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Obsessive-Compulsive Symptoms among Spanish Adolescents: Prevalence and Association with Depressive and Anxious Symptoms

Published online by Cambridge University Press:  13 December 2013

Zahra Noorian*
Affiliation:
Universitat Autònoma de Barcelona (Spain)
Roser Granero
Affiliation:
Universitat Autònoma de Barcelona (Spain)
Estrella Ferreira
Affiliation:
Universitat Autònoma de Barcelona (Spain)
Kelly Romero-Acosta
Affiliation:
Universitat Autònoma de Barcelona (Spain)
Edelmira Domenèch-Llaberia
Affiliation:
Universitat Autònoma de Barcelona (Spain)
*
*Correspondence concerning this article should be addressed to Zahra Noorian. Universidad Autónoma de Barcelona (UAB). Facultat de Psicología. Departament de Psicologia Clinica i de la Salut. 08193. Bellaterra, Barcelona (Spain). E-mail: [email protected]

Abstract

The present study examines the prevalence of obsessive-compulsive symptoms (OCS) in a population 1,061 adolescents (mean age 13.92) in Spain. The association between OCS and anxiety symptoms severity (panic attacks, separation anxiety, social phobia, generalized anxiety and school phobia) and depressive symptom severity has also been studied. Two distinct groups of subjects were defined and analyzed as being ‘positive’ on the obsessive-compulsive screen: The first group (called High interference) included all of the subjects who scored 25 or more in Leyton Obsessional Inventory-Child Version (LOI-CV) interference score regardless of symptom presence score, and the second group (labeled High symptom presence) consisted of all subjects with a symptom presence score equal to or above 15 and an interference score of 10 or less. Females scored higher than did males both on the symptom presence and interference scores. Forty- one subjects (3.9%) showed an interference score of 25 or more (high interference group) while eight students (0.8%) were included in the high symptom presence group. The most prevalent and interfering symptoms were: fussy about hands, hating dirt and contamination and going over things a lot. In addition, the association between LOI and depressive symptom severity was significant, while the association between LOI and anxiety symptoms severity was insignificant.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2013 

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References

Allsopp, M., & Williams, T. (1996). Intrusive thoughts in a non-clinical adolescent population. European Child & Adolescent Psychiatry, 5, 2532.Google Scholar
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, (4 th Ed.). Washington, DC: Amer Psychiatric Pub.Google Scholar
Andrews, G., Slade, T., & Issakidis, C. (2002). Deconstructing current comorbidity: Data from the Australian national survey of mental health and well-being. The British Journal of Psychiatry, 181, 306314. http://dx.doi.org/10.1192/bjp.181.4.306 Google Scholar
Bamber, D., Tamplin, A., Park, R. J., Kyte, Z. A., & Goodyer, I. M. (2002). Development of a short Leyton obsessional inventory for children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 12461252. http://dx.doi.org/10.1097/00004583-200210000-00015 Google Scholar
Berg, C. J., Rapoport, J. L., & Flament, M. (1986). The Leyton obsessional inventory-child version. Journal of the American Academy of Child Psychiatry, 25, 8491. http://dx.doi.org/10.1016/S0002-7138(09)60602-6 Google Scholar
Berg, C. Z., Whitaker, A., Davies, M., Flament, M. F., & Rapoport, J. L. (1988). The survey form of the Leyton obsessional inventory-child version: Norms from an epidemiological study. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 759763. http://dx.doi.org/10.1097/00004583-198811000-00017 Google Scholar
Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., & Neer, S. M. (1997). The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 545553. http://dx.doi.org/10.1097/00004583-199704000-00018 Google Scholar
