The Children's Yale-Brown Obsessive-Compulsive Scale's auxiliary items: Long-term outcome
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
The Children's Yale-Brown Obsessive-Compulsive Scale's auxiliary items : Long-term outcome. / Jensen, Sanne; Hybel, Katja A.; Højgaard, Davíð R.M.A.; Nissen, Judith Becker; Skarphedinsson, Gudmundur; Torp, Nor Christian; Ivarsson, Tord; Weidle, Bernhard; Mortensen, Erik Lykke; Carlsen, Anders Helles; Melin, Karin; Compton, Scott; Thomsen, Per Hove.
In: Journal of Obsessive-Compulsive and Related Disorders, Vol. 27, 100589, 2020.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - The Children's Yale-Brown Obsessive-Compulsive Scale's auxiliary items
T2 - Long-term outcome
AU - Jensen, Sanne
AU - Hybel, Katja A.
AU - Højgaard, Davíð R.M.A.
AU - Nissen, Judith Becker
AU - Skarphedinsson, Gudmundur
AU - Torp, Nor Christian
AU - Ivarsson, Tord
AU - Weidle, Bernhard
AU - Mortensen, Erik Lykke
AU - Carlsen, Anders Helles
AU - Melin, Karin
AU - Compton, Scott
AU - Thomsen, Per Hove
PY - 2020
Y1 - 2020
N2 - Objective: Standard assessment of pediatric obsessive-compulsive disorder (OCD) patients includes ratings of insight, avoidance, indecisiveness, sense of responsibility, pervasive slowness, pathological doubting, and obsession-free intervals. The present study aims to identify pre-treatment associations of these clinical features to symptom severity and symptom dimensions as well as to describe and analyze the long-term levels and distribution in different treatment responder groups. Method: Severity ratings as well as clinical feature ratings were evaluated in 268 pediatric OCD patients using the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) at seven time points before, during, and up to three years after first-line cognitive-behavioral therapy. The CY-BOCS auxiliary items were evaluated on the basis of three symptom severity trajectory classes: acute, slow, and limited responders. Results: Insight, avoidance, pervasive slowness, and obsession-free intervals were positively associated with pre-treatment symptom severity. Symptom dimensions were associated with different auxiliary items. At three-year follow-up, the limited responder class had higher scores than the acute and slow responder classes on all items except for responsibility. Conclusion: The CY-BOCS auxiliary items are closely related to symptom dimensions and partly to symptom severity. The features appear to be dynamic concepts prone to change, yet, less so in patients showing limited long-term treatment response.
AB - Objective: Standard assessment of pediatric obsessive-compulsive disorder (OCD) patients includes ratings of insight, avoidance, indecisiveness, sense of responsibility, pervasive slowness, pathological doubting, and obsession-free intervals. The present study aims to identify pre-treatment associations of these clinical features to symptom severity and symptom dimensions as well as to describe and analyze the long-term levels and distribution in different treatment responder groups. Method: Severity ratings as well as clinical feature ratings were evaluated in 268 pediatric OCD patients using the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) at seven time points before, during, and up to three years after first-line cognitive-behavioral therapy. The CY-BOCS auxiliary items were evaluated on the basis of three symptom severity trajectory classes: acute, slow, and limited responders. Results: Insight, avoidance, pervasive slowness, and obsession-free intervals were positively associated with pre-treatment symptom severity. Symptom dimensions were associated with different auxiliary items. At three-year follow-up, the limited responder class had higher scores than the acute and slow responder classes on all items except for responsibility. Conclusion: The CY-BOCS auxiliary items are closely related to symptom dimensions and partly to symptom severity. The features appear to be dynamic concepts prone to change, yet, less so in patients showing limited long-term treatment response.
KW - Children and adolescents
KW - Children's Yale-Brown Obsessive-Compulsive Scale
KW - Longitudinal study
KW - Obsessive-compulsive disorder
KW - Outcome
U2 - 10.1016/j.jocrd.2020.100589
DO - 10.1016/j.jocrd.2020.100589
M3 - Journal article
AN - SCOPUS:85092517184
VL - 27
JO - Journal of Obsessive-Compulsive and Related Disorders
JF - Journal of Obsessive-Compulsive and Related Disorders
SN - 2211-3649
M1 - 100589
ER -
ID: 253519578