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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.
Objective:
To examine the association between parental obsessive-compulsive disorder (OCD) and emotional and behavioural disorders in offspring.
Method:
Demographic, clinical, and diagnostic data were collected from parents with OCD, control subjects, and their respective offspring. Offspring were reassessed at a 2-year follow-up.
Results:
Probands with OCD and controls were relatively well matched for age, gender, race, educational rating, and marital status. Offspring of OCD probands were at greater risk than offspring of controls for dimensionally measured anxiety, depression, somatization, and social problems. OCD offspring were significantly more likely than control offspring to have lifetime overanxious disorder, separation anxiety disorder, OCD, or 'any anxiety disorder'. Female gender in the parent with OCD, evidence of family dysfunction, and high symptom levels in offspring were predictive of broadly defined OCD at follow-up.
Conclusion:
Children having a parent with OCD are more likely than control offspring to have social, emotional, and behavioural disorders.
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