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Case series: Sensory intolerance as a primary symptom of pediatric OCD
Eric P Hazen1, Elizabeth L Reichert, John C Piacentini
1Clinical Research Program in Pediatric Psychopharmacology, Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USA.
Insights
Children with Obsessive-Compulsive Disorder (OCD) can experience sensory sensitivities that lead to compulsive behaviors. These sensory-driven symptoms, without typical intrusive thoughts, highlight sensory processing issues in some pediatric OCD cases.
Area of Science:
- Neuroscience
- Child Psychology
- Psychiatry
Background:
- Obsessive-Compulsive Disorder (OCD) in children can manifest with unusual symptoms.
- Some pediatric OCD cases present with marked intolerance to ordinary sensory stimuli.
Observation:
- A study examined children with DSM-IV OCD from a family genetic study.
- These children exhibited intolerance to sensory stimuli, causing distress and impairing ritualistic behaviors.
Findings:
- Sensory symptoms were the primary presenting issue in these cases.
- These symptoms occurred without the typical intrusive thoughts associated with conventional OCD.
Implications:
- Suggests sensory processing and integration abnormalities in a subset of OCD patients.
- Recognizing these sensory symptoms aids in identifying and treating pediatric OCD.
Introduction:
Marked intolerance or intrusive re-experiencing of ordinary sensory stimuli that in turn drive functionally impairing compulsive behaviors are occasionally seen in young children with OCD.
Methods:
We describe a number of children with DSM-IV OCD ascertained from a family genetic study of pediatric OCD, whose intolerance of ordinary sensory stimuli created significant subjective distress and time-consuming ritualistic behavior that was clinically impairing.
Results:
In each case, these sensory symptoms were the primary presenting symptoms and were experienced in the absence of intrusive thoughts, images, or ideas associated with "conventional" OCD symptoms.
Conclusions:
These symptoms suggest abnormalities in sensory processing and integration in at least a subset of OCD patients. Recognition of these sensory symptoms and sensory-driven behaviors as part of the broad phenotypic variation in children with OCD could help clinicians more easily identify OCD patients and facilitate treatment.
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