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The Impact of Pediatric Obsessive-Compulsive Disorder on School Attendance and School Functioning : A Case for Supported Education

Fernández de la Cruz, Lorena ; Rautio, Daniel ; Wickberg, Frida ; Gordan, Cecilia ; Silverberg-Mörse, Maria and Mataix-Cols, David LU (2025) In Child Psychiatry and Human Development
Abstract

School-related functional impairment is common in children and adolescents with obsessive-compulsive disorder (OCD). However, little is known about the characteristics of youth with OCD who struggle in school, whether these struggles interfere with treatment outcomes, and whether treatment improves school-related function. Among 385 youth with OCD at a specialist clinic (mean age [sd] = 13.7 [2.5]; 63.1% girls), 21.6% had partial or no school attendance at intake. Among those who received specialist treatment (n = 322), clinical outcomes were similar in those with no or partial attendance vs. those with full attendance, although the latter group needed fewer treatment sessions and were less likely to take psychotropic medication. At... (More)

School-related functional impairment is common in children and adolescents with obsessive-compulsive disorder (OCD). However, little is known about the characteristics of youth with OCD who struggle in school, whether these struggles interfere with treatment outcomes, and whether treatment improves school-related function. Among 385 youth with OCD at a specialist clinic (mean age [sd] = 13.7 [2.5]; 63.1% girls), 21.6% had partial or no school attendance at intake. Among those who received specialist treatment (n = 322), clinical outcomes were similar in those with no or partial attendance vs. those with full attendance, although the latter group needed fewer treatment sessions and were less likely to take psychotropic medication. At post-treatment, 10.5% still had partial or no school attendance, and 22.8% of youths and 33.3% of parents reported significant school impairment, regardless of response status. Some youth with OCD may benefit from specific supported education and return to school strategies to complement regular evidence-based interventions.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Education, Functional impairment, Obsessive-compulsive disorder, School function, Treatment outcomes
in
Child Psychiatry and Human Development
publisher
Kluwer Academic/Human Sciences Press Inc.
external identifiers
  • scopus:105004438240
  • pmid:40343603
ISSN
0009-398X
DOI
10.1007/s10578-025-01846-y
language
English
LU publication?
yes
id
4099b512-58b7-4b6f-bd15-64293ccc36c2
date added to LUP
2025-08-12 09:23:16
date last changed
2025-08-13 03:00:08
@article{4099b512-58b7-4b6f-bd15-64293ccc36c2,
  abstract     = {{<p>School-related functional impairment is common in children and adolescents with obsessive-compulsive disorder (OCD). However, little is known about the characteristics of youth with OCD who struggle in school, whether these struggles interfere with treatment outcomes, and whether treatment improves school-related function. Among 385 youth with OCD at a specialist clinic (mean age [sd] = 13.7 [2.5]; 63.1% girls), 21.6% had partial or no school attendance at intake. Among those who received specialist treatment (n = 322), clinical outcomes were similar in those with no or partial attendance vs. those with full attendance, although the latter group needed fewer treatment sessions and were less likely to take psychotropic medication. At post-treatment, 10.5% still had partial or no school attendance, and 22.8% of youths and 33.3% of parents reported significant school impairment, regardless of response status. Some youth with OCD may benefit from specific supported education and return to school strategies to complement regular evidence-based interventions.</p>}},
  author       = {{Fernández de la Cruz, Lorena and Rautio, Daniel and Wickberg, Frida and Gordan, Cecilia and Silverberg-Mörse, Maria and Mataix-Cols, David}},
  issn         = {{0009-398X}},
  keywords     = {{Education; Functional impairment; Obsessive-compulsive disorder; School function; Treatment outcomes}},
  language     = {{eng}},
  publisher    = {{Kluwer Academic/Human Sciences Press Inc.}},
  series       = {{Child Psychiatry and Human Development}},
  title        = {{The Impact of Pediatric Obsessive-Compulsive Disorder on School Attendance and School Functioning : A Case for Supported Education}},
  url          = {{http://dx.doi.org/10.1007/s10578-025-01846-y}},
  doi          = {{10.1007/s10578-025-01846-y}},
  year         = {{2025}},
}