Symptom profiles in pediatric obsessive-compulsive disorder (OCD): the effects of comorbid grooming conditions.
This study sought to examine possible differences in phenomenological features and/or symptom severity of children diagnosed with obsessive-compulsive disorder (OCD) and a comorbid grooming condition (i.e., skin picking and trichotillomania). A total of 202 children receiving a primary diagnosis of OCD were classified into two distinct groups: (1) OCD alone (n=154) and (2) OCD plus a comorbid grooming condition (OCD+grooming; n=48). Analyses revealed that those children presenting with a comorbid grooming condition demonstrated different symptom profiles than those with OCD alone. In addition, parents of these children were more likely to report the presence of tactile/sensory sensitivity than those in the OCD alone group. However, no differences were found with respect to symptom severity via self-report (e.g., OCI) or semi-structured interview (e.g., CY-BOCS). Possible clinical and treatment implications, future areas of research, and limitations to the present study are discussed.
Warren Alpert School of Medicine at Brown University, Providence, RI, United States. cflessner@lifespan.org
Christopher A
CA
Flessner
Noah
N
Berman
Abbe
A
Garcia
Jennifer B
JB
Freeman
Henrietta L
HL
Leonard
D000293:Adolescent; D002648:Child; D015897:Comorbidity; D007174:Disruptive, Impulse Control, and Conduct Disorders / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis* / Q000453:epidemiology; D010555:Personality Inventory; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D014256:Trichotillomania / Q000175:diagnosis* / Q000453:epidemiology