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The Relationship Between Trauma Exposure and Obsessive–Compulsive Disorder in Youth: A Systematic Review

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Abstract

Extant literature suggests a possible relationship between childhood trauma exposure and the development and trajectory of obsessive–compulsive symptoms (OCS) and obsessive–compulsive disorder (OCD); however, this relationship is poorly understood. We conducted a systematic review that examined trauma exposure and OCS/OCD in youth. Primary inclusion criteria were English-language articles that addressed a sample with participants under 18 years of age. 46 articles met criteria for review, and were categorized into three groups of overlap: Post-traumatic Stress Disorder (PTSD) and OCS or OCD (n = 3), clearly defined Criterion A event trauma exposure and OCS or OCD (n = 30), and less well-defined potential trauma exposure and OCS or OCD (n = 13). There was mixed evidence linking trauma exposure and the development of OCS or OCD in youth. Major methodological limitations preclude formal conclusions. More research on co-occurring trauma exposure and OCD/OCS in youth is needed to advance research and improve treatment.

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Authors and Affiliations

  1. Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market St., #3001, Philadelphia, PA, 19104, USA

    Katherine Wislocki & Emily M. Becker-Haimes

  2. Department of Psychological Science, University of California, Irvine, CA, USA

    Katherine Wislocki

  3. Department of Psychology, La Salle University, Philadelphia, PA, USA

    Hilary E. Kratz & Gerald Martin

  4. Hall Mercer Community Mental Health, University of Pennsylvania Health System, Philadelphia, PA, USA

    Emily M. Becker-Haimes

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  1. Katherine Wislocki
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  4. Emily M. Becker-Haimes
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Wislocki, K., Kratz, H.E., Martin, G. et al. The Relationship Between Trauma Exposure and Obsessive–Compulsive Disorder in Youth: A Systematic Review. Child Psychiatry Hum Dev 54, 1624–1652 (2023). https://doi.org/10.1007/s10578-022-01352-5

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