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Obsessional intrusive thoughts in children: An interview based study.

Gemma García-Soriano1, Ángel Carrasco2, Lisa Marie Emerson3

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Psychology and Psychotherapy
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Most children experience obsessional intrusive thoughts (OITs), with themes of harm and doubt being common. Cognitive strategies like suppression and distraction are frequently used to manage these thoughts.

Keywords:
OCDchildrencognitive modelinterviewintrusionsobsessions

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Area of Science:

  • Child Psychology
  • Cognitive Behavioral Therapy
  • Obsessive-Compulsive Disorder

Background:

  • Obsessional intrusive thoughts (OITs) are a core feature of obsessive-compulsive disorder (OCD).
  • The cognitive model of OCD, primarily developed for adults, needs investigation in pediatric populations.

Purpose of the Study:

  • To investigate the prevalence, frequency, content, and emotional impact of OITs in children aged 8-10 years.
  • To explore children's appraisals of OITs and their coping strategies.
  • To test the applicability of the cognitive model of OCD in a child sample.

Main Methods:

  • A sample of 49 children (mean age 9.1 years) completed self-report questionnaires on anxiety and OCD symptoms.
  • Children were interviewed using the Children's Anxious Thoughts Interview to assess OIT experiences.

Main Results:

  • 71.43% of children reported experiencing at least one OIT, with harm and doubt as common themes.
  • Children reporting frequent OITs experienced higher anxiety and OCD interference, rating thoughts as important and distracting.
  • Cognitive strategies, including suppression, distraction, and thought replacement, were most frequently used.

Conclusions:

  • Nearly two-thirds of community children experience OITs, suggesting they are not uncommon.
  • Findings offer preliminary support for the cognitive model of OCD in children.
  • Subtle differences in OIT experiences compared to adults warrant further investigation.