Children of parents with obsessive-compulsive disorder -- a 2-year follow-up study

D W Black1, G R Gaffney, S Schlosser

  • 1Department of Psychiatry, University of Iowa, Roy J and Lucille A Carver College of Medicine, Iowa City, IA 52242-1000, USA. donald-black@uiowa.edu

Insights

Children with a parent suffering from obsessive-compulsive disorder (OCD) face a higher risk of developing emotional and behavioral disorders. This includes increased likelihood of anxiety, depression, and social problems.

Area of Science:

  • Psychiatry
  • Developmental Psychology
  • Genetics

Background:

  • Obsessive-compulsive disorder (OCD) is a debilitating mental health condition.
  • Understanding the intergenerational transmission of mental health disorders is crucial for early intervention.

Purpose of the Study:

  • To investigate the association between parental obsessive-compulsive disorder (OCD) and the prevalence of emotional and behavioral disorders in their offspring.
  • To identify risk factors for the development of these disorders in children of parents with OCD.

Main Methods:

  • A cohort study design was employed, collecting demographic, clinical, and diagnostic data from parents with OCD and matched control subjects.
  • Offspring of both groups were assessed and reassessed at a 2-year follow-up to track emotional and behavioral outcomes.

Main Results:

  • Offspring of parents with OCD exhibited a significantly higher risk for dimensionally measured anxiety, depression, somatization, and social problems compared to offspring of controls.
  • Children with a parent with OCD were more likely to be diagnosed with lifetime overanxious disorder, separation anxiety disorder, OCD, or any anxiety disorder.
  • Parental factors such as female gender, family dysfunction, and high symptom levels in offspring predicted broadly defined OCD at follow-up.

Conclusions:

  • Parental OCD is a significant risk factor for the development of social, emotional, and behavioral disorders in offspring.
  • Early identification and intervention for children of parents with OCD are warranted to mitigate long-term mental health consequences.
Abstract

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