患有强迫症的青少年童年不良经历、症状严重程度、消极思维、合并症和治疗反应之间的关系》(The Relationship Between Adverse Childhood Experiences, Symptom Severity, Negative Thinking, Comorbidity, and Treatment Response in Youth with Obsessive-Compulsive Disorder)。

IF 2.3 3区 医学 Q2 PSYCHIATRY
Child Psychiatry & Human Development Pub Date : 2024-10-01 Epub Date: 2022-12-22 DOI:10.1007/s10578-022-01488-4
Mariana Vazquez, Amanda Palo, McKenzie Schuyler, Brent J Small, Joseph F McGuire, Sabine Wilhelm, Wayne K Goodman, Daniel Geller, Eric A Storch
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引用次数: 0

摘要

尽管患有强迫症(OCD)的青少年和成人都认为童年时期遭遇创伤性生活事件的发生率较高,但现有的有关童年不良经历(ACE)和强迫症的文献却不尽相同,而且针对小儿强迫症的研究也很有限。本研究调查了 142 名儿童和青少年强迫症患者的 ACE 与强迫症发病、症状严重程度、消极认知模式、合并症和认知行为疗法(CBT)反应之间的关系。ACE是从父母的报告中确定的。大多数家长都报告了孩子曾接触过 ACE。在报告 ACE 的家长中,50% 的家长报告在诊断出强迫症之前接触过 ACE,50% 的家长报告在诊断出强迫症之后接触过 ACE。没有发现ACE与合并症或CBT反应之间有明显的关联,这表明无论是否接触过ACE,CBT对小儿强迫症都是有效的。家庭经济问题与强迫症状的严重程度和消极想法的增加有关。本文讨论了研究和实践的意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Relationship Between Adverse Childhood Experiences, Symptom Severity, Negative Thinking, Comorbidity, and Treatment Response in Youth with Obsessive-Compulsive Disorder.

Although youth and adults with obsessive-compulsive disorder (OCD) endorse elevated incidence of exposure to traumatic life events during childhood, the existing literature on adverse childhood experiences (ACEs) and OCD is mixed and studies focusing on pediatric OCD are limited. The present study examines the relationship between ACEs and OCD onset, symptom severity, negative cognitive patterns, comorbidity, and cognitive-behavioral therapy (CBT) response in 142 children and adolescents with OCD. ACEs were ascertained from parent reports. Most parents reported child exposure to ACEs. Out of the parents who reported ACEs, 50% reported ACE exposure prior to OCD diagnosis and 50% reported ACE exposure after OCD diagnosis. No significant associations between ACEs and comorbidity or CBT response were found, suggesting that CBT for pediatric OCD is effective regardless of ACE exposure. Family financial problems were associated with increased obsessive-compulsive symptom severity and negative thinking. Implications for research and practice are discussed.

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来源期刊
CiteScore
0.50
自引率
3.40%
发文量
174
期刊介绍: Child Psychiatry & Human Development is an interdisciplinary international journal serving the groups represented by child and adolescent psychiatry, clinical child/pediatric/family psychology, pediatrics, social science, and human development. The journal publishes research on diagnosis, assessment, treatment, epidemiology, development, advocacy, training, cultural factors, ethics, policy, and professional issues as related to clinical disorders in children, adolescents, and families. The journal publishes peer-reviewed original empirical research in addition to substantive and theoretical reviews.
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