Elien De Caluwé , Jasmine Vergauwe , Mieke Decuyper , Stefan Bogaerts , David C. Rettew , Barbara De Clercq
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引用次数: 4
摘要
目的小儿强迫症(OC)障碍领域最具挑战性的问题之一是将病理性强迫症症状与表征正常儿童发育的表型相似的规范性仪式/惯例区分开来。鉴于它们的相似性，可以质疑这两个构念是否反映了不同病因的两种定性不同的行为表达，或者更确切地说反映了一个单一连续体的两种不同表现。连续性假设)。方法本研究旨在从两个方面加深我们对儿童期规范仪式/惯例与OC症状之间关系的认识。首先，通过系统地回顾1950年至2019年2月1日(注册号:CRD42019121293)的各种数据库(Web of Science Core Collection、MEDLINE/PubMed和SciELO引文索引)，对这种关联的现有证据进行了研究。其次，在此系统回顾的基础上，建立了一个综合概念模型，从不同的角度描述了这种关系的影响来源。结果文献检索最初显示了2122个点击，114个全文被评估为合格。在应用了几个选择标准后，18项研究被纳入综述。研究结果普遍支持连续性假说，并在行为学分析的不同层面揭示了重要的病因，包括表型(焦虑)、神经生物学和遗传水平。此外，年龄和其他疾病的存在似乎是评估正常水平的重要因素。结论我们提供了一个概念框架，为未来的研究提供信息，旨在提高对规范性仪式/惯例与病理性OC症状之间关系的理解。概念上的影响进行了讨论，并提出了临床建议，以提高早期识别和鉴别。
The relation between normative rituals/routines and obsessive-compulsive symptoms at a young age: A systematic review
Objective
One of the most challenging issues in the pediatric obsessive–compulsive (OC) disorder field is to differentiate pathological OC symptoms from the phenotypically similar normative rituals/routines that characterize normal childhood development. Given their similarities, it can be questioned whether both constructs reflect two qualitatively distinct behavioral expressions of different etiological factors or rather reflect two diverse manifestations of one single continuum (cfr. the continuity hypothesis).
Method
This paper aims to improve our understanding of the relation between normative childhood rituals/routines and OC symptoms in two ways. First, the continuity hypothesis was investigated by systematically reviewing current evidence on this association, using various databases (Web of Science Core Collection, MEDLINE/PubMed, and SciELO Citation Index) from 1950 until February 1, 2019 (registration number: CRD42019121293). Second, based on this systematic review, an integrative conceptual model was developed describing this relation from different perspectives on sources of influence.
Results
The literature search initially revealed 2122 hits, with 114 full-texts being assessed for eligibility. After applying several selection criteria, 18 studies were included in the review. The results generally support the continuity hypothesis and reveal important etiological factors at different levels of behavioral analysis, including the phenotypic (anxiety), neurobiological and genetic level. Also age and the presence of other disorders appeared to be important factors in evaluating the level of normality.
Conclusion
We provide a conceptual framework to inform future research aimed at improving the understanding of the relationship between normative rituals/routines and pathological OC symptoms. Conceptual implications are discussed and clinical recommendations are given to improve early identification and differentiation.
期刊介绍：
Presenting research that bears on important conceptual issues in developmental psychology, Developmental Review: Perspectives in Behavior and Cognition provides child and developmental, child clinical, and educational psychologists with authoritative articles that reflect current thinking and cover significant scientific developments. The journal emphasizes human developmental processes and gives particular attention to issues relevant to child developmental psychology. The research concerns issues with important implications for the fields of pediatrics, psychiatry, and education, and increases the understanding of socialization processes.
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