The Child Behavior Checklist-Obsessive-Compulsive Subscale Detects Severe Psychopathology and Behavioral Problems Among School-Aged Children
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1089/ap.2016.0125 https://repositorio.unifesp.br/handle/11600/54603 |
Resumo: | Objective: The aims of this study were (1) to assess obsessive-compulsive symptoms (OCS) dimensionally in a school-aged community sample and to correlate them with clinical and demographical variables |
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Repositório Institucional da UNIFESP |
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The Child Behavior Checklist-Obsessive-Compulsive Subscale Detects Severe Psychopathology and Behavioral Problems Among School-Aged Childrenchild and adolescent psychiatryepidemiologydimensional obsessive-compulsive symptomsschool-aged childrenchild behavior checklistObjective: The aims of this study were (1) to assess obsessive-compulsive symptoms (OCS) dimensionally in a school-aged community sample and to correlate them with clinical and demographical variables(2) to determine a subgroup with significant OCS "at-risk for OCD'') using the Child Behavior Checklist (CBCL-OCS) and (3) to compare it with the rest of the sample(4) To review the CBCL-OCS subscale properties as a screening tool for pediatric OCD. Methods: Data from the Brazilian High Risk Cohort were analyzed. The presence and severity of OCS were assessed through the CBCL-OCS subscale. DSM-IV psychiatric diagnoses were obtained by the Developmental and Well-Being Assessment. Behavioral problems were assessed using the Strengths and Difficulties Questionnaire, the Youth Strengths Inventory, and the CBCL internalizing and externalizing behavior subscales. Results: A total of 2512 (mean age: 8.86 +/- 1.84 years55.0% male) children were included. Moderate correlations were found between OCS severity and functional impairment (r = 0.36, p < 0.001). Children with higher levels of OCS had higher rates of psychiatric comorbidity and behavioral problems (p < 0.001). A score of 5 or higher in the CBCL-OCS scale determined an "at-risk for OCD'' subgroup, comprising 9.7% of the sample (n = 244), with behavioral patterns and psychiatric comorbidities (e.g., tics [odds ratios, OR = 6.41, p < 0.001]), anxiety disorders grouped [OR = 3.68, p < 0.001] and depressive disorders [OR = 3.0, p < 0.001] very similar to those described in OCD. Sensitivity, specificity, positive predictive value, and negative predictive value of the CBCL-OCS for OCD diagnosis were, respectively, 48%, 91.5%15.1%, and 98.2%. Conclusions: The dimensional approach suggests that the presence of OCS in children is associated with higher rates of comorbidity, behavioral problems, and impairment. The "at-risk for OCD'' group defined by the CBCL revealed a group of patients phenotypically similar to full blown OCD.Univ Sao Paulo, Med Sch USP, Dept Psychiat, Rua Dr Ovidio Pires de Campos 785, BR-01060970 Sao Paulo, BrazilNatl Inst Dev Psychiat Children & Adolescents, Sao Paulo, BrazilFed Univ Sao Paulo UNIFESP, Dept Psychiat, Child & Adolescent Psychiat Unit UPIA, Sao Paulo, BrazilFed Univ Rio Grande do Sul UFRGS, Hosp Clin Porto Alegre, Porto Alegre, RS, BrazilYale Sch Med, Ctr Child Study, New Haven, CT USAFed Univ Sao Paulo UNIFESP, Dept Psychiat, Child & Adolescent Psychiat Unit UPIA, Sao Paulo, BrazilWeb of ScienceNational Council of Technological and Scientific Development (CNPQ)Foundation for Research in the State of Sao Paulo (FAPESP)CNPq: 573974/2008-0FAPESP: 08/57896-8Mary Ann Liebert, Inc2020-07-13T11:53:24Z2020-07-13T11:53:24Z2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion342-348http://dx.doi.org/10.1089/ap.2016.0125Journal Of Child And Adolescent Psychopharmacology. New Rochelle, v. 27, n. 4, p. 342-348, 2017.10.1089/ap.2016.01251044-5463https://repositorio.unifesp.br/handle/11600/54603WOS:000401007100006engJournal Of Child And Adolescent PsychopharmacologyNew Rochelleinfo:eu-repo/semantics/openAccessSaad, Laura O.do Rosario, Maria C.Cesar, Raony C.Batistuzzo, Marcelo C.Hoexter, Marcelo Q.Manfro, Gisele G.Shavitt, Roseli G.Leckman, James F.Miguel, Euripedes C. [UNIFESP]Alvarenga, Pedro G.reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2021-10-05T11:34:38Zoai:repositorio.unifesp.br/:11600/54603Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652021-10-05T11:34:38Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
