This work was performed at Butler Hospital and the Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Juvenile-onset OCD: clinical features in children, adolescents and adults
Article first published online: 10 JUL 2008
Copyright © 2008 The Authors. Journal compilation © 2008 Blackwell Munksgaard
Acta Psychiatrica Scandinavica
Volume 118, Issue 2, pages 149–159, August 2008
How to Cite
Mancebo, M. C., Garcia, A. M., Pinto, A., Freeman, J. B., Przeworski, A., Stout, R., Kane, J. S., Eisen, J. L. and Rasmussen, S. A. (2008), Juvenile-onset OCD: clinical features in children, adolescents and adults. Acta Psychiatrica Scandinavica, 118: 149–159. doi: 10.1111/j.1600-0447.2008.01224.x
- Issue published online: 10 JUL 2008
- Article first published online: 10 JUL 2008
- Accepted for publication May 14, 2008
- obsessive–compulsive disorder;
- age at onset;
Objective: To examine clinical correlates of juvenile-onset OCD across the lifespan.
Method: Data collected at the intake interview from 257 consecutive participants with juvenile-onset OCD (20 children, 44 adolescents and 193 adults) in a naturalistic study of the clinical course of OCD were examined. Participants and parents of juvenile participants completed a structured diagnostic interview, rater-administered severity measures and self-report questionnaires.
Results: Children and adolescents (i.e. juveniles) shared similar features with the exception of age at onset and OCD symptom expression. Clinically meaningful differences between juvenile and adult participants were also found. Compared with adults, juveniles were more likely to be male, recall an earlier age at OCD onset and have different lifetime comorbidity patterns.
Conclusion: Juvenile-onset OCD symptom expression is remarkably similar across the lifespan. However, findings also suggest clinically meaningful differences between juveniles and adults. Future work using a prospective design will improve our understanding of course patterns of juvenile-onset OCD.