Exploring latent clusters in pediatric OCD based on symptoms, severity, age, gender, and comorbidity.
Given diverse symptom expression and high rates of comorbid conditions, the present study explored underlying commonalities among OCD-affected children and adolescents to better conceptualize disorder presentation and associated features. Data from 830 OCD-affected participants presenting to OCD spe...
| Published in: | European Child & Adolescent Psychiatry Vol. 33; no. 11; pp. 3899 - 3913 |
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| Main Authors: | , , , , , , , , , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Nov2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181118971&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181118971 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Nov2024 vid: 33 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 181118971 176664734 181118971 181118971 10.1007/s00787-024-02431-9 181118971 ppf: 3899 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Exploring latent clusters in pediatric OCD based on symptoms, severity, age, gender, and comorbidity. aug: au: Smárason, Orri Selles, Robert R. Højgaard, Davíð R. M. A. Best, John R. Melin, Karin Ivarsson, Tord Thomsen, Per Hove Weidle, Bernhard McBride, Nicole Michelle Storch, Eric A. Geller, Daniel Wilhelm, Sabine Farrell, Lara J. Waters, Allison M. Mathieu, Sharna Soreni, Noam Stewart, S. Evelyn Skarphedinsson, Gudmundur affil: https://ror.org/01db6h964 Faculty of Psychology, University of Iceland, Reykjavik, Iceland sug: subj: Obsessive-Compulsive Disorder Risk Factors Obsessive-Compulsive Disorder Risk Factors Obsessive-Compulsive Disorder Symptoms Severity of Illness Evaluation Age Factors Evaluation Sex Factors Evaluation Comorbidity Evaluation Risk Assessment Human Checklists Child Adolescence Male Female Child: 6-12 years Adolescent: 13-18 years Male Female ab: Given diverse symptom expression and high rates of comorbid conditions, the present study explored underlying commonalities among OCD-affected children and adolescents to better conceptualize disorder presentation and associated features. Data from 830 OCD-affected participants presenting to OCD specialty centers was aggregated. Dependent mixture modeling was used to examine latent clusters based on their age- and gender adjusted symptom severity (as measured by the Children's Yale-Brown Obsessive-Compulsive Scale; CY-BOCS), symptom type (as measured by factor scores calculated from the CY-BOCS symptom checklist), and comorbid diagnoses (as assessed via diagnostic interviews). Fit statistics favored a four-cluster model with groups distinguished primarily by symptom expression and comorbidity type. Fit indices for 3–7 cluster models were only marginally different and characteristics of the clusters remained largely stable between solutions with small clusters of distinct presentations added in more complex models. Rather than identifying a single classification system, the findings support the utility of integrating dimensional, developmental, and transdiagnostic information in the conceptualization of OCD-affected children and adolescents. Identified clusters point to the centrality of contamination concerns to OCD, relationships between broader symptom expression and higher levels of comorbidity, and the potential for complex/neurodevelopmental presentations. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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