Variability in emotion regulation in paediatric obsessive-compulsive disorder: Associations with symptom presentation and response to treatment

McKenzie, Matthew L.; Donovan, Caroline L.; Mathieu, Sharna; Hyland, Wade J.; Farrell, Lara J.

doi:10.1016/j.jocrd.2019.100502

Cited by 11 publications

(5 citation statements)

References 46 publications

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“…However, in individual cases, EF deficits may be important for treatment planning. Our results about EF and treatment outcome partially contrast findings from a recent study, where difficulties with emotion regulation were associated with a poorer response to treatment in youth with OCD [ 42 ].…”

Section: Discussioncontrasting

confidence: 99%

Everyday executive functioning in pediatric obsessive-compulsive disorder: diagnostic specificity, clinical correlations, and outcome

Rydqvist,

Hoff,

Daukantaitè

et al. 2023

BMC Psychiatry

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Background Obsessive-compulsive disorder (OCD) typically onsets during childhood or adolescence and difficulties with executive functioning (EF) may be involved in its onset and maintenance. Yet, few studies have examined everyday EF difficulties in youth with OCD and no study has compared EF in youth with OCD to EF in youth with anxiety disorders, leaving the diagnostic specificity of EF unclear. Methods In this study, parents of treatment-seeking children and adolescents with OCD (n = 96, Mage = 13.3, SD = 2.7, 59% girls) or anxiety disorders (n = 67, Mage = 14.0, SD = 2.6, 78% girls) reported on their children’s everyday EF using the Behavior Rating Inventory of Executive Function (BRIEF) measure. Results Compared to community youth, the two clinical groups showed moderately elevated EF deficits but did not differ significantly from each other. EF deficits were not associated with the major symptom dimensions of OCD, age of OCD symptom onset, duration of OCD symptoms, and OCD severity, and did not predict treatment outcome in OCD. Conclusions Compared to peers, youth with OCD show moderate difficulties with EF, but very similar difficulties are seen in youth with anxiety disorders, and it is unclear whether these difficulties are of clinical relevance. Among youth with OCD, EF difficulties were not differentially associated with the major symptom dimensions of OCD, which is inconsistent with findings from adults. Difficulties with EF did not predict treatment outcome, indicating that integrating EF modules into OCD treatment may be of limited value, although EF may be important for treatment planning in individual cases.

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Section: Discussioncontrasting

confidence: 99%

Everyday executive functioning in pediatric obsessive-compulsive disorder: diagnostic specificity, clinical correlations, and outcome

Rydqvist,

Hoff,

Daukantaitè

et al. 2023

BMC Psychiatry

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“…Emotion regulation strategies are important in the context of obsessions (Jacoby et al, 2016). Effective emotion regulation in dealing with obsessions may improve response to treatment (McKenzie et al, 2020) and decision making (Shiri et al, 2019) and subsequently reduce suicidal risk in OCD patients (Allen et al, 2016; Shiri et al, 2019). Accordingly, acceptance and commitment therapy (ACT) and cognitive–behavioural therapy (CBT) may be appropriate choices to reduce the OC symptoms of UOTs and RFH (Haraguchi et al, 2011; Reuman et al, 2018) as well as suicidal ideation in OCD patients.…”

Section: Discussionmentioning

confidence: 99%

The effect of childhood maltreatment on suicidal ideation through cognitive emotion regulation strategies and specific obsessive–compulsive symptoms in obsessive–compulsive disorder

Khamesi

Najafi

Khosravani

2021

Clin Psychology and Psychoth

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Childhood maltreatment is thought to be associated with suicidality in patients with obsessive-compulsive disorder (OCD). Although the underlying mechanism of this relationship is not clear, cognitive emotion regulation strategies (CERSs) and the specific OC symptoms including unacceptable obsessional thoughts (UOTs) and responsibility for harm (RFH) may underlie this link. Accordingly, the study aimed to assess the effect of childhood maltreatment on suicidal ideation through UOTs, RFH and adaptive and maladaptive CERSs in OCD patients. Three hundred patients meeting a DSM-5 diagnosis of OCD were selected and completed the scales measuring childhood maltreatment, OCD, suicidality and depressive symptoms. After controlling for depressive symptoms and OCD severity, childhood maltreatment was shown to affect suicidal ideation directly. Also, the indirect effect of childhood maltreatment on suicidal ideation was mediated by adaptive CERSs, UOTs and RFH.The findings show that OCD patients with a history of childhood maltreatment, less use of adaptive CERSs and the experiences of UOTs and RFH should be carefully considered regarding suicidal risk.

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“…The notion of multifinality in developmental psychopathology, which states that common risk factors may lead to different outcomes (Cicchetti & Rogosch, 1996), may explain how different individual and contextual traits may facilitate the co-existence of both symptoms. Executive functioning (McKenzie et al, 2020;Qian et al, 2010), irritability (Stringaris & Goodman, 2009;Theriault et al, 2018), other common comorbidities such as ADHD (Farrell et al, 2020;Harvey et al, 2016) and anxiety (Martín et al, 2014;Storch et al, 2008), and family dysfunction (Greene et al, 2002) may be some of the characteristics that foster overlapping contemporary symptoms of ODD and OCD.…”

Section: Introductionmentioning

confidence: 99%

Irritability, Defiant and Obsessive-Compulsive Problems Development from Childhood to Adolescence

Ezpeleta

Penelo

Navarro

et al. 2021

J Youth Adolescence

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Little is known about the coexistence of oppositionality and obsessive-compulsive problems (OCP) in community children and how it affects their development until adolescence to prevent possible dysfunctions. The co-development of oppositional defiant dimensions and OCP is studied in 563 children (49.7% female) from ages 6 to 13 years, assessed yearly with measures answered by parents and teachers. A 4-class model based on Latent Class Growth Analysis for three parallel processes (irritability, defiant, and OCP) was selected, which showed adequate fitting indexes. Class 1 (n = 349, 62.0%) children scored low on all the measures. Class 2 (n = 53, 9.4%) contained children with high OCP and low irritability and defiant. Class 3 (n = 108, 19.2%) clustered children with high irritability and defiant and low OCP. Class 4 (n = 53, 9.4%) clustered comorbid irritability, defiant, and OCP characteristics. The classes showed different clinical characteristics through development. The developmental co-occurrence of irritability and defiant plus obsessive-compulsive behaviors is frequent and adds severity through development regarding comorbidity, peer problems, executive functioning difficulties, and daily functioning. The identification of different classes when combining oppositional problems and OCP may be informative to prevent developmental dysfunctions and to promote good adjustment through development.

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Variability in emotion regulation in paediatric obsessive-compulsive disorder: Associations with symptom presentation and response to treatment

Cited by 11 publications

References 46 publications

Everyday executive functioning in pediatric obsessive-compulsive disorder: diagnostic specificity, clinical correlations, and outcome

Everyday executive functioning in pediatric obsessive-compulsive disorder: diagnostic specificity, clinical correlations, and outcome

The effect of childhood maltreatment on suicidal ideation through cognitive emotion regulation strategies and specific obsessive–compulsive symptoms in obsessive–compulsive disorder

Irritability, Defiant and Obsessive-Compulsive Problems Development from Childhood to Adolescence

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