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Theory of Mind Abilities May Predict Treatment Outcomes in Adolescents With Obsessive-Compulsive Disorder: A Follow-Up Study.
Kara, Tayfun; Aydogan Avsar, Pinar; Kuru, Tacettin; Kocaman, Orhan.
Afiliación
  • Kara T; Faculty of Medicine, Department of Child and Adolescent Psychiatry, Alanya Alaaddin Keykubat University, Antalya, Turkey.
  • Aydogan Avsar P; Department of Child and Adolescent Psychiatry, Alanya Training and Research Hospital, Antalya, Turkey.
  • Kuru T; Department of Psychiatry, Alanya Training and Research Hospital, Antalya, Turkey.
  • Kocaman O; Faculty of Medicine, Department of Child and Adolescent Psychiatry, Alanya Alaaddin Keykubat University, Antalya, Turkey.
Article en En | MEDLINE | ID: mdl-39166714
ABSTRACT

AIMS:

Researchers report varying levels of cognitive flexibility and theory of mind (ToM) deficiencies in adolescents with obsessive-compulsive disorder (OCD). This research set out to investigate the impact of these variables on the disorder's outcomes.

METHOD:

The study involved 39 adolescents with OCD and 40 healthy controls. We assessed the case group at the initial visit to the outpatient clinic and again at the end of the first year of treatment. The Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) was applied to assess OCD symptom distribution and severity. The Reading the Mind in the Eyes of Children Test (RME-CT) was applied to evaluate ToM skills, and the Cognitive Flexibility Scale (CFS) was employed to evaluate cognitive flexibility levels.

RESULTS:

Baseline RME-CT and CFS scores were significantly lower in adolescents with OCD compared to the control group (p = 0.002 p = 0.001, respectively). At the end of the 1-year follow-up, RME-CT and CFS scores increased significantly in the adolescents with OCD (p < 0.001, p = 0.003, respectively). A significant negative correlation was observed between the initial RME-CT scores and the Y-BOCS scores at the end of the 1-year follow-up (p < 0.001). The initial RME-CT score had a significant negative predictive effect on the subsequent severity of OCD (ß = -0.711, p < 0.001).

CONCLUSIONS:

The research revealed poorer long-term prognoses for OCD in adolescents who exhibit low ToM skills. In conclusion, the results indicate that ToM skills may serve as a predictive factor for long-term treatment outcomes among adolescents diagnosed with OCD.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Early Interv Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Australia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Early Interv Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Australia