Impulse-control disorders in children and adolescents with obsessive-compulsive disorder

Jon E. Grant, Maria C. Mancebo, Jane L. Eisen, Steven A. Rasmussen

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

The aim of this study was to examine current prevalences, clinical correlates and patterns of co-occurrence of impulse-control disorders (ICDs) in children and adolescents with obsessive-compulsive disorder (OCD). We examined rates and clinical correlates of comorbid ICDs in 70 consecutive child and adolescent subjects with lifetime DSM-IV OCD (32.9% females; mean age = 13.8 ± 2.9 years). Comorbidity data were obtained with structured clinical interviews using DSM-IV criteria. OCD severity was assessed with the Child Yale-Brown Obsessive-Compulsive Scale. All variables were compared in OCD subjects with and without current ICDs. 12 (17.1%) subjects met criteria for a current ICD. Pathological skin picking and compulsive nail biting were the most common ICDs with current rates of 12.8% and 10.0%, respectively. OCD subjects with current ICDs were significantly more likely to have a co-occurring tic disorder (66.7% vs. 20.7%). Although having an ICD was associated with greater numerical scores of OCD symptomatology, these differences were not statistically significant. There were no sex-specific patterns of ICD occurrence in children and adolescents with OCD. Certain ICDs are common among children and adolescents with OCD. Better identification of ICDs in children and adolescents with OCD is needed, as are empirically validated treatments for youth with co-occurring ICDs.

Original languageEnglish
Pages (from-to)109-113
Number of pages5
JournalPsychiatry Research
Volume175
Issue number1-2
DOIs
StatePublished - 30 Jan 2010
Externally publishedYes

Keywords

  • Adolescence
  • Co-morbidity
  • Dual diagnosis
  • Impulse-control disorders
  • Obsessive-compulsive disorder

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