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Case study: obsessive difficult temperament and its response to serotonergic medication

E J Garland1, M Weiss

  • 1Department of Psychiatry, University of British Columbia, Vancouver, Canada.

Journal of the American Academy of Child and Adolescent Psychiatry
|July 1, 1996
PubMed
Summary

This study introduces "obsessive difficult temperament," a condition marked by rigidity and irritability. Serotonergic medication significantly improved symptoms in a series of eight children.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Neurodevelopmental Disorders
  • Pharmacology

Background:

  • Obsessive difficult temperament is a temperamental pattern characterized by functional impairment.
  • Key features include obsessive rigidity, irritability, withdrawal, and poor self-regulation.
  • This pattern can significantly impact a child's daily functioning.

Purpose of the Study:

  • To describe the syndrome of obsessive difficult temperament.
  • To propose diagnostic criteria for this temperamental pattern.
  • To report the response of this temperament to serotonergic medication.

Main Methods:

  • A case series of eight children (5 female, 3 male) aged 8-11 years was analyzed.
  • Clinical characteristics, prior treatments, and family history were documented.

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  • The response to serotonergic medication was systematically observed.

    • Main Results:

    • Obsessive difficult temperament was characterized by specific temperamental traits and functional impairment.
    • Serotonergic medication led to significant improvement in the children's symptoms.
    • No specific details on prior treatments or family history were highlighted as primary findings.

    Conclusions:

    • Obsessive difficult temperament is a recognizable syndrome with distinct characteristics.
    • Serotonergic medications appear to be an effective treatment for this condition.
    • Further research is warranted to validate diagnostic criteria and treatment efficacy.