Diagnostik von Zwangsstörungen im Kindes- und Jugendalter

Goletz, Hildegard; Döpfner, Manfred

doi:10.1026/0942-5403.16.2.117

Cited by 13 publications

(5 citation statements)

References 34 publications

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“…To complement the information obtained with the clinical interviews, we assessed ED-specific psychopathology using the Eating Disorders Inventory (EDI-2 [ 36 ]), depressive symptoms using the Beck Depression Inventory (BDI-II [ 37 ]), trait anxiety symptoms using the State and Trait Anxiety Inventory (STAI/STAI-K (for children) [ 38 ]), and obsessive-compulsive traits using a validated German self-report questionnaire to assess obsessive-compulsive traits “Zwangsinventar für Kinder und Jugendliche” (ZWIK [ 39 , 40 ]); for details, see Supplementary Materials File S2.1 . The BMI and BMI-standard deviation score (BMI-SDS [ 41 , 42 ]) were measured at baseline one day before starting the EMA assessment.…”

Section: Methodsmentioning

confidence: 99%

“…The following supporting information can be downloaded at: . File S1: Participants; File S2: Methods; File S2.1: Clinical and ecological momentary assessment (EMA) measures [ 39 , 40 ]; File S2.2: Blood samples [ 26 ]; File S2.3: Statistical Analyses [ 77 , 78 ]; Table S1: Sociodemographic sample characteristics [ 79 ]; Table S2: Multilevel estimates for models predicting habit occurrence excluding AN with comorbid obsessive-compulsive disorder ( n = 2); Table S3: Multilevel estimates for models predicting habit occurrence excluding AN with binge-eating-purging subtype ( n = 14); Table S4: Associations between habit frequency and clinical variables.…”

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confidence: 99%

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Increased Habit Frequency in the Daily Lives of Patients with Acute Anorexia Nervosa

et al. 2022

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Strict eating routines and frequent rigid behavior patterns are commonly observed in patients with anorexia nervosa (AN). A recent theory proposes that while these behaviors may have been reinforced initially, they later become habitual. To date, however, research has been overly focused on eating-disorder (ED)-related habits. Over the course of seven days, we applied an ecological momentary assessment (EMA) to investigate the habit frequency and strength of ED-specific (food intake) and ED-unspecific (hygiene) habits in the daily lives of a sample of n = 57 AN and n = 57 healthy controls (HC). The results of the hierarchical models revealed that habits were significantly more likely in patients compared with HC for both categories, independently. Furthermore, a lower body mass index (BMI) was associated with increased habit frequency in AN. Our study strengthens the habit theory of AN by showing the relevance of habits beyond ED-specific behavioral domains. This also supports the development of innovative therapeutic interventions targeting habitual behavior in EDs.

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%

Increased Habit Frequency in the Daily Lives of Patients with Acute Anorexia Nervosa

et al. 2022

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“…OCD was diagnosed based on the clinician-rated Diagnostic Checklist for OCD ( DCL-ZWA ), which is part of the Diagnostic System for the Assessment of Mental Disorders in Children and Adolescents based on the ICD-10 and DSM-IV (DISYPS-II; [ 34 ]). Further secondary outcomes were parent- and patient-rated OCD symptoms ( German OCD Inventory for Children and Adolescents [ OCD-CA ]; [ 38 ]), OCD-related individual problems ( OCD-related problem list [ OCD-PL ]; [ 38 ] and Daily Observation ; [ 39 ]), functional impairment ( OCD-functional impairment list, [ OCD-FL ]; developed for the purpose of this study), overall comorbid symptoms ( Child Behavior Checklist/6-18R [ CBCL/6-18R ] and Youth Self Report/11-18R [ YSR/11-18R ]; [ 40 ]), anxiety symptoms ( German Symptom Checklists for Anxiety Disorders and Obsessive–Compulsive Disorders [ FBB-/SBB-ANZ ]; [ 34 ]), and depressive symptoms ( German Symptom Checklists for Depressive Disorders [ FBB-/SBB-DES ]; [ 34 ]).…”

Section: Methodsmentioning

confidence: 99%

Extended treatment of multimodal cognitive behavioral therapy in children and adolescents with obsessive–compulsive disorder improves symptom reduction: a within-subject design

