The Relationship Between Adverse Childhood Experiences, Symptom Severity, Negative Thinking, Comorbidity, and Treatment Response in Youth with Obsessive-Compulsive Disorder

Although youth and adults with obsessive-compulsive disorder (OCD) endorse elevated incidence of exposure to traumatic life events during childhood, the existing literature on adverse childhood experiences (ACEs) and OCD is mixed and studies focusing on pediatric OCD are limited. The present study e...

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Bibliographic Details
Published in:Child psychiatry and human development 2024-10, Vol.55 (5), p.1201-1210
Main Authors: Vazquez, Mariana, Palo, Amanda, Schuyler, McKenzie, Small, Brent J., McGuire, Joseph F., Wilhelm, Sabine, Goodman, Wayne K., Geller, Daniel, Storch, Eric A.
Format: Article
Language:English
Subjects:
Adolescent
Adverse childhood experiences
Adverse Childhood Experiences - statistics & numerical data
Behavioral Science and Psychology
Child
Child and School Psychology
Childhood
Childhood experiences
Children
Cognition
Cognitive Behavioral Therapy
Cognitive-behavioral factors
Comorbidity
Diagnosis
Economic problems
Female
Humans
Male
Medical diagnosis
Obsessive compulsive disorder
Obsessive-Compulsive Disorder - epidemiology
Obsessive-Compulsive Disorder - therapy
Original Article
Pediatrics
Psychiatry
Psychology
Severity
Severity of Illness Index
Teenagers
Thinking - physiology
Traumatic life events
Treatment Outcome
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Summary:Although youth and adults with obsessive-compulsive disorder (OCD) endorse elevated incidence of exposure to traumatic life events during childhood, the existing literature on adverse childhood experiences (ACEs) and OCD is mixed and studies focusing on pediatric OCD are limited. The present study examines the relationship between ACEs and OCD onset, symptom severity, negative cognitive patterns, comorbidity, and cognitive-behavioral therapy (CBT) response in 142 children and adolescents with OCD. ACEs were ascertained from parent reports. Most parents reported child exposure to ACEs. Out of the parents who reported ACEs, 50% reported ACE exposure prior to OCD diagnosis and 50% reported ACE exposure after OCD diagnosis. No significant associations between ACEs and comorbidity or CBT response were found, suggesting that CBT for pediatric OCD is effective regardless of ACE exposure. Family financial problems were associated with increased obsessive-compulsive symptom severity and negative thinking. Implications for research and practice are discussed.
ISSN:0009-398X
1573-3327
1573-3327
DOI:10.1007/s10578-022-01488-4