Symptom profiles in pediatric obsessive-compulsive disorder (OCD): the effects of comorbid grooming conditions

J Anxiety Disord. 2009 Aug;23(6):753-9. doi: 10.1016/j.janxdis.2009.02.018. Epub 2009 Mar 11.

Abstract

This study sought to examine possible differences in phenomenological features and/or symptom severity of children diagnosed with obsessive-compulsive disorder (OCD) and a comorbid grooming condition (i.e., skin picking and trichotillomania). A total of 202 children receiving a primary diagnosis of OCD were classified into two distinct groups: (1) OCD alone (n=154) and (2) OCD plus a comorbid grooming condition (OCD+grooming; n=48). Analyses revealed that those children presenting with a comorbid grooming condition demonstrated different symptom profiles than those with OCD alone. In addition, parents of these children were more likely to report the presence of tactile/sensory sensitivity than those in the OCD alone group. However, no differences were found with respect to symptom severity via self-report (e.g., OCI) or semi-structured interview (e.g., CY-BOCS). Possible clinical and treatment implications, future areas of research, and limitations to the present study are discussed.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Child
  • Comorbidity
  • Disruptive, Impulse Control, and Conduct Disorders / diagnosis*
  • Disruptive, Impulse Control, and Conduct Disorders / epidemiology
  • Female
  • Humans
  • Male
  • Obsessive-Compulsive Disorder / diagnosis*
  • Obsessive-Compulsive Disorder / epidemiology
  • Personality Inventory
  • Psychiatric Status Rating Scales
  • Psychometrics
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Trichotillomania / diagnosis*
  • Trichotillomania / epidemiology