Clinical correlates of obsessive compulsive disorder and comorbid autism spectrum disorder in youth
Author(s)
Griffiths, Donna L
Farrell, Lara J
Waters, Allison M
White, Susan W
Year published
2017
Metadata
Show full item recordAbstract
Very little is known about the comorbid presentation of obsessive-compulsive disorder (OCD) in youth with autism spectrum disorder (ASD) despite the high rates of comorbidity in clinical samples (Ivarsson and Melin, 2008; Stewart et al., 2016). This study examined the clinical expression and treatment response among children and adolescents with OCD with (n = 25) and without (n = 25) comorbid ASD (n = 50; aged 7–17 years). Youth were assessed on gold-standard measures of OCD severity and associated symptoms including functioning, mood, anxiety, comorbidity and family accommodation. The results indicated that comorbid OCD and ...
View more >Very little is known about the comorbid presentation of obsessive-compulsive disorder (OCD) in youth with autism spectrum disorder (ASD) despite the high rates of comorbidity in clinical samples (Ivarsson and Melin, 2008; Stewart et al., 2016). This study examined the clinical expression and treatment response among children and adolescents with OCD with (n = 25) and without (n = 25) comorbid ASD (n = 50; aged 7–17 years). Youth were assessed on gold-standard measures of OCD severity and associated symptoms including functioning, mood, anxiety, comorbidity and family accommodation. The results indicated that comorbid OCD and ASD was associated with significantly higher functional impairment across school, social and home domains; significantly more externalising disorders and more comorbid disorders overall than OCD without comorbid ASD. Furthermore, families of comorbid OCD and ASD children and adolescents engaged in significantly more accommodating behaviours, and moreover, these comorbid youth had poorer treatment response at six-month follow-up. Findings from this study may be helpful in designing more targeted treatment protocols for children and adolescents with comorbid OCD and ASD.
View less >
View more >Very little is known about the comorbid presentation of obsessive-compulsive disorder (OCD) in youth with autism spectrum disorder (ASD) despite the high rates of comorbidity in clinical samples (Ivarsson and Melin, 2008; Stewart et al., 2016). This study examined the clinical expression and treatment response among children and adolescents with OCD with (n = 25) and without (n = 25) comorbid ASD (n = 50; aged 7–17 years). Youth were assessed on gold-standard measures of OCD severity and associated symptoms including functioning, mood, anxiety, comorbidity and family accommodation. The results indicated that comorbid OCD and ASD was associated with significantly higher functional impairment across school, social and home domains; significantly more externalising disorders and more comorbid disorders overall than OCD without comorbid ASD. Furthermore, families of comorbid OCD and ASD children and adolescents engaged in significantly more accommodating behaviours, and moreover, these comorbid youth had poorer treatment response at six-month follow-up. Findings from this study may be helpful in designing more targeted treatment protocols for children and adolescents with comorbid OCD and ASD.
View less >
Journal Title
Journal of Obsessive-Compulsive and Related Disorders
Volume
14
Subject
Clinical sciences
Psychology
Other psychology not elsewhere classified
Applied and developmental psychology
Biological psychology
Clinical and health psychology