Child Psychiatry & Human Development

, Volume 45, Issue 4, pp 377–387 | Cite as

A Prospective Study of Paediatric Obsessive–Compulsive Symptomatology in a Spanish Community Sample

  • Núria Voltas
  • Carmen Hernández-Martínez
  • Victoria Arija
  • Estefania Aparicio
  • Josefa Canals
Original Article

Abstract

The obsessive–compulsive manifestations course was assessed with the Leyton obsessional inventory-child version survey (LOI-CV) in a 3-year prospective study, using a non-clinical sample. From an initial sample of 1,514 school-age children who underwent symptoms screening for obsessive–compulsive, anxiety and depression, 562 subjects (risk group/without risk group) were re-assessed in the 2nd phase and 242 subjects were monitored after 3 years. LOI-CV scores significantly decreased over time independently of age and gender. The prevalence, persistence and incidence for two levels of severity of obsessive–compulsive manifestations ranged between 4.8–30.4 %, 9.3–28.4 % and 1.1–14.4 %, respectively. 34.6–64.5 % of obsessive–compulsive symptomatology was predicted by anxiety, depressive and obsessive–compulsive symptoms. For the obsessiveness (less severe form of obsessive–compulsive manifestations), the depressive symptoms were not predictors. Gender and socioeconomic status were not related with obsessive–compulsive manifestations. These data support a substantial continuity of the obsessive–compulsive manifestations and the existence of different levels of severity within the obsessive–compulsive spectrum.

Keywords

Obsessive–compulsive symptoms Prospective study Non-clinical sample School-age children 

