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Health anxiety symptoms in children and adolescents diagnosed with OCD.
Villadsen, Anna; Thorgaard, Mette V; Hybel, Katja A; Jensen, Jens Søndergaard; Thomsen, Per H; Rask, Charlotte U.
Afiliación
  • Villadsen A; Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Noerrebrogade 44, 8000, Aarhus C, Denmark. villadsen.anna@gmail.com.
  • Thorgaard MV; Centre for Child and Adolescent Psychiatry, Aarhus University Hospital, Aarhus C, Denmark. villadsen.anna@gmail.com.
  • Hybel KA; Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Noerrebrogade 44, 8000, Aarhus C, Denmark.
  • Jensen JS; Centre for Child and Adolescent Psychiatry, Aarhus University Hospital, Aarhus C, Denmark.
  • Thomsen PH; Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Noerrebrogade 44, 8000, Aarhus C, Denmark.
  • Rask CU; Centre for Child and Adolescent Psychiatry, Aarhus University Hospital, Aarhus C, Denmark.
Eur Child Adolesc Psychiatry ; 26(2): 241-251, 2017 Feb.
Article en En | MEDLINE | ID: mdl-27357512
Health anxiety (HA) is an overlooked area in paediatric research. Little is known about the occurrence of HA symptoms in a child and adolescent psychiatric setting, and there are no age-appropriate diagnostic criteria and only limited number of assessment tools. It is therefore likely that HA is seen as part of obsessive-compulsive disorder (OCD) due to construct overlap and the diagnostic uncertainty of HA in this age group. In the present study, the extent of HA symptoms was investigated in 94 children and adolescents with a primary ICD-10 diagnosis of OCD. Self-reported HA symptoms were assessed using the Childhood Illness Attitude Scales. Clinician-rated OCD symptoms and severity were measured using the Children's Yale Brown Obsessive Compulsive Scale. Information on socio-demographics was obtained from the child's/adolescent's medical record. The distribution of HA symptoms resembled a normal curve shifted to the right compared with a normal population of Danish children, and 30 % presented with high HA symptoms. Chi-squared tests were used to examine the proportion of children and adolescents with high HA symptoms in relation to various clinical characteristics. Clinician-rated illness worries and comorbid anxiety disorder were associated with high self-reported HA symptoms. The results contribute to the understanding of how HA and OCD overlap conceptually in young patients and bring attention to the need for improved recognition of OCD patients dominated by illness worries. Further research in the description of childhood HA is important in order to understand whether HA is a distinct disorder early in life.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Trastornos de la Conducta Infantil / Trastorno Obsesivo Compulsivo Tipo de estudio: Diagnostic_studies Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Eur Child Adolesc Psychiatry Asunto de la revista: PEDIATRIA / PSIQUIATRIA Año: 2017 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Trastornos de la Conducta Infantil / Trastorno Obsesivo Compulsivo Tipo de estudio: Diagnostic_studies Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Eur Child Adolesc Psychiatry Asunto de la revista: PEDIATRIA / PSIQUIATRIA Año: 2017 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Alemania