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Clinical features of children and adolescents with obsessive-compulsive disorder and hoarding symptoms.

Abstract：

OBJECTIVE:This study was conducted to examine whether pediatric patients with obsessive-compulsive disorder (OCD) and hoarding symptoms differed in terms of clinical characteristics from pediatric OCD patients without hoarding symptoms. METHOD:Eighty children and adolescents with OCD (range, 7-17 years) completed clinician-administered and parent- and child-report measures of OCD symptom severity, impairment, and emotional and behavioral symptoms. RESULTS:Twenty-one youth endorsed significant hoarding symptoms. Relative to nonhoarders, youth with hoarding symptoms had worse insight, more magical thinking obsessions, and ordering/arranging compulsions than nonhoarders, higher levels of anxiety, aggression, somatic complaints, and overall externalizing and internalizing symptoms. Higher rates of panic disorder were found in youth with hoarding symptoms although other comorbidity rates did not differ. CONCLUSIONS:These findings in children are partially consistent with studies in adults, and suggest that pediatric patients with hoarding symptoms may exhibit a unique clinical presentation.

journal_name

Compr Psychiatry

journal_title

Comprehensive psychiatry

authors

Storch EA,Lack CW,Merlo LJ,Geffken GR,Jacob ML,Murphy TK,Goodman WK

doi

10.1016/j.comppsych.2007.03.001

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

313-8

issue

4

eissn

0010-440X

issn

1532-8384

pii

S0010-440X(07)00024-7

journal_volume

48

pub_type

杂志文章

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