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Obsessive-Compulsive Disorder in Children and Adolescents
Please always quote using this URN: urn:nbn:de:bvb:20-opus-141214
- Background: Early-onset obsessive-compulsive disorder (OCD) is one of the more common mental illnesses of children and adolescents, with prevalence of 1% to 3%. Its manifestations often lead to severe impairment and to conflict in the family. In this review, we summarize the manifestations, comorbidity, pathophysiology, and course of this disease as well as current modes of diagnosis and treatment. Methods: We selectively review the relevant literature and the German-language guidelines for the diagnosis and treatment of mentalBackground: Early-onset obsessive-compulsive disorder (OCD) is one of the more common mental illnesses of children and adolescents, with prevalence of 1% to 3%. Its manifestations often lead to severe impairment and to conflict in the family. In this review, we summarize the manifestations, comorbidity, pathophysiology, and course of this disease as well as current modes of diagnosis and treatment. Methods: We selectively review the relevant literature and the German-language guidelines for the diagnosis and treatment of mental illnesses in children and adolescents. Results: Obsessive-compulsive manifestations are of many types and cause severe impairment. Comorbid mental disturbances are present in as many as 70% of patients. The disease takes a chronic course in more than 40% of patients. Cognitive behavioral therapy is the treatment of first choice, followed by combination pharmacotherapy including selective serotonin reuptake inhibitors (SSRI) and then by SSRI alone. Conclusion: OCD often begins in childhood or adolescence. There are empirically based neurobiological and cognitive-behavioral models of its pathophysiology. Multiaxial diagnostic evaluation permits early diagnosis. Behavioral therapy and medications are highly effective treatments, but the disorder nonetheless takes a chronic course in a large percentage of patients.…
Author: | Susanne Walitza, Siebke Melfsen, Thomas Jans, Henrike Zellmann, Christoph Wewetzer, Andreas Warnke |
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URN: | urn:nbn:de:bvb:20-opus-141214 |
Document Type: | Journal article |
Faculties: | Medizinische Fakultät / Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie |
Language: | English |
Parent Title (English): | Deutsches Ärzteblatt International |
Year of Completion: | 2011 |
Volume: | 108 |
Issue: | 11 |
Pagenumber: | 173-I |
Source: | Deutsches Ärzteblatt International 2011; 108(11):173–9. DOI: 10.3238/arztebl.2011.0173 |
DOI: | https://doi.org/10.3238/arztebl.2011.0173 |
Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 616 Krankheiten |
Tag: | Attention-deficit/hyperactivity disorder; Childhood; Comorbidity survey replication; DSM-IV disorders; Early-onset; Follow-up; Metaanalysis; Prevalence; Scale; Therapy |
Release Date: | 2019/08/29 |
Licence (German): | Deutsches Urheberrecht |