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Published on: June 1, 2015
Navigating recovery in childhood OCD: a qualitative analysis of barriers and facilitators
Lakshmi Sravanti1, Rajendra Kiragasur Madegowda2, Arul Jayendra Pradeep Velusamy3
1Department of Child and Adolescent Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, 560029, India. drsravanti@yahoo.com.
Objective:
The objective is to examine barriers and facilitators to recovery in children and adolescents with obsessive-compulsive disorder (OCD) using a qualitative approach.
Methods:
Ten semi-structured interviews were conducted, audio-recorded, and analyzed using thematic analysis. Findings were validated through investigator triangulation, peer validation and member check.
Results:
Barriers to recovery were internal-lack of awareness; poor motivation to seek treatment; and perceived stigma, or external-poor parental support; parental anxiety; inadequate awareness in schools; social misconceptions about illness; myths about medication; and frustrations in treatment processes. Facilitators were internal-will and determination; self-discipline; keeping calm; sense of purpose, and external-general awareness; parental support; peer support; and good therapeutic engagement.
Conclusions:
To the best of our knowledge, this is the first study to explore barriers and facilitators to recovery in-depth in pediatric OCD. Findings underscore the importance of tailored interventions, robust support networks, and cultural sensitivity for successful recovery outcomes.
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