Overvalued Ideation in Adolescents with Obsessive-Compulsive Disorder

Abstract In Obsessive Compulsive Disorder (OCD), overvalued ideas (OVI) are considered poor prognostic indicators in adults. To date, OVI has not been studied in an adolescent population with OCD, nor has it been examined in relation to obsessive-compulsive beliefs. To investigate the relationship b...

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Bibliographic Details
Published in:Psychiatry research 2017-09, Vol.255, p.66-71
Main Authors: Borda, Tania, Neziroglu, Fugen, Taboas, William, McKay, Dean, Frenkiel, Leah
Format: Article
Language:English
Subjects:
Adolescent
Cognition
Cognitive Therapy - methods
Culture
Delusions - psychology
Female
Humans
Male
Obsessive-compulsive beliefs
Obsessive-Compulsive Disorder - psychology
Obsessive-Compulsive Disorder - therapy
Psychiatric Status Rating Scales
Psychiatry
Quality of Life
Severity of Illness Index
Treatment Outcome
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Summary:Abstract In Obsessive Compulsive Disorder (OCD), overvalued ideas (OVI) are considered poor prognostic indicators in adults. To date, OVI has not been studied in an adolescent population with OCD, nor has it been examined in relation to obsessive-compulsive beliefs. To investigate the relationship between OVI and specific cognitions, fifty-five adolescents with OCD (35 male; 20 female; age range 13–17 years; M =14.05 years, SD =1.75 years) participated. It was predicted that OVI would be associated with symptom severity and would moderate obsessive-compulsive beliefs and functional disability. Results showed that OVI was associated with symptom severity, but did not moderate the relationship with any OC beliefs or functional domains. To evaluate the role of OVI in treatment outcome, thirteen adolescents completed a cognitive-behavioral treatment program. Severity of their OCD symptoms, OVI, degree of functional impairment and quality of life were assessed. It was expected that all variables would change in response to treatment. Further, it was expected that OVI would mediate treatment outcome for all measures of obsessive-compulsive symptom and belief assessments. Results indicated that there was clinically significant change in symptom severity and functional disability, as well as beliefs regarding responsibility/overestimation of threat. Treatment, assessment, and methodological recommendations for this population are offered.
ISSN:0165-1781
1872-7123
DOI:10.1016/j.psychres.2017.05.001