References

  1. 1.
    Canals J, Hernández-Martínez C, Cosi S, Voltas N (2012) The epidemiology of obsessive-compulsive disorder in Spanish school children. J Anxiety Disord 26:746–752PubMedCrossRefGoogle Scholar
  2. 2.
    Roussos A, Francis K, Koumoula A, Richardson C, Kabakos C, Kiriakidou T et al (2003) The Leyton obsessional inventory-child version in Greek adolescents: standardization in a national school-based survey and two-year follow-up. Eur Child Adolesc Psychiatry 12:58–66PubMedCrossRefGoogle Scholar
  3. 3.
    Brynska A, Wolanczyk T (2005) Epidemiology and phenomenology of obsessive-compulsive disorder in non-referred young adolescents. A polish perspective. Eur Child Adolesc Psychiatry 14:319–327PubMedCrossRefGoogle Scholar
  4. 4.
    Mancebo MC, Garcia AM, Pinto AM, Freeman JB, Przeworski A, Stout R et al (2008) Juvenile-onset OCD: clinical features in children, adolescents and adults. Acta Psychiatr Scand 118:149–159PubMedCentralPubMedCrossRefGoogle Scholar
  5. 5.
    Carter AS, Wagmiller RJ, Gray SA, McCarthy KJ, Horwitz SM, Briggs-Gowan MJ (2010) Prevalence of DSM-IV disorder in a representative, healthy birth cohort at school entry: sociodemographic risks and social adaptation. J Am Acad Child Adolesc Psychiatry 49:686–698PubMedCentralPubMedGoogle Scholar
  6. 6.
    Douglass HM, Moffit TE, Dar R, McGee R, Silva P (1995) Obsessive-compulsive disorder in a birth cohort of 18-years-olds: prevalence and predictors. J Am Acad Child Adolesc Psychiatry 34:1424–1431PubMedCrossRefGoogle Scholar
  7. 7.
    Lewinsohn PM, Hops H, Roberts RE, Seeley JR, Andrews JA (1993) Adolescent psychopathology: I. Prevalence and incidence of depression and other DSM-III-R disorders in high school students. J Abnorm Psychol 102:133–144PubMedCrossRefGoogle Scholar
  8. 8.
    Valleni-Basile LA, Garrison CZ, Waller JL, Addy CL, McKeown RE, Jackson KL et al (1994) Frequency of obsessive-compulsive disorder in a community sample of young adolescents. J Am Acad Child Adolesc Psychiatry 33:782–791PubMedCrossRefGoogle Scholar
  9. 9.
    Abramowitz JS, Taylor S, McKay D (2009) Obsessive-compulsive disorder. Lancet 374:491–499PubMedCrossRefGoogle Scholar
  10. 10.
    Micali N, Heyman I, Perez M, Hilton K, Nakatani E, Turner C et al (2010) Long-term outcomes of obsessive-compulsive disorder: follow-up of 142 children and adolescents. Br J Psychiatry 197:128–134PubMedCrossRefGoogle Scholar
  11. 11.
    Nikolajsen KH, Nissen JB, Thomsen PH (2010) Obsessive-compulsive disorder in children and adolescents. Symptom dimensions in naturalistic setting. Nord J Psychiatry 65:244–250PubMedCrossRefGoogle Scholar
  12. 12.
    Eisen JL, Pinto A, Mancebo MC, Dyck I, Orlando ME, Rasmussen SA (2010) A 2-year follow-up study of the course of obsessive-compulsive disorder. J Clin Psychiatry 71:1033–1039PubMedCrossRefGoogle Scholar
  13. 13.
    Palermo S, Bloch M, Craiglow B, Landeros-Weisenberger A, Dombrowski P, Panza K et al (2011) Predictors of early adulthood quality of life in children with obsessive-compulsive disorder. Soc Psychiatry Psychiatr Epidemiol 46:291–297PubMedCentralPubMedCrossRefGoogle Scholar
  14. 14.
    Maggini C, Ampollini P, Gariboldi S, Cella PL, Peqlizza L, Marchesi C (2001) The parma high school epidemiological survey: obsessive-compulsive symptoms. Acta Psychiatr Scand 103:441–446PubMedCrossRefGoogle Scholar
  15. 15.
    Geller DA (2006) Obsessive-compulsive and spectrum disorders in children and adolescents. Psychiatr Clin N Am 29:353–370CrossRefGoogle Scholar
  16. 16.
    Ruscio AM, Stein DJ, Chiu WT, Kessler RC (2010) The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Mol Psychiatry 15:53–63PubMedCentralPubMedCrossRefGoogle Scholar
  17. 17.
