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Obsessive-compulsive disorder in children and adolescents
1Division of Child and Adolescent Psychiatry, Johns Hopkins Medical Institutions, Children's Center, Baltimore, MD 21287-3325, USA. riddle@welchlink.welch.jhu.edu
The British Journal of Psychiatry. Supplement
|November 26, 1998
Summary
Paediatric obsessive-compulsive disorder (OCD) often begins in childhood, with effective treatments including cognitive-behavioural therapy, parent training, and medication like SSRIs or exposure/response prevention.
Area of Science:
- Child and Adolescent Psychiatry
- Neuroscience
- Psychology
Background:
- Obsessive-compulsive disorder (OCD) is a common psychiatric condition with over 80% of cases emerging before age 18.
- Adolescent OCD prevalence is estimated between 1-2%.
Purpose of the Study:
- To review current knowledge on paediatric OCD.
- To cover key aspects including onset, classification, prevalence, etiology, pathophysiology, assessment, prognosis, and treatment.
Main Methods:
- Literature review of paediatric OCD.
- Synthesis of information on epidemiology, clinical features, and therapeutic interventions.
Main Results:
- Essential treatment components include long-term commitment, care management, and illness education.
- Specific interventions comprise cognitive-behavioural therapy, parent behaviour management training, and pharmacotherapy.
Conclusions:
- Selective serotonin reuptake inhibitors (SSRIs) and exposure/response prevention (ERP) are the most effective treatments for paediatric OCD.