Rage Attacks in Pediatric Obsessive-Compulsive Disorder: Phenomenology and Clinical Correlates

Storch, Eric A.; Jones, Anna M.; Lack, Caleb W.; Ale, Chelsea M.; Sulkowski, Michael L.; Lewin, Adam B.; Nadai, Alessandro S. De; Murphy, Tanya K.

doi:10.1016/j.jaac.2012.02.016

Cited by 130 publications

(93 citation statements)

References 36 publications

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“…Indeed, fearful youths may be particularly intolerant of experiencing anxiety-related sensations [60], and depressive symptoms may present as a motivation and lethargy [61], making it incumbent upon the parents to provide more accommodations to overcome these barriers. Similarly, the increased distress may result in poor emotion regulation and anger outbursts, coercing relatives to engage in higher levels of family accommodation [29,31,42,62]. Notably, various studies have elucidated the prevalence of aggressive, disruptive, and/or explosive outbursts in TS [8,11,12,63,64].…”

Section: Discussionmentioning

confidence: 99%

“…These five items are rated on a 0-10 point scale, and were summed to create a total impairment score (range 0-50). The CSDS has demonstrated strong psychometric properties (e.g., internal consistency, test-rest reliability, construct validity; [52]) and is commonly used to assess impairment in childhood neuropsychiatric disorders (e.g., OCD; [29,53]). …”

Section: Methodsmentioning

confidence: 99%

“…Across pediatric OCD and anxiety, accommodation is ubiquitous, occurring to some degree in virtually all families [14,[21][22][23][24][25][26][27]. Direct associations have been reported between family accommodation and obsessive-compulsive or anxiety severity [26][27][28][29][30], functional impairment [26][27][28][29], child externalizing behaviors [20,23,25,26,28,29,31], and family discord [21]. Accommodation in pediatric OCD and anxiety has been inconsistently related to child age with some finding inverse relations [25] and others finding no significant relationship [22][23][24]28].…”

mentioning

confidence: 99%

“…Fourth, we investigated the extent to which child anxiety, depressive symptoms, externalizing symptoms, and tic symptom severity predict family accommodation. Given data suggesting the contribution of comorbidity among youth with TS in understanding functional impairment [40,41], and existing evidence suggesting increased accommodation in the context of anxiety and disruptive behaviors [29,42], we expected that anxiety, depressive symptoms, externalizing symptoms, and tic severity would each predict family accommodation. Finally, we examined whether family accommodation, tic symptom severity, and internalizing and externalizing symptoms predicted impairment.…”

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confidence: 99%

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An initial study of family accommodation in children and adolescents with chronic tic disorders

Storch

Johnco

McGuire

et al. 2016

Eur Child Adolesc Psychiatry

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This initial study examined the nature, incidence, and clinical correlates of family accommodation in youth with tic disorders, and validated a brief self-report measure of tic-related family accommodation, the Tic Family Accommodation Scale (TFAS). Seventy-five youth aged 6-18 who were diagnosed with a tic disorder and their parent completed a diagnostic clinical interview, and clinician and parent-report measures of tic severity, depressive symptoms, anxiety symptoms, behavioral problems, family accommodation and impairment. An exploratory factor analysis of the TFAS showed a two-factor structure, with good internal consistency for the Total score, Modification of Child Environment and Modification of Parent Environment subscales (α = 0.88, 0.86, and 0.81, respectively). Family accommodation was not associated with tic severity. Family accommodation was associated with increased anxiety and depressive symptoms, higher externalizing, rule breaking, aggressive behaviors and social problems, and with greater tic-related functional impairment. Anxiety and externalizing problems (but not depressive symptoms) predicted family accommodation when controlling for tic severity. Family accommodation predicted high levels of functional impairment over and above the effect of tic severity, anxiety, depression and externalizing problems. Family accommodation is a common phenomenon for youth with tic disorders, with modifications typically encompassing changes to the child and/or parent environments. Accommodation was not associated with tic severity, but was related to higher levels of anxiety, depressive symptoms, externalizing symptoms, aggression, and rule breaking behaviors. Results suggest that other emotional symptoms are more likely to drive accommodation practices than the tic symptoms per se.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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An initial study of family accommodation in children and adolescents with chronic tic disorders

Storch

Johnco

McGuire

et al. 2016

Eur Child Adolesc Psychiatry

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“…31 Moreover, rage attacks, exaggerated criticism, and family isolation are extremely common. 32,33 Symptoms also very often affect the patient's social interaction with peers, as a result of avoidance behaviors and rules that hamper events such as travelling, sleeping over a friend's place, or having a boy/girlfriend.…”

Section: Discussionmentioning

confidence: 99%

Quality of life in adolescents with obsessive-compulsive disorder

Vivan

Rodrigues

Wendt

et al. 2013

Rev. Bras. Psiquiatr.

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Objective: To compare adolescents with and without obsessive-compulsive disorder (OCD) with regard to quality of life and to investigate the association between quality of life and clinical characteristics. Methods: Participants were recruited from an epidemiological study conducted at high schools in the city of Porto Alegre, southern Brazil. The sample comprised 75 adolescents with OCD and 150 without the disorder, aged between 14 and 18 years. Participants were assessed using the following instruments: Schedule for Affective Disorders and Schizophrenia for School Aged Children --Present and Lifetime Version (K-SADS-PL), Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), World Health Organization Quality of Life Assessment --Abbreviated Version (WHOQOL-BREF), Beck Anxiety Inventory (BAI), and Beck Depressive Inventory --II (BDI-II). Results: The two groups showed significant differences in relation to depression symptoms, anxiety symptoms, and quality of life (all domains), with a poorer performance among adolescents with OCD when compared to those without the disorder. Stepwise regression analysis revealed a significant association between BDI-II scores and quality of life, in all domains. Conclusions: Our findings suggest that adolescents with OCD, especially those with depression symptoms, have a poorer quality of life when compared with adolescents without OCD.

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