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Symptom Insight in Pediatric Obsessive-Compulsive Disorder: Outcomes of an International Aggregated Cross-Sectional Sample.

ABSTRACT: Insight in obsessive-compulsive disorder (OCD) refers to patients' recognition that their obsessions and compulsions are symptoms rather than necessary or natural thoughts and behaviors.1 It has been estimated that 20% to 45% of youth with OCD exhibit poor or absent insight.2-4 Identified correlates of poor insight include younger age,2,3,5,6 increased OCD severity,2,4,7 impairment,4,7,8 and family accommodation2,4; lower intellectual and adaptive functioning3; and greater depressive symptoms.2,3 Poorer insight has also been associated with reduced response across treatment groups (ie, selective serotonin reuptake inhibitor [SSRI], cognitive behavioral therapy [CBT], combined SSRI plus CBT, or pill placebo).9.

SUBMITTER: Selles RR 

PROVIDER: S-EPMC7176075 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

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Symptom Insight in Pediatric Obsessive-Compulsive Disorder: Outcomes of an International Aggregated Cross-Sectional Sample.

Selles Robert R RR   Højgaard Davið R M A DRMA   Ivarsson Tord T   Thomsen Per Hove PH   McBride Nicole N   Storch Eric A EA   Geller Daniel D   Wilhelm Sabine S   Farrell Lara J LJ   Waters Allison M AM   Mathieu Sharna S   Lebowitz Eli E   Elgie Melissa M   Soreni Noam N   Stewart S Evelyn SE  

Journal of the American Academy of Child and Adolescent Psychiatry 20180801 8

Insight in obsessive-compulsive disorder (OCD) refers to patients' recognition that their obsessions and compulsions are symptoms rather than necessary or natural thoughts and behaviors.<sup>1</sup> It has been estimated that 20% to 45% of youth with OCD exhibit poor or absent insight.<sup>2-4</sup> Identified correlates of poor insight include younger age,<sup>2,3,5,6</sup> increased OCD severity,<sup>2,4,7</sup> impairment,<sup>4,7,8</sup> and family accommodation<sup>2,4</sup>; lower intellec  ...[more]

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