Boyd, C. P., Gullone, E., Kostanski, M., Ollendick, T. H., & Shek, D. T. L. (2000). Prevalence of anxiety and depression in australian adolescents: Comparisons with worldwide data. The Journal of Genetic Psychology, 161, 479492. http://dx.doi.org/10.1080/00221320009596726 CrossRefGoogle ScholarPubMed
Brady, E. U., & Kendall, P. C. (1992). Comorbidity of anxiety and depression in children and adolescents. Psychological Bulletin, 111, 244255. http://dx.doi.org/10.1037/0033-2909.111.2.244 Google Scholar
Breslau, N. (1987). Inquiring about the bizarre: False positives in diagnostic interview schedule children (DISC) ascertainment of obsessions, compulsions, and psychotic symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 639644. http://dx.doi.org/10.1097/00004583-198709000-00005 Google Scholar
Bryńska, A., & Wolańczyk, T. (2005). Epidemiology and phenomenology of obsessive-compulsive disorder in non-referred young adolescents. European Child & Adolescent Psychiatry, 14, 319327. http://dx.doi.org/10.1007/s00787-005-0478-3 CrossRefGoogle ScholarPubMed
Canals, J., Marti-Henneberg, C., Fernández-Ballart, J., & Domènech, E. (1995). A longitudinal study of depression in an urban Spanish pubertal population. European Child & Adolescent Psychiatry, 4, 102111. http://dx.doi.org/10.1007/bf01977738 Google Scholar
Cooper, M. (1996). Obsessive-compulsive disorder: Effects on family members. American Journal of Orthopsychiatry, 66, 296304. http://dx.doi.org/10.1037/h0080180 Google Scholar
Costello, E. J., Angold, A., Burns, B. J., Stangl, D. K., Tweed, D. L., Erkanli, A., & Worthman, C. M. (1996). The great smoky mountains study of youth: Goals, design, methods, and the prevalence of DSM-III-R disorders. Archives of General Psychiatry, 53, 11291136. http://dx.doi.org/10.1001/archpsyc.1996.01830120067012 Google Scholar
Crye, J., Laskey, B., & Cartwright-Hatton, S. (2010). Non-clinical obsessions in a young adolescent population: Frequency and association with metacognitive variables. Psychology and Psychotherapy: Theory, Research and Practice, 83, 1526. http://dx.doi.org/10.1348/147608309x468176 Google Scholar
Domènech, E., & Martinez, M. (2008, May). Versión española del Screen for Child Anxiety Related Emocional Disorder (SCARED) y primeros resultados de validación [Spanish version of Screen for Child Anxiety Related Emocional Disorder (SCARED) and the primary results of it validation]. Paper presented at the 43th Annual Meeting of the Spanish Association of Psychiatry, Children and Adolescent. Valencia, Spain Google Scholar
Douglass, H. M., Moffitt, T. E., Dar, R., McGee, R. O. B., & Silva, P. (1995). Obsessive-compulsive disorder in a birth cohort of 18-year-olds: Prevalence and predictors. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 14241431. http://dx.doi.org/10.1097/00004583-199511000-00008 Google Scholar
Evans, D. W., Leckman, J. F., Carter, A., Reznick, J. S., Henshaw, D., King, R. A., & Pauls, D (1997). Ritual, habit, and perfectionism: The prevalence and development of compulsive-like behavior in normal young children. Child Development, 68, 5868. http://dx.doi.org/10.1111/j.1467-8624.1997.tb01925.x Google Scholar
Ferdinand, R., Dieleman, G., Ormel, J., & Verhulst, F. (2007). Homotypic versus heterotypic continuity of anxiety symptoms in young adolescents: Evidence for distinctions between dsm-iv subtypes. Journal of Abnormal Child Psychology, 35, 325333. http://dx.doi.org/10.1007/s10802-006-9093-0 Google Scholar
Flament, M. F., Whitaker, A., Rapoport, J. L., Davies, M., Berg, C. Z., Kalikow, K., … Shaffer, D.(1988). Obsessive compulsive disorder in adolescence: An epidemiological study. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 764771. http://dx.doi.org/10.1097/00004583-198811000-00018 Google Scholar
Franklin, M. E., Kozak, M. J., Cashman, L. A., Coles, M. E., Rheingold, A. A., & Foa, E. B. (1998). Cognitive-behavioral treatment of pediatric obsessive-compulsive disorder: An open clinical trial. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 412419. http://dx.doi.org/10.1097/00004583-199804000-00019 Google Scholar
