Back to Search Start Over

Distinguishing Fear Versus Distress Symptomatology in Pediatric OCD.

Authors :
Rozenman, Michelle
Rozenman, Michelle
Peris, Tara
Bergman, R Lindsey
Chang, Susanna
O'Neill, Joseph
McCracken, James T
Piacentini, John
Rozenman, Michelle
Rozenman, Michelle
Peris, Tara
Bergman, R Lindsey
Chang, Susanna
O'Neill, Joseph
McCracken, James T
Piacentini, John
Source :
Child psychiatry and human development; vol 48, iss 1, 63-72; 0009-398X
Publication Year :
2017

Abstract

Prior research has identified OCD subtypes or "clusters" of symptoms that differentially relate to clinical features of the disorder. Given the high comorbidity between OCD and anxiety, OCD symptom clusters may more broadly associate with fear and/or distress internalizing constructs. This study examines fear and distress dimensions, including physical concerns (fear), separation anxiety (fear), perfectionism (distress), and anxious coping (distress), as predictors of previously empirically-derived OCD symptom clusters in a sample of 215 youth diagnosed with primary OCD (ages 7-17, mean age = 12.25). Self-reported separation fears predicted membership in Cluster 1 (aggressive, sexual, religious, somatic obsessions, and checking compulsions) while somatic/autonomic fears predicted membership in Cluster 2 (symmetry obsessions and ordering, counting, repeating compulsions). Results highlight the diversity of pediatric OCD symptoms and their differential association with fear, suggesting the need to carefully assess both OCD and global fear constructs that might be directly targeted in treatment.

Details

Database :
OAIster
Journal :
Child psychiatry and human development; vol 48, iss 1, 63-72; 0009-398X
Notes :
application/pdf, Child psychiatry and human development vol 48, iss 1, 63-72 0009-398X
Publication Type :
Electronic Resource
Accession number :
edsoai.on1391586541
Document Type :
Electronic Resource