title: Predictors of functional impairment in pediatric obsessive-compulsive disorder.
abstract: The current study examined factors associated with obsessive-compulsive disorder (OCD) related functional impairment among 99 youth with OCD. A trained evaluator administered the Children's Yale-Brown Obsessive-Compulsive Scale, items assessing family accommodation, and a version of the Brown Assessment of Beliefs Scale that was modified for children. Youth completed the Child Obsessive-Compulsive Impact Scale-Child Version, Obsessive-Compulsive Inventory-Child Version, Multidimensional Anxiety Scale for Children, and Children's Depression Inventory-Short Form. The child's parent completed the Child Obsessive-Compulsive Impact Scale-Parent Version. Results indicated that OCD symptom severity, depressive symptoms, and family accommodation were directly related to impairment, while insight was inversely related to functional impairment. Insight, family accommodation, and depressive symptoms predicted parent- and/or child-rated functional impairment above and beyond OCD symptom severity. Among symptom dimensions, contamination/cleaning and aggressive/checking symptoms were the only dimensions significantly associated with impairment. Assessment and treatment implications are discussed; specifically, we highlight how the variables of interest may impact clinical presentation and treatment course.
authors.affiliation: Department of Pediatrics, University of South Florida, St. Petersburg, FL 33701, United States. estorch@health.usf.edu
authors.forename: Eric A
authors.initials: EA
authors.lastname: Storch
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Larson
authors.forename: Jordana
authors.initials: J
authors.lastname: Muroff
authors.forename: Nicole
authors.initials: N
authors.lastname: Caporino
authors.forename: Daniel
authors.initials: D
authors.lastname: Geller
authors.forename: Jeannette M
authors.initials: JM
authors.lastname: Reid
authors.forename: Jessica
authors.initials: J
authors.lastname: Morgan
authors.forename: Patrice
authors.initials: P
authors.lastname: Jordan
authors.forename: Tanya K
authors.initials: TK
authors.lastname: Murphy
mesh_terms: D000293:Adolescent; D001007:Anxiety / Q000453:epidemiology; D001364:Awareness; D002648:Child; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology; D005195:Family Relations; D005260:Female; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology*; D011379:Prognosis; D012044:Regression Analysis; D012647:Self-Assessment; D014481:United States / Q000453:epidemiology