    Fontenelle LF, Hasler G (2008) The analytical epidemiology of obsessive-compulsive disorder: risk factors and correlates. Progr Neuropsychopharmacol Biol Psychiatry 32:1–15CrossRefGoogle Scholar
  18. 18.
    Degonda M, Wyss M, Angst J (1993) The Zurich study XVIII. Obsessive-compulsive disorders and syndromes in the general population. Eur Arch Psychiatry Clin Neurosci 243:16–22PubMedCrossRefGoogle Scholar
  19. 19.
    Heyman I, Fombonne F, Simmons H, Ford T, Meltzer H, Goodman R (2001) Prevalence of obsessive-compulsive disorder in the British nationwide survey of child mental Health. Br J Psychiatry 179:324–329PubMedCrossRefGoogle Scholar
  20. 20.
    Piacentini J, Bergman RL, Keller M, McCracken J (2003) Functional impairment in children and adolescents with obsessive-compulsive disorder. J Child Adolesc Psychopharmacol 13:61–69CrossRefGoogle Scholar
  21. 21.
    Mohammadi MR, Ghanizadeh A, Rahgozar M, Noorbala AA, Davidian H, Afzali HM et al (2004) Prevalence of obsessive-compulsive disorder in Iran. BMC Psychiatry 4:2Google Scholar
  22. 22.
    Grabe HJ, Meyer C, Hapke U, Rumpf HJ, Freyberger H, Dilling H et al (2000) Prevalence, quality of life and psychosocial function in obsessive-compulsive disorder and subclinical obsessive-compulsive disorder in northern Germany. Eur Arch Psychiatry Clin Neurosci 250:262–268PubMedCrossRefGoogle Scholar
  23. 23.
    Karno M, Golding JM, Sorenson SB, Burnam MA (1988) The epidemiology of obsessive-compulsive disorder in five US communities. Arch Gen Psychiatry 45:1094–1099PubMedCrossRefGoogle Scholar
  24. 24.
    Breslau J, Aguilar-Gaxiola S, Kendler KS, Su M, Williams D, Kessler RC (2006) Specifying race-ethnic differences in risk for psychiatric disorder in a USA national sample. Psychol Med 36:57–68PubMedCentralPubMedCrossRefGoogle Scholar
  25. 25.
    Marcks BA, Weisberg RB, Dyck I, Keller MB (2011) Longitudinal course of obsessive-compulsive disorder in patients with anxiety disorders: a 15-year prospective follow-up study. Compr Psychiatry 52:670–677PubMedCentralPubMedCrossRefGoogle Scholar
  26. 26.
    Walitza S, Melfsen S, Jans T, Zellmann H (2011) Obsessive-compulsive disorder in children and adolescents. Dtsch Arztebl Int 108:173–179PubMedCentralPubMedGoogle Scholar
  27. 27.
    Helbing ML, Ficca M (2009) Obsessive-compulsive disorder in school-age children. J Sch Nurs 25:15–26PubMedCrossRefGoogle Scholar
  28. 28.
    Storch EA, Lewin AB, Larson MJ, Geffken GR, Murphy TK, Geller DA (2012) Depression in youth with obsessive-compulsive disorder: clinical phenomenology and correlates. Psychiatry Res 196:693–699CrossRefGoogle Scholar
  29. 29.
    Leyfer OT, Folstein SE, Bacalman S, Davis NO, Dinh E, Morgan J et al (2006) Comorbid psychiatric disorders in children with autism: Interview development and rates of disorders. J Autism Dev Disord 36:849–861PubMedCrossRefGoogle Scholar
  30. 30.
    Ivarsson T, Melin K (2008) Autism spectrum traits in children and adolescents with obsessive-compulsive disorder (OCD). J Anxiety Disord 22:969–978PubMedCrossRefGoogle Scholar
  31. 31.
    Masi MG, Millepiedi S, Perugi G, Pfanner C, Berloffa S, Pari C et al (2010) A naturalistic exploratory study of the impact of demographic, phenotypic and comorbid features in pediatric obsessive-compulsive disorder. Psychopathology 43:69–78PubMedCrossRefGoogle Scholar
  32. 32.
    Masi G, Millepiedi S, Mucci M, Bertini N, Pfanner C, Arcangeli F (2006) Comorbidity of obsessive-compulsive disorder and attention-deficit/hyperactivity disorder in referred children and adolescents. Compr Psychiatry 47:42–47PubMedCrossRefGoogle Scholar
  33. 33.
    Berg CZ, Whitaker A, Davies M, Flament MF, Rapoport JL (1988) The survey form of the Leyton obsessional inventory child version: norms from an epidemiological study. J Am Acad Child Adolesc Psychiatry 27:759–763PubMedCrossRefGoogle Scholar
