The Child Behavior Checklist-Obsessive-Compulsive Subscale Detects Severe Psychopathology and Behavioral Problems Among School-Aged Children

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dc.citation.issue4
dc.citation.volume27
dc.contributor.authorSaad, Laura O.
dc.contributor.authordo Rosario, Maria C.
dc.contributor.authorCesar, Raony C.
dc.contributor.authorBatistuzzo, Marcelo C.
dc.contributor.authorHoexter, Marcelo Q.
dc.contributor.authorManfro, Gisele G.
dc.contributor.authorShavitt, Roseli G.
dc.contributor.authorLeckman, James F.
dc.contributor.authorMiguel, Euripedes C. [UNIFESP]
dc.contributor.authorAlvarenga, Pedro G.
dc.coverageNew Rochelle
dc.date.accessioned2020-07-13T11:53:24Z
dc.date.available2020-07-13T11:53:24Z
dc.date.issued2017
dc.description.abstractObjective: The aims of this study were (1) to assess obsessive-compulsive symptoms (OCS) dimensionally in a school-aged community sample and to correlate them with clinical and demographical variablesen
dc.description.abstract(2) to determine a subgroup with significant OCS "at-risk for OCD'') using the Child Behavior Checklist (CBCL-OCS) and (3) to compare it with the rest of the sampleen
dc.description.abstract(4) To review the CBCL-OCS subscale properties as a screening tool for pediatric OCD. Methods: Data from the Brazilian High Risk Cohort were analyzed. The presence and severity of OCS were assessed through the CBCL-OCS subscale. DSM-IV psychiatric diagnoses were obtained by the Developmental and Well-Being Assessment. Behavioral problems were assessed using the Strengths and Difficulties Questionnaire, the Youth Strengths Inventory, and the CBCL internalizing and externalizing behavior subscales. Results: A total of 2512 (mean age: 8.86 +/- 1.84 yearsen
dc.description.abstract55.0% male) children were included. Moderate correlations were found between OCS severity and functional impairment (r = 0.36, p < 0.001). Children with higher levels of OCS had higher rates of psychiatric comorbidity and behavioral problems (p < 0.001). A score of 5 or higher in the CBCL-OCS scale determined an "at-risk for OCD'' subgroup, comprising 9.7% of the sample (n = 244), with behavioral patterns and psychiatric comorbidities (e.g., tics [odds ratios, OR = 6.41, p < 0.001]), anxiety disorders grouped [OR = 3.68, p < 0.001] and depressive disorders [OR = 3.0, p < 0.001] very similar to those described in OCD. Sensitivity, specificity, positive predictive value, and negative predictive value of the CBCL-OCS for OCD diagnosis were, respectively, 48%, 91.5%en
dc.description.abstract15.1%, and 98.2%. Conclusions: The dimensional approach suggests that the presence of OCS in children is associated with higher rates of comorbidity, behavioral problems, and impairment. The "at-risk for OCD'' group defined by the CBCL revealed a group of patients phenotypically similar to full blown OCD.en
dc.description.affiliationUniv Sao Paulo, Med Sch USP, Dept Psychiat, Rua Dr Ovidio Pires de Campos 785, BR-01060970 Sao Paulo, Brazil
dc.description.affiliationNatl Inst Dev Psychiat Children & Adolescents, Sao Paulo, Brazil
dc.description.affiliationFed Univ Sao Paulo UNIFESP, Dept Psychiat, Child & Adolescent Psychiat Unit UPIA, Sao Paulo, Brazil
dc.description.affiliationFed Univ Rio Grande do Sul UFRGS, Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil
dc.description.affiliationYale Sch Med, Ctr Child Study, New Haven, CT USA
dc.description.affiliationUnifespFed Univ Sao Paulo UNIFESP, Dept Psychiat, Child & Adolescent Psychiat Unit UPIA, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipNational Council of Technological and Scientific Development (CNPQ)
dc.description.sponsorshipFoundation for Research in the State of Sao Paulo (FAPESP)
dc.description.sponsorshipIDCNPq: 573974/2008-0
dc.description.sponsorshipIDFAPESP: 08/57896-8
dc.format.extent342-348
dc.identifierhttp://dx.doi.org/10.1089/ap.2016.0125
dc.identifier.citationJournal Of Child And Adolescent Psychopharmacology. New Rochelle, v. 27, n. 4, p. 342-348, 2017.
dc.identifier.doi10.1089/ap.2016.0125
dc.identifier.issn1044-5463
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54603
dc.identifier.wosWOS:000401007100006
dc.language.isoeng
dc.publisherMary Ann Liebert, Inc
dc.relation.ispartofJournal Of Child And Adolescent Psychopharmacology
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectchild and adolescent psychiatryen
dc.subjectepidemiologyen
dc.subjectdimensional obsessive-compulsive symptomsen
dc.subjectschool-aged childrenen
dc.subjectchild behavior checklisten
dc.titleThe Child Behavior Checklist-Obsessive-Compulsive Subscale Detects Severe Psychopathology and Behavioral Problems Among School-Aged Childrenen
dc.typeinfo:eu-repo/semantics/article
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