AI Article Synopsis
- The study explored the link between poor insight, avoidance behavior, and not-just-right sensations in children and adolescents with OCD, focusing on their baseline characteristics and treatment outcomes.
- Avoidance behavior and poor insight were found to heighten baseline severity of OCD, while not-just-right sensations were more related to specific OCD subtypes.
- Post-treatment results indicated that poor insight and avoidance behavior hindered remission and increased the need for more treatment sessions, suggesting that understanding these factors can guide better treatment strategies.
Article Abstract
Purpose: The primary aim of the present explorative naturalistic study was to examine the association of poor insight, avoidance behavior, and not-just-right sensation with baseline parameters including obsessive-compulsive disorder (OCD) symptoms, baseline severity scores, comorbidity, and personality traits. A second aim was to examine how insight, avoidance and not-just-right sensation influence treatment outcome.
Materials And Methods: In total, 317 medical records from children and adolescents with OCD referred to a specialized OCD clinic in Denmark were recorded for baseline parameters and treatment outcome. All information was used.
Results: Avoidance behavior and poor insight were associated with an increased baseline severity, whereas not-just-right perception was not. Avoidance behavior was associated with the contamination/cleaning subtype, and a not-just-right sensation with the hoarding/symmetry subtype. Lower insight and avoidance behavior were associated with comorbid conditions. At post-treatment, not-just-right perception was associated with a risk of relapse, whereas lower insight was negatively associated with gaining remission. Avoidance behavior reduced the probability of remission and increased the number of offered sessions as well as and the likelihood of having SRI prescribed. Different personality traits were associated with treatment outcome.
Conclusion: Insight, avoidance behavior, and not-just-right perceptions seem important for baseline severity and post-treatment outcome. Baseline examination should include a systematic description, which could guide treatment. The present study is an explorative study describing a naturalistic clinical population. Therefore, a number of limitations should be taken into consideration when interpreting the results. More systematic studies on the importance of insight, avoidance behavior and not-just-right perceptions are warranted.
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| http://dx.doi.org/10.1080/08039488.2018.1486454 | DOI Listing |
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