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Shared Death Anxiety: Obsessive-Compulsive Disorder and Advanced Paternal Age
Tiago Aguiar Soares1, Joana Coelho Santos1, Daniela Couto1
1Department of Child and Adolescent Psychiatry, Local Health Unit of Western Lisbon, Lisbon, PRT.
Cureus
|February 17, 2025
Summary
This case report details obsessive-compulsive disorder (OCD) in a child with advanced paternal age (APA) parents. It highlights the impact of paternal age on child mental health and family dynamics.
Area of Science:
- Child and Adolescent Psychiatry
- Developmental Psychology
- Family Systems Theory
Background:
- Childhood obsessive-compulsive disorder (OCD) significantly impacts daily functioning.
- Advanced paternal age (APA) presents unique family psychosocial dynamics.
- Intergenerational emotional challenges can be exacerbated by APA.
Observation:
- A 10-year-old boy presented with OCD and pervasive death anxiety.
- His 83-year-old father shared similar existential concerns intensified by his advanced age.
- Family dynamics included maternal enmeshment and paternal emotional distancing.
Findings:
- The case illustrates a complex interplay between APA, pediatric OCD symptoms, and family dynamics.
- Filipino cultural values influenced caregiving and coping mechanisms.
- Shared death anxiety between father and son was a prominent feature.
Implications:
- Highlights the need for personalized, culturally sensitive interventions for pediatric OCD in APA families.
- Underscores the impact of APA on intergenerational mental health.
- Suggests therapeutic strategies focusing on symptom alleviation, family cohesion, and open dialogue about existential fears.
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