Geller, D. A., Biederman, J., Faraone, S., Agranat, A., Cradock, K., Hagermoser, L., … Coffey, B. J. (2001). Developmental aspects of obsessive compulsive disorder: Findings in children, adolescents, and adults. The Journal of Nervous and Mental Disease, 189, 471477. http://dx.doi.org/10.1097/00005053-200107000-00009 Google Scholar
Geller, D. A., Biederman, J., Stewart, S. E., Mullin, B., Martin, A., Spencer, T., & Faraone, S. V. (2003). Which SSRI? A meta-analysis of pharmacotherapy trials in pediatric obsessive-compulsive disorder. The American Journal of Psychiatry, 160, 19191928. http://dx.doi.org/10.1176/appi.ajp.160.11.1919 Google Scholar
Grados, M. A., Labuda, M. C., Riddle, M. A., & Walkup, J. T. (1997). Obsessive-compulsive disorder in children and adolescents. International Review of Psychiatry, 9, 8398.CrossRefGoogle Scholar
Hanna, G. L. (1995). Demographic and clinical features of obsessive-compulsive disorder in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 927. http://dx.doi.org/10.1097/00004583-199501000-00009 Google Scholar
Heyman, I., Fombonne, E., Simmons, H., Ford, T., Meltzer, H., & Goodman, R. (2003). Prevalence of obsessive-compulsive disorder in the British nationwide survey of child mental health. International Review of Psychiatry, 15, 178184. http://dx.doi.org/10.1080/0954026021000046146 Google Scholar
Hollingshead, A. B. (1975). Four factor index of social status. New Haven, UK: Yale University.Google Scholar
Insel, T., & Akiskal, H. (1986). Obsessive-compulsive disorder with psychotic features: A phenomenologic analysis. The American Journal of Psychiatry, 143, 15271533.Google ScholarPubMed
Instituto Nacional de Estadística (INE) (2010). Censo de población [Population census] . Madrid, Spain: Author. Retrieved from http://www.ine.es/ Google Scholar
Jenike, M. A. (1989). Obsessive-compulsive and related disorders. New England Journal of Medicine, 321, 539541. http://dx.doi.org/10.1056/NEJM198908243210811 Google Scholar
Kovacs, M. (1992). Children’s Depression Inventory (CDI). Toronto, Canada: MultiHealth Systems, Inc.Google Scholar
Lewinsohn, P. M., Gotlib, I. H., Lewinsohn, M., Seeley, J. R., & Allen, N. B. (1998). Gender differences in anxiety disorders and anxiety symptoms in adolescents. Journal of Abnormal Psychology, 107, 109117. http://dx.doi.org/10.1037/0021-843X.107.1.109 Google Scholar
Maggini, C., Ampollini, P., Gariboldi, S., Cella, P. L., Peqlizza, L., & Marchesi, C. (2001). The Parma high school epidemiological survey: Obsessive-compulsive symptoms. Acta Psychiatrica Scandinavica, 103, 441446. http://dx.doi.org/10.1034/j.1600-0447.2001.00337.x Google Scholar
Mancebo, M. C., Garcia, A. M., Pinto, A., Freeman, J. B., Przeworski, A., Stout, R., … Rasmussen, S. A. (2008). Juvenile-onset OCD: Clinical features in children, adolescents and adults. Acta Psychiatrica Scandinavica, 118, 149159. http://dx.doi.org/10.1111/j.1600-0447.2008.01224.x CrossRefGoogle ScholarPubMed
Mataix-Cols, D., Rauch, S. L., Baer, L., Eisen, J. L., Shera, D. M., Goodman, W. K., … Jenike, M. A. (2002). Symptom stability in adult obsessive-compulsive disorder: Data from a naturalistic two-year follow-up study. The American Journal of Psychiatry, 159, 263268. http://dx.doi.org/10.1176/appi.ajp.159.2.263 Google Scholar
Muris, P., Merckelbach, H., Mayer, B., & Prins, E. (2000). How serious are common childhood fears? Behaviour Research and Therapy, 38, 217228. http://dx.doi.org/10.1016/S0005-7967(98)00204-6 Google Scholar
Okasha, A., Ragheb, K., Attia, A. H., Seif El Dawla, A., Okasha, T., & Ismail, R. (2001). Prevalence of Obsessive Compulsive Symptoms (OCS) in a sample of Egyptian adolescents. L’Encéphale, 27, 814.Google Scholar
Pauls, D., Alsobrook, J., Goodman, W., Rasmussen, S., & Leckman, J. (1995). A family study of obsessive-compulsive disorder. The American Journal of Psychiatry, 152, 7684.Google Scholar
Pediatric OCD Treatment Study (POTS) Team. (2004). Cognitive-behavior therapy, sertraline, and their combination for children and adolescents with obsessive-compulsive disorder: The Pediatric OCD Treatment Study (POTS) randomized controlled trial. JAMA: The Journal of the American Medical Association, 292, 19691976. http://dx.doi.org/10.1001/jama.292.16.1969 Google Scholar
