Obsessive-compulsive disorder in children: The role of nurse practitioners

Rebecca Sturm1

  • 1School of Nursing, Columbia University, New York, New York, USA. rs2251@columbia.edu

Insights

Obsessive-compulsive disorder (OCD) in children is common and can impair development. Early identification and treatment by nurse practitioners (NPs) are vital for improving a child's quality of life and daily functioning.

Area of Science:

  • Child and Adolescent Psychiatry
  • Behavioral Sciences
  • Nursing Practice

Background:

  • Obsessive-compulsive disorder (OCD) is a prevalent psychiatric condition in children.
  • OCD can significantly impede a child's developmental trajectory and daily functioning.
  • Early recognition of childhood OCD is often delayed, impacting long-term outcomes.

Purpose of the Study:

  • To comprehensively review the characteristics of childhood OCD.
  • To explore differential diagnoses, screening, and assessment methodologies for pediatric OCD.
  • To examine available interventions, treatment outcomes, and the role of nurse practitioners (NPs) in managing pediatric OCD.

Main Methods:

  • A thorough review of existing published literature on childhood OCD was conducted.
  • The literature search focused on diagnostic criteria, assessment tools, therapeutic interventions, and patient outcomes.
  • The review also considered the specific contributions and responsibilities of NPs in pediatric OCD care.

Main Results:

  • Childhood OCD presents with diverse characteristics and requires careful differential diagnosis.
  • Various screening and assessment tools are available to aid in the identification of pediatric OCD.
  • Effective interventions exist, and early treatment positively influences psychosocial functioning and quality of life.

Conclusions:

  • Pediatric OCD is a common disorder that, if unrecognized, can lead to significant functional impairments.
  • Prompt identification and intervention are critical for optimizing a child's psychosocial well-being and overall quality of life.
  • Nurse practitioners equipped with knowledge of childhood OCD can effectively identify, assess, treat, and refer these patients.
Abstract

Related Concept Videos

Obsessive-Compulsive Disorder01:28

Obsessive-Compulsive Disorder

Obsessive-compulsive disorder (OCD) is a mental health condition characterized by recurrent obsessions, compulsions, or both, which consume significant time and interfere with daily functioning. Obsessions involve persistent, intrusive, and unwanted thoughts, images, or urges that evoke anxiety. Common examples include irrational fears of contamination or harm. Compulsions are repetitive behaviors or mental acts performed to reduce the anxiety caused by obsessions. For instance, individuals...
Personality Disorders: Dependent and Obsessive-Compulsive01:24

Personality Disorders: Dependent and Obsessive-Compulsive

Dependent personality disorder and obsessive-compulsive personality disorder are two separate psychological conditions that influence behavior, relationships, and overall life functioning. Though both involve maladaptive behaviors, their core characteristics and motivations differ significantly.
 Dependent Personality Disorder
Dependent personality disorder is characterized by an excessive reliance on others to manage various aspects of life. Individuals with this disorder often struggle with...
Operant Conditioning Intervention01:24

Operant Conditioning Intervention

Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
Anxiety: Overview01:18

Anxiety: Overview

Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Oppositional Defiant Disorder01:30

Oppositional Defiant Disorder

A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Modeling in Therapy01:26

Modeling in Therapy

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...