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. 2010 May;51(5):603-11.
doi: 10.1111/j.1469-7610.2009.02181.x. Epub 2009 Dec 17.

Correlates of insight among youth with obsessive-compulsive disorder

Adam B Lewin  1 , R Lindsey Bergman, Tara S Peris, Susanna Chang, James T McCracken, John Piacentini
Affiliations

Correlates of insight among youth with obsessive-compulsive disorder

Adam B Lewin et al. J Child Psychol Psychiatry. 2010 May.

Abstract

Background: Individuals with Obsessive-Compulsive Disorder (OCD) may lack insight into the irrational nature of their symptoms. Among adults with OCD, poor insight has been linked to greater symptom severity, increased likelihood of comorbid symptoms, lower adaptive functioning, and worse treatment outcomes. Parallel work regarding insight among children and adolescents, with OCD, is lacking. The aim of this research was to examine links between insight and demographic, cognitive, and clinical factors among youth with OCD.

Methods: Seventy-one youths with OCD (mean age = 11.7; 63% = male) were assessed as part of a larger treatment trial. Insight was measured via clinician interview.

Results: Youth with low insight had poorer intellectual functioning and reported decreased perception of control over their environment. Additionally, youth with low insight were more likely to be younger, to report higher levels of depressive symptoms, and to report lower levels of adaptive functioning.

Conclusion: This set of cognitive, developmental and clinical factors that may predispose youth with OCD to have diminished insight. Data provide initial empirical support for diagnostic differences between youth and adults with regard to requiring intact insight. Implications for treatment are discussed.

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Figures

Figure 1
Figure 1
Insight Changes with Age
See this image and copyright information in PMC

References

    1. Abel JL. Exposure with response prevention and serotonergic antidepressants in the treatment of obsessive compulsive disorder: a review and implications for interdisciplinary treatment. Behaviour Research and Therapy. 1993;31:463–478. - PubMed
    1. Achenbach TM. Child Behavior Checklist and related instruments. In: Maruish ME, editor. The use of psychological testing for treatment planning and outcome assessment. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.; 1994. pp. 517–549.
    1. Alonso P, Menchon JM, Segalas C, Jaurrieta N, Jimenez-Murcia S, Cardoner N, Labad J, Real E, Pertusa A, Vallejo J. Clinical implications of insight assessment in obsessive-compulsive disorder. Comprehensive Psychiatry. 2008;49:305–312. - PubMed
    1. American Academy of Child and Adolescent Psychiatry. Practice parameters for the assessment and treatment of children and adolescents with obsessive-compulsive disorder. AACAP. Journal of the American Academy of Child and Adolescent Psychiatry. 1998;37:27S–45S. - PubMed
    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-IV-TR) 4th Text Revision ed. Washington, D.C.: American Psychiatric Association; 2000.

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