Abstract
Obsessive-compulsive disorder (OCD) is a relatively common disorder among children and adolescents, and is associated with increased risk for concurrent and future distress and impairment. Many youth who suffer from OCD go undiagnosed or misdiagnosed, and do not attain appropriate treatment in a timely manner. As a result, researchers have focused greater attention to the assessment of pediatric OCD. This paper provides an overview of recent advances in this area, including an introduction to several new assessment instruments. Descriptions of new and commonly used instruments and their clinical/research utility are described. Psychometric properties are also reported. Finally, a critical review is offered of major trends in the assessment of pediatric OCD (e.g., diagnostic interviews, self-report and parent-report measures, and clinician-administered inventories)
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References
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th Ed. Washington, DC:American Psychiatric Association, 1994.
J Piacentini RL Bergman M Keller J. McCracken (2003) ArticleTitleFunctional impairment in children and adolescen with obsessive-compulsive disorder J Child Adolesc Psychopharmacol 13S-1 S61–S69 Occurrence Handle10.1089/104454603322126359
MF Flament E Koby JL Rapoport CJ. Berg et al. (1990) ArticleTitleChildhood obsessive- compulsive disorder: A prospective follow-up study J Child Psychol Psychiatry 31 363–380 Occurrence Handle2318919
PH Thomsen HU. Mikkelsen (1995) ArticleTitleCourse of obsessive-compulsive disorder in children and adolescents: A prospective follow-up study of 23 Danish cases J Am Acad Child Adolesc Psychiatry 34 1432–1440 Occurrence Handle10.1097/00004583-199511000-00008 Occurrence Handle8543510
M Thienemann J Martin B Cregger HB Thompson J. Dyer-Friedman (2001) ArticleTitleManual-driven group cognitive-behavioral therapy for adolescents with obsessive-compulsive disorder: A pilot study J Am Acad Child Adolesc Psychiatry 40 1254–1260 Occurrence Handle10.1097/00004583-200111000-00004 Occurrence Handle11699798
HM Douglass TE Moffitt R Dar R. McGee et al. (1995) ArticleTitleObsessive-compulsive disorder in a birth cohort of 18-year-olds:Prevalence and predictors J Am Acad Child Adolesc Psychiatry 34 1424–1431 Occurrence Handle10.1097/00004583-199511000-00007 Occurrence Handle8543509
G Maina U Albert F Bogetto L. Ravizza (1999) ArticleTitleObsessive-compulsive syndromes in older adolescents Acta Psychiatr Scand 100 447–450 Occurrence Handle10626923
JL Rapoport G. Inoff-Germain (2000) ArticleTitleTreatment of obsessive-compulsive disorder in children and adolescents J Child Psychol Psychiatry 41 419–431 Occurrence Handle10.1017/S0021963000005588 Occurrence Handle10836672
I Heyman E Fombonne H Simmons T Ford H Meltzer R. Goodman (2001) ArticleTitlePrevalence of obsessive-compulsive disorder in the British nationwide survey of child mental health Br J Psychiatry 179 324–329 Occurrence Handle10.1192/bjp.179.4.324 Occurrence Handle11581112
A Lewin EA Storch J Adkins TK Murphy GR. Geffken (2005) ArticleTitleCurrent thinking about pediatric obsessive-compulsive disorder Pediatr Ann 34 128–137 Occurrence Handle15768689
DB Findley JF Leckman L Katsovich H Lin H Zhang H Grantz J Otka PJ Lombroso RA. King (2003) ArticleTitleDevelopment of the Yale Children’s Global Stress Index (YCGSI) and its application in children and adolescents with Tourette’s syndrome and obsessive-compulsive disorder J Am Acad Child Adolesc Psychiatry 42 450–457 Occurrence Handle12649632
R Shafran I Frampton I Heyman M Reynolds B Teachman S. Rachman (2003) ArticleTitleThe preliminary development of a new self-report measure for OCD in young people J Adolesc 26 137–142 Occurrence Handle10.1016/S0140-1971(02)00083-0 Occurrence Handle12550826
RD Shytle AA Silver KH Sheehan BJ Wilkinson M Newman PR Sanberg D. Sheehan (2003) ArticleTitleThe Tourette’s Disorder Scale (TODS): Development, reliability and validity Assessment 10 273–287 Occurrence Handle10.1177/1073191103255497 Occurrence Handle14503651
Storch EA, Murphy TK, Geffken GR, Soto O, Sajid M, Allen P, Roberti JW, Adkins J, Killiany EM, Goodman WK: Development of the Children’s Florida Obsessive-Compulsive Inventory (C-FOCI). J Behav Ther Exp Psychiatry, Manuscript under review, 2005.
