Longitudinal trajectory and predictors of change in family accommodation during exposure therapy for pediatric OCD

Jacoby, Ryan J.; Smilansky, Hannah; Shin, Jin Yong; Wu, Monica S.; Small, Brent J.; Wilhelm, Sabine; Storch, Eric A.; Geller, Daniel

doi:10.1016/j.janxdis.2021.102463

Cited by 3 publications

(1 citation statement)

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“…One of the most well-studied structures of family factors in pediatric OCD is family accommodation (FA), which refers to the act of parents, siblings, or partners accommodating the high-risk individual’s requests to comply with their compulsions in order to avoid or alleviate distress. It is associated with a greater severity of OCD symptoms, more impairment and poorer treatment outcomes [ 138 , 139 , 140 ]. Reducing FA is considered a promising intervention in all three levels of prevention.…”

Section: Primary Secondary and Tertiary Prevention Of Pediatric Ocdmentioning

confidence: 99%

Early Identification and Intervention in Pediatric Obsessive-Compulsive Disorder

Liu

Fan

2023

Brain Sciences

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Obsessive-compulsive disorder (OCD) is a psychiatric disorder characterized by persistent thoughts with subsequent repetitive behaviors. Interventions that are effective for adult OCD cannot simply be generalized to pediatric OCD, since OCD in children and adolescents usually has a different clinical presentation, etiology and course from adult OCD. Delayed and inadequate treatment is associated with a worse prognosis, making the need for early identification and intervention in pediatric OCD very urgent. In this paper, we reflected on the current constraints that make early interventions for pediatric OCD unpromoted and reviewed the approaches with potential application for early identification and early intervention in pediatric OCD, categorized by three-level prevention stages corresponding to a clinical staging model. Since the etiology of pediatric OCD is still unclear, primary prevention is most lacking, and early interventions for pediatric OCD are currently focused on the secondary prevention stage, which aims to prevent the conversion of obsessive-compulsive symptoms into full-blown OCD; tertiary prevention mostly focuses on the alleviation of mild to moderate OCD, while interventions for co-morbidities are still in their infancy. We closed by considering the important research questions on this topic.

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Section: Primary Secondary and Tertiary Prevention Of Pediatric Ocdmentioning

confidence: 99%