  34. 34.
    Canals J, Hernández-Martínez C, Cosi S, Lázaro L, Toro J (2012) The Leyton obsessional inventory-child version: validity and reliability in Spanish non-clinical population. Int J Clin Health Psychol 12:81–96Google Scholar
  35. 35.
    Grabill K, Merlo L, Duke D, Hardford KL, Keeley ML, Geffken GR et al (2008) Assessment of obsessive-compulsive disorder: a review. J Anxiety Disord 22:1–17PubMedCrossRefGoogle Scholar
  36. 36.
    Storch EA, Khanna M, Merlo LJ, Loew B, Franklin M, Reid JM et al (2009) Children’s Florida obsessive compulsive inventory: psychometric properties and feasibility of a self-report measure of obsessive-compulsive symptoms in youth. Child Psychiatry Hum Dev 40:467–483PubMedCrossRefGoogle Scholar
  37. 37.
    Storch EA, Muroff J, Lewin AB, Geller D, Ross A, McCarthy K et al (2011) Development and preliminary psychometric evaluation of the children’s saving inventory. Child Psychiatry Hum Dev 42:166–182PubMedCrossRefGoogle Scholar
  38. 38.
    Foa EB, Coles M, Huppert JD, Pasupuleti RV, Franklin ME, March J (2010) Development and validation of child version of the obsessive compulsive inventory. Behav Ther 41:121–132PubMedCrossRefGoogle Scholar
  39. 39.
    Gadow K, Sprafkin J (1999) Youth’s inventory-4 manual. Checkmate Plus, Ltd, Stony Brook, NYGoogle Scholar
  40. 40.
    Birmaher B, Khetarpal S, Brent D, Cully M, Balach L, Kaufman J et al (1997) The screen for child anxiety related emotional disorders (SCARED): scale construction and psychometric characteristics. J Am Acad Child Adolesc Psychiatry 36:545–553PubMedCrossRefGoogle Scholar
  41. 41.
    Vigil-Colet A, Canals J, Cosi S, Lorenzo-Seva U, Ferrando PJ, Hernández-Martínez C et al (2009) The factorial structure of the 41-item versión of the screen for child anxiety related emotional disorders (SCARED) in a Spanish population of 8 to 12 years-old. Int J Clin Health Psychol 9:313–327Google Scholar
  42. 42.
    Birmaher B, Brent DA, Chiappetta L, Bridge J, Monga S, Baugher M (1999) Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): a replication study. J Am Acad Child Adolesc Psychiatry 38:1230–1236PubMedCrossRefGoogle Scholar
  43. 43.
    Kovacs M (1992) Manual for the children’s depression inventory. Multi-Health Systems, North TonawandaGoogle Scholar
  44. 44.
    Figueras A, Amador-Campos JA, Gómez-Benito J, del Barrio V (2010) Psychometric properties of the children’s depression inventory in community and clinical sample. Span J Psychol 13:990–999CrossRefGoogle Scholar
  45. 45.
    Canals J, Martí-Henneberg C, Fernández-Ballart J, Domènech E (1995) A longitudinal study of depression in urban Spanish puberal population. Eur Child Adolesc Psychiatry 4:102–111PubMedCrossRefGoogle Scholar
  46. 46.
    Hollingshead AB (2011) Four factor index of social status. YJS 8:21–52Google Scholar
  47. 47.
    Van Oort FVA, Greaves-Lord K, Ormel J, Verhulst FC, Huizink AC (2011) Risk indicators of anxiety throughout adolescence: the trails study. Depress Anxiety 28:485–494PubMedCrossRefGoogle Scholar
  48. 48.
    Valleni-Basile LA, Garrison CZ, Waller JL, Addy CL, McKeown RE, Jackson KL et al (1996) Incidence of obsessive-compulsive disorder in a community sample of young adolescents. J Am Acad Child Adolesc Psychiatry 35:898–906PubMedCrossRefGoogle Scholar
  49. 49.
    Zohar AH, Bruno R (1997) Normative and pathological obsessive-compulsive behaviour and ideation in childhood: a question of timing. J Child Psychol Psychiatry 38:993–999PubMedCrossRefGoogle Scholar
  50. 50.
    Fontenelle LF, Mendlowicz MV, Marques C, Versiani M (2004) Transcultural effects of obsessive-compulsive disorder: a description of a Brazilian sample and a systematic review of international clinical studies. J Psychiatr Res 38:403–411PubMedCrossRefGoogle Scholar
