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Involvement of fear, incompleteness, and disgust during symptoms of pediatric obsessive-compulsive disorder

Cervin, Matti LU ; Perrin, Sean LU orcid ; Olsson, Elin LU orcid ; Claesdotter-Knutsson, Emma LU and Lindvall, Magnus LU (2021) In European Child & Adolescent Psychiatry 30. p.271-281
Abstract
Fear has been assigned a central role in models of obsessive–compulsive disorder (OCD), but empirical investigations into the emotions that underpin OCD symptoms are few, especially in pediatric samples. Using validated, clinician-led structured interviews, 124 youth with OCD reported on the presence and severity of symptoms across the main symptom dimensions of OCD (aggressive, symmetry, contamination) and the degree to which fear, incompleteness, and disgust accompanied these symptoms. For comparison purposes, the degree of fear, incompleteness, and disgust during symptoms was obtained also from youth with social anxiety disorder (SAD; n = 27) and generalized anxiety disorder (GAD; n = 28). Participants with OCD reported that all three... (More)
Fear has been assigned a central role in models of obsessive–compulsive disorder (OCD), but empirical investigations into the emotions that underpin OCD symptoms are few, especially in pediatric samples. Using validated, clinician-led structured interviews, 124 youth with OCD reported on the presence and severity of symptoms across the main symptom dimensions of OCD (aggressive, symmetry, contamination) and the degree to which fear, incompleteness, and disgust accompanied these symptoms. For comparison purposes, the degree of fear, incompleteness, and disgust during symptoms was obtained also from youth with social anxiety disorder (SAD; n = 27) and generalized anxiety disorder (GAD; n = 28). Participants with OCD reported that all three emotions were involved in their symptoms; however, fear was most strongly linked to aggressive symptoms, incompleteness to symmetry symptoms, and disgust to contamination symptoms. Incompleteness differentiated youth with OCD from those with SAD and GAD. No differences for these emotions were found for youth with OCD with versus without the tic-disorder subtype or comorbid autism. A positive association between incompleteness and self-reported hoarding emerged among youth with OCD. Further studies of the emotional architecture of pediatric OCD, and its relationship to etiology and treatment, are warranted. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
OCD, Children & Adolescents, Incompleteness, Disgust, fear, Symptom Involvement
in
European Child & Adolescent Psychiatry
volume
30
pages
271 - 281
publisher
Springer
external identifiers
  • scopus:85082191842
  • pmid:32211970
ISSN
1435-165X
DOI
10.1007/s00787-020-01514-7
language
English
LU publication?
yes
id
e6830576-b28e-4e96-8641-07a90874203c
date added to LUP
2020-03-25 13:08:52
date last changed
2024-05-23 11:09:51
@article{e6830576-b28e-4e96-8641-07a90874203c,
  abstract     = {{Fear has been assigned a central role in models of obsessive–compulsive disorder (OCD), but empirical investigations into the emotions that underpin OCD symptoms are few, especially in pediatric samples. Using validated, clinician-led structured interviews, 124 youth with OCD reported on the presence and severity of symptoms across the main symptom dimensions of OCD (aggressive, symmetry, contamination) and the degree to which fear, incompleteness, and disgust accompanied these symptoms. For comparison purposes, the degree of fear, incompleteness, and disgust during symptoms was obtained also from youth with social anxiety disorder (SAD; n = 27) and generalized anxiety disorder (GAD; n = 28). Participants with OCD reported that all three emotions were involved in their symptoms; however, fear was most strongly linked to aggressive symptoms, incompleteness to symmetry symptoms, and disgust to contamination symptoms. Incompleteness differentiated youth with OCD from those with SAD and GAD. No differences for these emotions were found for youth with OCD with versus without the tic-disorder subtype or comorbid autism. A positive association between incompleteness and self-reported hoarding emerged among youth with OCD. Further studies of the emotional architecture of pediatric OCD, and its relationship to etiology and treatment, are warranted.}},
  author       = {{Cervin, Matti and Perrin, Sean and Olsson, Elin and Claesdotter-Knutsson, Emma and Lindvall, Magnus}},
  issn         = {{1435-165X}},
  keywords     = {{OCD; Children & Adolescents; Incompleteness; Disgust; fear; Symptom Involvement}},
  language     = {{eng}},
  pages        = {{271--281}},
  publisher    = {{Springer}},
  series       = {{European Child & Adolescent Psychiatry}},
  title        = {{Involvement of fear, incompleteness, and disgust during symptoms of pediatric obsessive-compulsive disorder}},
  url          = {{https://lup.lub.lu.se/search/files/77581368/Cervin_et_al_2020_ECAP_Incompleteness_Disgust_Fear_during_symptoms_of_OCD.pdf}},
  doi          = {{10.1007/s00787-020-01514-7}},
  volume       = {{30}},
  year         = {{2021}},
}