Storch EA, Geffken GR, Murphy TK, Goodman WK: Child-and Parent-Report Versions of the Children’s Yale-Brown Obsessive-Compulsive Scale. Unpublished manuscript, 2004.
K. Hodges (1993) ArticleTitleStructured interviews for assessing children J Child Psychol Psychiatry Allied Disc 34 49–68
B Herjanic W. Reich (1982) ArticleTitleDevelopment of a structured psychiatric interview for children: Agreement between child and parent on individual symptoms J Ab Child Psychol 10 307–324 Occurrence Handle10.1007/BF00912324
WK Silverman AM. Albano (1996) The Anxiety Disorders Interview Schedule for DSM-IV: Child and Parent versions San Antonio TX, Psychological Corporation
JJ Wood JC Piacentini RL Bergman J McCracken V. Barrios (2002) ArticleTitleConcurrent validity of the anxiety disorders section of the anxiety disorders interview schedule for dsm-iv: child and parent versions J Clin Child Adolesc Psychol 31 335–342 Occurrence Handle10.1207/153744202760082595 Occurrence Handle12149971
WK Silverman LM Saavedra AA. Pina (2001) ArticleTitleTest-retest reliability of anxiety symptoms and diagnoses with anxiety disorders interview schedule for DSM-IV : Child and parent versions J Am Acad Child Adolesc Psychiatry 40 937–944 Occurrence Handle10.1097/00004583-200108000-00016 Occurrence Handle11501694
J Kaufman B Birmaher D Brent U. Rao (1997) ArticleTitleet al Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (K-SADS-PL): Initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 36 980–988
WJ Chambers J Puig-Antich M Hirsch et al. (1997) ArticleTitleThe assessment of affective disorders in children and adolescents by semistructured interview: Test–retest reliability of the schedule for affective disorders and Schizophrenia for school-age children, present episode version Arch Gen Psychiatry 42 696–702
L Scahill MA Riddle M McSwiggin-Hardin SI. Ort et al. (1997) ArticleTitleChildren’s Yale-Brown Obsessive Compulsive Scale: Reliability and validity J Am Acad Child Adolesc Psychiatry 36 844–852 Occurrence Handle10.1097/00004583-199706000-00023 Occurrence Handle9183141
WK Goodman LH Price SA Rasmussen C. Mazure et al. (1989) ArticleTitleThe Yale-Brown obsessive compulsive scale: II validity Arch Gen Psychiatry 46 1006–1011 Occurrence Handle2684084
WK Goodman LH Price SA Rasmussen C. Mazure et al. (1989) ArticleTitleThe Yale-Brown obsessive compulsive scale: II validity Arch Gen Psychiatry 46 1012–1016 Occurrence Handle2510699
EA Storch TK Murphy GR Geffken O Soto M Sajid P Allen JW Roberti E Killiany WK. Goodman (2004) ArticleTitlePsychometric evaluation of the Children’s Yale-Brown obsessive compulsive scale Psychiatry Res 129 91–98 Occurrence Handle10.1016/j.psychres.2004.06.009 Occurrence Handle15572188
NR Benazon J Ager DR. Rosenberg (2002) ArticleTitleCognitive behavior therapy in treatment-naive children and adolescents with obsessive-compulsive disorder: An open trial Behav Res Ther 40 529–539 Occurrence Handle10.1016/S0005-7967(01)00064-X Occurrence Handle12038645
DA Geller J Biederman SE Stewart B Mullin A Martin T Spencer S. Faraone (2003) ArticleTitleWhich SSRI? A meta-analysis of pharmacotherapy trials in pediatric obsessive-compulsive disorder Am J Psychiatry 160 1919–1928 Occurrence Handle10.1176/appi.ajp.160.11.1919 Occurrence Handle14594734
J Piacentini RL Bergman C Jacobs JT McCracken J. Kretchman (2002) ArticleTitleOpen trial of cognitive behavior therapy for childhood obsessive-compulsive disorder J Anxiety Disord 16 207–219 Occurrence Handle10.1016/S0887-6185(02)00096-8 Occurrence Handle12194545
Storch EA, Geffken GR, Heidgerken AD, Adkins JW, Murphy TK, Goodman WK: Intensive cognitive-behavioral psychotherapy for pediatric Obsessive-Compulsive Disorder: A case series of five patients. Behav Res Ther. Manuscript under review, 2005.