  51. 51.
    Thomsen PH (1991) Obsessive-compulsive symptoms in children and adolescents. A phenomenological analysis of 61 Danish cases. Psychopathology 24:12–18PubMedCrossRefGoogle Scholar
  52. 52.
    Voltas N, Hernández-Martínez C, Arija V, Canals J (2013) Socio-demographic and psychopathological risk factors in obsessive-compulsive disorder: epidemiologic study of school population. Int J Clin Health Psychol 13:118–126CrossRefGoogle Scholar
  53. 53.
    Angst J, Gamma A, Endrass J, Goodwin R, Ajdacic V, Eich D et al (2004) Obsessive-compulsive severity spectrum in the community: prevalence, comorbidity, and course. Eur Arch Psychiatry Clin Neurosci 254:156–164PubMedGoogle Scholar
  54. 54.
    Assunçao MC, da Conceiçao Lucas, Costa D, Mathis MA, Gedanke Shavitt R, Arzeno Ferrao Y, Rosário MC et al (2012) Social phobia in obsessive-compulsive disorder: prevalence and correlates. J Affect Disord 143:138–147PubMedCrossRefGoogle Scholar
  55. 55.
    Mroczkowski M, Goes F, Riddle M, Grados M, Bienvenu O, Greenberg B et al (2011) Separation anxiety disorder in OCD. Depress Anxiety 28:256–262PubMedCrossRefGoogle Scholar
  56. 56.
    Jakubovski E, Diniz JB, Valerio C, Fossaluza V, Belotto-Silva C, Gorenstein C et al (2012) Clinical predictors of long-term outcome in obsessive-compulsive disorder. Depress Anxiety. doi:10.1002/da.22013
  57. 57.
    Abramowitz JS, Storch E, Keeley M, Cordell E (2007) Obsessive-compulsive disorder with comorbid major depression: what is the role of cognitive factors? Behav Res Ther 45:2257–2267PubMedCrossRefGoogle Scholar
  58. 58.
    Joo JC (2011) Comorbidity between schizophrenia and obsessive compulsive disorder: two distinct entities or a spectrum between the two disorders? Salud Ment 34:179–286Google Scholar
  59. 59.
    De Graaf R, Bijl RV, Ravelli A, Smit F, Vollebergh WA (2002) Predictors of first incidence of DSM-III-R psychiatric disorders in the general population: findings from the Netherlands Mental Health Survey and Incidence Study. Acta Psychiatr Scand 106:303–313PubMedCrossRefGoogle Scholar
  60. 60.
    Veldhuis J, Dieleman JP, Wohlfarth T, Storosum JG, van den Brink W, Sturkenboom MC et al (2012) Incidence and prevalence of “diagnosed OCD” in a primary care, treatment seeking, population. Int J Psychiatry Clin Pract 16:85–92PubMedCrossRefGoogle Scholar
  61. 61.
    Grisham JR, Fullana MA, Mataix-Cols D, Moffitt TE, Caspi A, Poulton R (2011) Risk factors prospectively associated with adult obsessive-compulsive symptom dimensions and obsessive-compulsive disorder. Psychol Med 41:2495–2506PubMedCrossRefGoogle Scholar
  62. 62.
    Stewart SE, Geller DA, Jenike M, Pauls D, Shaw D, Mullin B et al (2004) Long-term outcome of pediatric obsessive-compulsive disorder: a meta-analysis and qualitative review of the literature. Acta Psychiatr Scand 110:4–13PubMedCrossRefGoogle Scholar
  63. 63.
    Heyman I, Mataix-Cols D, Fineberg NA (2006) Clinical review. Obsessive-compulsive disorder. BMJ 333:424–429PubMedCentralPubMedCrossRefGoogle Scholar
  64. 64.
    Kalra SK, Swedo SE (2009) Children with obsessive-compulsive disorder: are they just “little adults”? J Clin Invest 119:737–746PubMedCentralPubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Núria Voltas
    • 1
  • Carmen Hernández-Martínez
    • 1
  • Victoria Arija
    • 2
  • Estefania Aparicio
    • 2
  • Josefa Canals
    • 1
  1. 1.Department of Psychology, Research Center for Behavioral Assessment (CRAMC)Universitat Rovira i VirgiliTarragonaSpain
  2. 2.Nutrition and Public Health UnitUniversitat Rovira i VirgiliReusSpain

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