Pigott, T. A., L’Heureux, F., Dubbert, B., Bernstein, S., & Murphy, D. L. (1994). Obsessive compulsive disorder: Comorbid conditions. The Journal of clinical psychiatry, 55, 2832.Google Scholar
Rasmussen, S. A., & Eisen, J. L. (1992). The epidemiology and clinical features of obsessive compulsive disorder. Psychiatric Clinics of North America, 15, 743758.Google Scholar
Roussos, A., Francis, K., Koumoula, A., Richardson, C., Kabakos, C., Kiriakidou, T., … Karamolegou, K (2003). The Leyton obsessional inventory-child version in Greek adolescents. European Child & Adolescent Psychiatry, 12, 5866. http://dx.doi.org/10.1007/s00787-003-0308-4 Google Scholar
Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. I., King, R. A., Goodman, W. K., … Leckman, J. F. (1997). Children’s Yale-Brown obsessive compulsive scale: Reliability and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 844852. http://dx.doi.org/10.1097/00004583-199706000-00023 CrossRefGoogle ScholarPubMed
Seligman, L. D., & Ollendick, T. H. (1998). Comorbidity of anxiety and depression in children and adolescents: An integrative review. Clinical Child and Family Psychology Review, 1, 125144. http://dx.doi.org/10.1023/a:1021887712873 Google Scholar
Spence, S. H. (1998). A measure of anxiety symptoms among children. Behaviour Research and Therapy, 36, 545566. http://dx.doi.org/10.1016/S0005-7967(98)00034-5 Google Scholar
Stewart, S. E., Geller, D. A., Jenike, M., Pauls, D., Shaw, D., Mullin, B., & Faraone, S. V. (2004). Long-term outcome of pediatric obsessive-compulsive disorder: A meta-analysis and qualitative review of the literature. Acta Psychiatrica Scandinavica, 110, 413. http://dx.doi.org/10.1111/j.1600-0447.2004.00302.x Google Scholar
Storch, E. A., Park, J. M., Lewin, A. B., Morgan, J. R., Jones, A. M., & Murphy, T. K. (2011). The Leyton obsessional inventory-child version survey form does not demonstrate adequate psychometric properties in American youth with pediatric obsessive-compulsive disorder. Journal of Anxiety Disorders, 25, 574578. http://dx.doi.org/10.1016/j.janxdis.2011.01.005 Google Scholar
Swedo, S. E., Rapoport, J. L., Leonard, H., Lenane, M., & Cheslow, D. (1989). Obsessive-compulsive disorder in children and adolescents: Clinical phenomenology of 70 consecutive cases. Archives of General Psychiatry, 46, 335341. http://dx.doi.org/10.1001/archpsyc.1989.01810040041007 Google Scholar
Taylor, S. (2011). Etiology of obsessions and compulsions: A meta-analysis and narrative review of twin studies. Clinical Psychology Review, 31, 13611372. http://dx.doi.org/10.1016/j.cpr.2011.09.008 Google Scholar
Thomsen, P. H. (1993). Obsessive-compulsive disorder in children and adolescents. Acta Psychiatrica Scandinavica, 88, 212217. http://dx.doi.org/10.1111/j.1600-0447.1993.tb03441.x Google Scholar
Valleni-Basile, L. A., Garrison, C. Z., Jackson, K. L., Waller, J. L., McKeown, R. E., Addy, C. L., & Cuffe, S. P. (1994). Frequency of obsessive-compulsive disorder in a community sample of young adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 782791. http://dx.doi.org/10.1097/00004583-199407000-00002 Google Scholar
Van Grootheest, D. S., Bartels, M., Van Beijsterveldt, C. E. M., Cath, D. C., Beekman, A. T., Hudziak, J. J., & Boomsma, D. I. (2008). Genetic and environmental contributions to self-report obsessive-compulsive symptoms in dutch adolescents at ages 12, 14, and 16. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 11821188. http://dx.doi.org/10.1097/CHI.0b013e3181825abd Google Scholar
Wever, C., & Rey, J. M. (1997). Juvenile obsessive-compulsive disorder. Australian and New Zealand Journal of Psychiatry, 31, 105113. http://dx.doi.org/10.3109/00048679709073806 Google Scholar
ZhanJiang, L., BingWu, Q., & JiSheng, W. (2003). Obsessive-compulsive phenomenon in adolescents. Chinese Mental Health Journal, 17, 266269.Google Scholar
Zohar, A. H. (1999). The epidemiology of obsessive-compulsive disorder in children and adolescents. Child and Adolescent Psychiatric Clinics of North America, 8, 445460.Google Scholar