Adam

Goletz

Dengs

et al. 2022

Child Adolesc Psychiatry Ment Health

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Background Based on the current state of research regarding the treatment in pediatric obsessive–compulsive disorder (OCD), cognitive behavioral therapy (CBT) (in severe cases with additional pharmacotherapy) is considered as the first-line treatment according to internationally recognized guidelines. Research is mostly based on randomized controlled trials (RCTs; efficacy research). Thus, examined treatment conditions, especially the treatment duration, and patients’ characteristics do not necessarily correspond to those found within routine care. Studies showed CBT packages as a whole to be efficacious, but less is known about the effects of individual CBT components. Furthermore, effects on comorbid symptoms or psychosocial impairment have been often neglected and different rater perspectives have been hardly considered in previous research. Methods This effectiveness study aimed to examine the effects of multimodal CBT in children, adolescents, and young adults (age 6–20 years) with OCD (n = 38) within routine care. Effects on obsessive–compulsive and co-existing symptoms were evaluated in a within-subject design by comparing changes during the assessment phase with 12-week standard treatment and with individually tailored extended treatment. Additionally, within the standard treatment, non-exposure treatment was compared to exposure treatment. Multi-informant assessment was applied, and the analyses included multilevel modeling and t-tests for pre-post comparisons. Results During the standard treatment and extended treatment, obsessive–compulsive symptoms, strain, and functional impairment significantly decreased. Moreover, a significant reduction of overall comorbid symptoms emerged, particularly regarding internalizing symptoms, including anxiety and depression. Comparisons of treatment components indicated that adding exposure with response prevention (ERP) has an additional positive effect. Clinical improvement and remission rates increased considerably when more treatment sessions were provided. Conclusions These results suggest that improvement after an initial 12-week course of treatment may not allow for the prediction of non-responders/non-remitters and for the termination of treatment. Overall, the findings show that results from randomized controlled trials are transferrable to routine care. Trial registration number This study was registered retrospectively at the German Clinical Trials Register (https://drks.de/search/de/trial/DRKS00030050).

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“…The German OCD Inventory for Children and Adolescents (OCD-CA; German: Zwangsinventar für Kinder und Jugendliche; ZWIK [23]) is a modified version of the Padua Inventory-Washington State University Revision (PI-WSUR [24] /PI-WSUR (German translation) [25]). The OCD-CA enables the assessment of pediatric OCD symptoms on different symptom scales.…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, the current study examined an inventory to assess OCD symptoms in children and adolescents across common OCD domains, the OCD-CA (OCD Inventory for Children and Adolescents) [23], which is rated by children and parents separately and is based on the Padua Inventory-Washington State University Revision [24].…”

Section: Introductionmentioning

confidence: 99%

Psychometric evaluation of a parent-rating and self-rating inventory for pediatric obsessive-compulsive disorder: German OCD Inventory for Children and Adolescents (OCD-CA)

Adam

Goletz

Mattausch

et al. 2019

Child Adolesc Psychiatry Ment Health

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Background This study assesses the psychometric properties of the German version of the Padua Inventory-Washington State University Revision for measuring pediatric OCD. Methods The parent-rating and self-rating inventory is assessed in a clinical sample (CLIN: n = 342, age range = 6–18 years) comprising an OCD subsample (OCDS: n = 181) and a non-OCD clinical subsample (non-OCD: n = 161), and in a community sample (COS: n = 367, age range = 11–18 years). Results An exploratory factor analysis yielded a four-factor solution: (1) Contamination & Washing, (2) Catastrophes & Injuries, (3) Checking, and (4) Ordering & Repeating. Internal consistencies of the respective scales were acceptable to excellent across all samples, with the exception of the self-report subscale Ordering and Repeating in the community sample. The subscales correlated highly with the total score. Intercorrelations between the subscales were mainly r ≤ .70, indicating that the subscales were sufficiently independent of each other. Convergent and divergent validity was supported. Participants in the OCD subsample scored significantly higher than those in the non-OCD clinical subsample and the COS on all scales. In the COS, self-rating scores were significantly higher than parent-rating scores on all scales, while significant mean differences between informants were only found on two subscales in the OCD subsample. Conclusion The German version of the Padua Inventory-Washington State University Revision for measuring pediatric OCD is a promising, valid and reliable instrument to assess self-rated and parent-rated pediatric OCD symptoms in clinical and non-clinical (community) populations. Electronic supplementary material The online version of this article (10.1186/s13034-019-0286-z) contains supplementary material, which is available to authorized users.

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Diagnostik von Zwangsstörungen im Kindes- und Jugendalter

Cited by 13 publications

References 34 publications

Increased Habit Frequency in the Daily Lives of Patients with Acute Anorexia Nervosa

Increased Habit Frequency in the Daily Lives of Patients with Acute Anorexia Nervosa

Extended treatment of multimodal cognitive behavioral therapy in children and adolescents with obsessive–compulsive disorder improves symptom reduction: a within-subject design

Psychometric evaluation of a parent-rating and self-rating inventory for pediatric obsessive-compulsive disorder: German OCD Inventory for Children and Adolescents (OCD-CA)

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