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Obsessive-compulsive disorder in children and adolescents

Published online by Cambridge University Press:  06 August 2018

Mark Riddle
Mark Riddle*
Affiliation:
Division of Child and Adolescent Psychiatry, Johns Hopkins Medical Institutions, Children's Center, Suite 346, 600 North Wolfe Street, Baltimore, MD 21287–3325, USA. Fax: +1 410–955-8691; email: riddle@welchlink.welch.jhu.edu
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Abstract

Background Obsessive-compulsive disorder (OCD) is a common psychiatric condition that usually emerges during childhood or adolescence. Over 80% of individuals with OCD have their onset before age 18 years. Epidemiologic studies suggest a prevalence of 1 -2 for adolescents.

Method This article reviews current knowledge of paediatric OCD in the following areas: age of onset, nosology and classification, subtypes, prevalence, aetiology, pathophysiology, assessment, prognosis and treatment.

Results Essential components of treatment include long-term commitment, care management and illness education. Specific components of treatment include cognitive-behavioural therapy, parent behaviour management training and medication.

Conclusions The most effective treatments are selective serotonin reuptake inhibitors (e.g. fluvoxamine, sertraline) and exposure/response prevention.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 173 , Issue S35: New perspectives in research and treatment of obsessive-compulsive disorder , August 1998 , pp. 91 - 96
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

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