jaac.2018.04.012.

Authors

Affiliations

¹ University of British Columbia and BC Children's Hospital, Vancouver, BC, Canada. Electronic address: [email protected].
² Aarhus University, Denmark.
³ University of Gothenburg, Sweden.
⁴ University of Arkansas for Medical Sciences, Little Rock.
⁵ Baylor College of Medicine, Houston, TX.
⁶ Harvard Medical School and Massachusetts General Hospital, Boston.
⁷ Griffith University, Queensland, Australia.
⁸ Yale University, New Haven, CT.
⁹ St. Joseph's Hospital and McMaster University, Hamilton, ON, Canada.
¹⁰ University of British Columbia and BC Children's Hospital, Vancouver, BC, Canada.

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.¹ It has been estimated that 20% to 45% of youth with OCD exhibit poor or absent insight.^2-4 Identified correlates of poor insight include younger age,^2,3,5,6 increased OCD severity,^2,4,7 impairment,^4,7,8 and family accommodation^2,4; lower intellectual and adaptive functioning³; and greater depressive symptoms.^2,3 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).⁹.

Publication types

Letter
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

MeSH terms

Awareness*
Child
Cross-Sectional Studies
Female
Humans
Internationality*
Male
Obsessive-Compulsive Disorder / psychology*
Psychiatric Status Rating Scales
Severity of Illness Index*

Abstract

Publication types

MeSH terms

Grants and funding