Quality of Life in Children with Obsessive-Compulsive Disorder
Joana Vieira1, Filipa Ramalho E Silva2
1Co-primeiro autor. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.
Insights
Obsessive-compulsive disorder (OCD) significantly lowers quality of life in children. Comorbidities and symptom severity are key factors impacting this decline.
Area of Science:
- Child and Adolescent Psychiatry
- Clinical Psychology
- Quality of Life Research
Background:
- Obsessive-compulsive disorder (OCD) is a highly debilitating psychiatric condition.
- The impact of OCD on children's quality of life remains under-explored.
- Understanding these effects is crucial for effective pediatric mental healthcare.
Purpose of the Study:
- To review and synthesize existing literature on quality of life in children with OCD.
- To identify clinical variables associated with reduced quality of life in pediatric OCD patients.
- To highlight areas for future research and clinical practice.
Main Methods:
- Systematic literature search of PubMed and Web of Science databases.
- Keywords included 'Quality of Life', 'Obsessive-compulsive disorder', 'Child', 'Pediatrics', and 'Adolescent'.
- Analysis of five selected articles focusing on quality of life in pediatric OCD, comparing with general population and clinical variables.
Main Results:
- Children with OCD generally experience a reduced quality of life compared to the general population.
- Comorbidities, symptom severity, and obsessions related to harm/aggression significantly impact quality of life.
- While some results were inconsistent, a trend of decreased quality of life was observed.
Conclusions:
- Limited studies and methodological heterogeneity hinder definitive conclusions.
- Findings align with research on quality of life in adult OCD patients.
- Further research is essential, and quality of life assessment should be routine in pediatric OCD care.
Introduction:
Obsessive-compulsive disorder is a psychiatric disorder stated as one of the most debilitating diseases in the developedworld. However, not much is known about how this disease impairs patients' quality of life in children.
Material And Methods:
We conducted a research in PubMed and Thomson Reuters Web Of Science using the following terms: 'Quality of life', 'Obsessive-compulsive disorder', 'Child', 'Pediatrics' and 'Adolescent'. Of the 138 papers retrieved with this search, five articles corresponded to the aim of this review. We analyzed quality of life in children with obsessive-compulsive disorder comparing with general population and searching the relation with other clinical variables such as sex, age, comorbidities, symptoms dimension, symptoms severity, family accommodation and quality of life.
Results:
Albeit studies results not being concordant regarding the different dimensions analyzed, our findings pointed to an overall decrease of quality of life in children with obsessive-compulsive disorder. The presence of co-morbidities, symptoms severity and obsessions with harm/aggression content are the variables that have a higher influence in quality of life levels.
Discussion:
The small number of articles found and the fact that their methodology was extremely heterogeneous made it difficult to state robust conclusions. Despite that, our findings agree with other studies in adults.
Conclusion:
Quality of life in children and adolescents with obsessive-compulsive disorder must be better explored in future researches. We suggest the introduction of quality of life as a routinely used instrument in patient's assessment and in treatment response evaluation.
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