Symptom Insight in Pediatric Obsessive-Compulsive Disorder: Outcomes of an International Aggregated Cross-Sectional Sample
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Hojgaard, Davio RMA
Ivarsson, Tord
Thomsen, Per Hove
McBride, Nicole
Storch, Eric A
Geller, Daniel
Wilhelm, Sabine
Farrell, Lara J
Waters, Allison M
Mathieu, Sharna
Lebowitz, Eli
Elgie, Melissa
Soreni, Noam
Stewart, S Evelyn
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Abstract
Insight in obsessive-compulsive disorder (OCD) refers to patients’ recognition that their obsessions and compulsions are symptoms rather than necessary or natural thoughts and behaviors. 1 It has been estimated that 20% to 45% of youth with OCD exhibit poor or absent insight. 2-4 Identified correlates of poor insight include younger age, 2,3,5,6 increased OCD severity, 2,4,7 impairment, 4,7,8 and family accommodation 2,4 ; lower intellectual and adaptive functioning 3 ; and greater depressive symptoms. 2,3 Poorer insight has also been associated with reduced response across treatment groups (ie, selective serotonin reuptake inhibitor [SSRI], cognitive behavioral therapy [CBT], combined SSRI plus CBT, or pill placebo). 9
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Journal of the American Academy of Child & Adolescent Psychiatry
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57
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8
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Biomedical and clinical sciences
Psychology
Clinical sciences
Paediatrics
Applied and developmental psychology
Social Sciences
Science & Technology
Life Sciences & Biomedicine
Psychology, Developmental
Pediatrics
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Selles, RR; Hojgaard, DRMA; Ivarsson, T; Thomsen, PH; McBride, N; Storch, EA; Geller, D; Wilhelm, S; Farrell, LJ; Waters, AM; Mathieu, S; Lebowitz, E; Elgie, M; Soreni, N; Stewart, SE, Symptom Insight in Pediatric Obsessive-Compulsive Disorder: Outcomes of an International Aggregated Cross-Sectional Sample, Journal of the American Academy of Child & Adolescent Psychiatry, 2018, 57 (8), pp. 615-619