The Children's Yale-Brown Obsessive-Compulsive Scale's auxiliary items: Long-term outcome

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DOI

  • Sanne Jensen
  • Katja A. Hybel
  • Davíð R.M.A. Højgaard
  • Judith Becker Nissen
  • Gudmundur Skarphedinsson, University of Iceland
  • ,
  • Nor Christian Torp, Department of Child and Adolescent Psychiatry, Division of Mental Health and Addiction, Vestre Viken Hospital, Drammen
  • ,
  • Tord Ivarsson, Regional Centre for Child and Youth Mental Health and Child Welfare, Norwegian University of Science and Technology, University of Gothenburg
  • ,
  • Bernhard Weidle, Norwegian University of Science and Technology
  • ,
  • Erik Lykke Mortensen, Københavns Universitet
  • ,
  • Anders Helles Carlsen
  • Karin Melin, University of Gothenburg
  • ,
  • Scott Compton, Duke University
  • ,
  • Per Hove Thomsen

Objective: Standard assessment of pediatric obsessive-compulsive disorder (OCD) patients includes ratings of insight, avoidance, indecisiveness, sense of responsibility, pervasive slowness, pathological doubting, and obsession-free intervals. The present study aims to identify pre-treatment associations of these clinical features to symptom severity and symptom dimensions as well as to describe and analyze the long-term levels and distribution in different treatment responder groups. Method: Severity ratings as well as clinical feature ratings were evaluated in 268 pediatric OCD patients using the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) at seven time points before, during, and up to three years after first-line cognitive-behavioral therapy. The CY-BOCS auxiliary items were evaluated on the basis of three symptom severity trajectory classes: acute, slow, and limited responders. Results: Insight, avoidance, pervasive slowness, and obsession-free intervals were positively associated with pre-treatment symptom severity. Symptom dimensions were associated with different auxiliary items. At three-year follow-up, the limited responder class had higher scores than the acute and slow responder classes on all items except for responsibility. Conclusion: The CY-BOCS auxiliary items are closely related to symptom dimensions and partly to symptom severity. The features appear to be dynamic concepts prone to change, yet, less so in patients showing limited long-term treatment response.

OriginalsprogEngelsk
Artikelnummer100589
TidsskriftJournal of Obsessive-Compulsive and Related Disorders
Vol/bind27
ISSN2211-3649
DOI
StatusUdgivet - okt. 2020

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