D MacKay J Piacentini S Greisberg F Graae M Jaffer J Miller F Neziroglu JA. Yaryura-Tobias (2003) ArticleTitleThe Children’s Yale-Brown obsessive-compulsive scale: Item structure in an outpatient setting Psychol Assess 15 578–581 Occurrence Handle10.1037/1040-3590.15.4.578 Occurrence Handle14692851
EA Storch TK Murphy GR Geffken DM Bagner O Soto M Sajid P Allen EM Killiany WK. Goodman (2005) ArticleTitleFactor structure of the Children’s Yale-Brown obsessive-compulsive scale J Clin Child Adolesc Psychol 34 312–319 Occurrence Handle10.1207/s15374424jccp3402_10 Occurrence Handle15901231
N Amir EB Foa ME. Coles (1997) ArticleTitleFactor structure of the Yale-Brown obsessive compulsive scale Psychol Assess 9 312–316 Occurrence Handle10.1037/1040-3590.9.3.312
WA Arrindell IH Vlaming Particlede BM Eisenhardt DE Berkum Particlevan MGT. Kwee (2002) ArticleTitleCross-cultural validity of the Yale-Brown obsessive compulsive scale J Behav Ther Exp Psychiatry 33 159–176 Occurrence Handle10.1016/S0005-7916(02)00047-2 Occurrence Handle12628634
D McKay S Danyko F Neziroglu JA. Yaryura-Tobias (1995) ArticleTitleFactor structure of the Yale-Brown obsessive-compulsive scale: A two dimensional measure Behav Res Ther 33 865–869 Occurrence Handle10.1016/0005-7967(95)00014-O Occurrence Handle7677726
AS Masten J Neemann S. Andenas (1994) ArticleTitleLife events and adjustment in adolescents: The significance of event independence, desirability, and chronicity J Res Adolesc 4 71–97
HI McCubbin JM Patterson LR. Wilson (1991) Family inventory of life events and changes–form C HI McCubbin AI. Thompson (Eds) Family Assessment Inventories for Research and Practice. University of Wisconsin Madison
CJ Berg JL Rapoport M. Flament (1986) ArticleTitleThe Leyton obsessional inventory–child version J Am Acad Child Adolesc Psychiatry 25 84–91
J. Cooper (1970) ArticleTitleThe Leyton obsessional inventory Psychol Med 1 48–64 Occurrence Handle5526113
JL Rapoport E. Mikkelson (1980) ArticleTitleClinical controlled trial of chlorimipramine in adolescents with obsessive-compulsive disorder Psychopharm Bull 16 61–63
P Thorâen M Asberg B Cronholm L Jornestedt L. Traskman (1980) ArticleTitleClomipramine treatment of obsessive-compulsive disorder Arch Gen Psychiatry 37 1281–1285 Occurrence Handle7436690
DL Murphy D Pickar IS. Alterman (1982) Methods for the quantitative assessment of depressive and manic behavior EL Burdock A Sudilousky S. Gershon (Eds) The Behavior of Psychiatric Patients Marcel Decker New York 355–392
Rapoport JL, Elkins R: NIMH Obsessive Compulsive Scale, Unpublished manuscript.