The Child Behavior Checklist-Obsessive-Compulsive Subscale Detects Severe Psychopathology and Behavioral Problems Among School-Aged Children |
title |
The Child Behavior Checklist-Obsessive-Compulsive Subscale Detects Severe Psychopathology and Behavioral Problems Among School-Aged Children |
spellingShingle |
The Child Behavior Checklist-Obsessive-Compulsive Subscale Detects Severe Psychopathology and Behavioral Problems Among School-Aged Children Saad, Laura O. child and adolescent psychiatry epidemiology dimensional obsessive-compulsive symptoms school-aged children child behavior checklist |
title_short |
The Child Behavior Checklist-Obsessive-Compulsive Subscale Detects Severe Psychopathology and Behavioral Problems Among School-Aged Children |
title_full |
The Child Behavior Checklist-Obsessive-Compulsive Subscale Detects Severe Psychopathology and Behavioral Problems Among School-Aged Children |
title_fullStr |
The Child Behavior Checklist-Obsessive-Compulsive Subscale Detects Severe Psychopathology and Behavioral Problems Among School-Aged Children |
title_full_unstemmed |
The Child Behavior Checklist-Obsessive-Compulsive Subscale Detects Severe Psychopathology and Behavioral Problems Among School-Aged Children |
title_sort |
The Child Behavior Checklist-Obsessive-Compulsive Subscale Detects Severe Psychopathology and Behavioral Problems Among School-Aged Children |
author |
Saad, Laura O. |
author_facet |
Saad, Laura O. do Rosario, Maria C. Cesar, Raony C. Batistuzzo, Marcelo C. Hoexter, Marcelo Q. Manfro, Gisele G. Shavitt, Roseli G. Leckman, James F. Miguel, Euripedes C. [UNIFESP] Alvarenga, Pedro G. |
author_role |
author |
author2 |
do Rosario, Maria C. Cesar, Raony C. Batistuzzo, Marcelo C. Hoexter, Marcelo Q. Manfro, Gisele G. Shavitt, Roseli G. Leckman, James F. Miguel, Euripedes C. [UNIFESP] Alvarenga, Pedro G. |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Saad, Laura O. do Rosario, Maria C. Cesar, Raony C. Batistuzzo, Marcelo C. Hoexter, Marcelo Q. Manfro, Gisele G. Shavitt, Roseli G. Leckman, James F. Miguel, Euripedes C. [UNIFESP] Alvarenga, Pedro G. |
dc.subject.por.fl_str_mv |
child and adolescent psychiatry epidemiology dimensional obsessive-compulsive symptoms school-aged children child behavior checklist |
topic |
child and adolescent psychiatry epidemiology dimensional obsessive-compulsive symptoms school-aged children child behavior checklist |
description |
Objective: The aims of this study were (1) to assess obsessive-compulsive symptoms (OCS) dimensionally in a school-aged community sample and to correlate them with clinical and demographical variables |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017 2020-07-13T11:53:24Z 2020-07-13T11:53:24Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1089/ap.2016.0125 Journal Of Child And Adolescent Psychopharmacology. New Rochelle, v. 27, n. 4, p. 342-348, 2017. 10.1089/ap.2016.0125 1044-5463 https://repositorio.unifesp.br/handle/11600/54603 WOS:000401007100006 |
url |
http://dx.doi.org/10.1089/ap.2016.0125 https://repositorio.unifesp.br/handle/11600/54603 |
identifier_str_mv |
Journal Of Child And Adolescent Psychopharmacology. New Rochelle, v. 27, n. 4, p. 342-348, 2017. 10.1089/ap.2016.0125 1044-5463 WOS:000401007100006 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal Of Child And Adolescent Psychopharmacology |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
342-348 |
dc.coverage.none.fl_str_mv |
New Rochelle |
dc.publisher.none.fl_str_mv |
Mary Ann Liebert, Inc |
publisher.none.fl_str_mv |
Mary Ann Liebert, Inc |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1814268381368418304 |