CZ Berg A Whitaker M Davies MF. Flament et al. (1988) ArticleTitleThe survey form of the Leyton obsessional inventory–Child version: Norms from an epidemiological study J Am Acad Child Adolesc Psychiatry 27 759–763 Occurrence Handle3198565
MF Flament A Whitaker JL Rapoport M. Davies et al. (1988) ArticleTitleObsessive compulsive disorder in adolescence: An epidemiological study J Am Acad Child Adolesc Psychiatry 27 764–771 Occurrence Handle3264280
N King S Inglis M Jenkins N. Myerson et al. (1995) ArticleTitleTest-retest reliability of the survey form of the Leyton obsessional inventory-Child version Percept Mot Skills 80 1200–1202 Occurrence Handle7478877
RP Wolff LS. Wolff (1991) ArticleTitleAssessment and treatment of obsessive–compulsive disorder in children Behav Modif 15 372–393 Occurrence Handle1953625
D Bamber A Tamplin RJ Park ZA Kyte IM. Goodyer (2002) ArticleTitleDevelopment of a Short Leyton Obsessional Inventory for children and adolescents J Am Acad Child Adolesc Psychiatry 41 1246–1252 Occurrence Handle10.1097/00004583-200210000-00015 Occurrence Handle12364847
Thordarson DT, Rachman S, Radomsky A: A revision of the Maudsley obsessive compulsive inventory, paper presented at the Annual Meeting of the American Association for Behavior Therapy. USA, 1996.
EA Storch TK Murphy GR Geffken O Soto M Sajid P Allen RJ W. EM Killiany WK. Goodman (2004) ArticleTitleFurther psychometric properties of the Tourette’s Disorder Scale - Parent Rated Version (TODS-PR) Child Psychiatry Hum Dev 35 107–120 Occurrence Handle10.1007/s10578-004-1880-7 Occurrence Handle15577277
NIoM. Health (1985) ArticleTitleSpecial feature: Rating scales and assessment instruments for use in pediatric psychopharmacology research Psychopharm Bull 21 839–843
GL Hanna J Piacentini DP Cantwell DJ Fischer JA Himle M. Etten ParticleVan (2002) ArticleTitleObsessive-compulsive disorder with and without tics in a clinical sample of children and adolescents Depress Anxiety 16 59–63 Occurrence Handle10.1002/da.10058 Occurrence Handle12219336
PH Thomsen J. Jensen (1991) ArticleTitleDimensional approach to obsessive-compulsive disorder in childhood and adolescence Acta Psychiatri Scand 83 183–187
M Kovacs AT. Beck (1977) An empirical-clinical approach toward a definition of childhood depression JG Schulterbrandt A. Raskin (Eds) Depression in Childhood:Diagnosis, Treatment, and Conceptual Models. Raven Press New York 1–25
JC Piacentini M. Jaffer (1999) Measuring Functional Impairment in Youngsters with OCD: Manual for the Child OCD Impact Scale (COIS) UCLA Department of Psychiatry Los Angeles
M Liebowitz S Turner JC Piacentini D Beidel S Clarvit S Davies F Graae M Jaffer F Sallee A Schmidt B. Simpson (2002) ArticleTitleFluoxetine in children and adolescents with OCD: A placebo-controlled trial J Am Acad Child Adolesc Psychiatry 41 1431–1438 Occurrence Handle10.1097/00004583-200212000-00014 Occurrence Handle12447029
L Calvacoressi B Lewis M Harris SJ Trufan WK Goodman CJ McDougle LH. Price (1995) ArticleTitleFamily accomodation in obsessive-compulsive disorder Am J Psychiatry 152 441–443 Occurrence Handle7864273
L Monaco GR Geffken WK. Goodman (1998) Hope, Coping, and Adjustment Among Family Members of Individuals with Obsessive Compulsive Disorder, Unpublished manuscript University of Florida Health Sciences Center Gainesville, FL
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Merlo, L.J., Storch, E.A., Murphy, T.K. et al. Assessment of Pediatric Obsessive-Compulsive Disorder: A Critical Review of Current Methodology. Child Psychiatry Hum Dev 36, 195–214 (2005). https://doi.org/10.1007/s10578-005-4079-7
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DOI: https://doi.org/10.1007/s10578-005-4079-7