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1、PediatricOCDJoeEdwards,Psy.D.StephanieEken,M.D.DavidCausey,Ph.D.PrevalenceofOCDinchildrenOCDisconsiderablymorecommonthanoncethought1in200arethoughttosufferfromOCD3or4ineachelementaryschoolhaveitUpto20adolescentsinanaveraged-sizedhighschoolhaveOCD7½millionintheUSwillsuff
2、erOCDduringtheirlifetime(15millionOCDspectrumdisorders)PrevalenceofOCDcont.Unfortunately,only4of18childrenfoundtohaveOCDwereunderprofessionalmentalhealthcare(Flamentetal.,1988),ofthose18hadbeenidentifiedashavingOCDOCDhasbeencalledthe“hiddenepidemic”(Jenike,1989)Factorsc
3、ontributingtounderdiagnosisofOCDFactorsinOCD:secretiveness&lackofinsightFearofbeingseenasCrazyFactorswithhealthcareproviders:incorrectdx.’s,lackoffamiliaritywith(orunwillingnesstouse)proventreatments,differentiatingvariantsofOCDsymptomsAccesstogoodtreatmentDSM-IVcriteri
4、aforOCDOCDischaracterizedbyrecurrentobsessionsand/orcompulsionsthatcausemarkeddistressandinterferencewithsocialorrolefunctioningChildrenmaypresentwitheitherobsessionsorcompulsions(mosthaveboth)Inyouth,thetypesofsymptoms,canchangerapidlyDSM-IVcriteriaforOCDOCDbehaviorsca
5、noccurinachildwithoutmeetingcriteriaforOCDDSM-IVspecifiedOCDsymptomsmustcausedistress,beingtime-consuming(>than1hr/day),ormustsignificantlyinterferewithschool,socialactivities,orimportantrelationshipsDSM-IVcriteriaforOCDObsessionsaremorethansimplyexcessiveworriesaboutre
6、allifeproblemsObsessionsoriginatefromwithinthemindAtsomepointintheillness,thepersonrecognizesthattheO/CareexcessiveandunreasonableDSM-IVcriteriaforOCDSpecificcontentobsessionsarenotrelatedtoanotherAxisIdisorder(obsessionsaboutfoodinaneatingdisorderorguiltythoughtswithru
7、minationsindepression)CommonOCDsymptomsinchildrenObsessionsContaminationthemesHarmtoselforothersAggressivethemesSexualthemesScrupulosity/religiosityForbiddenthoughtsSymmetryurgesNeedtotell,ask,confessCompulsionsWashingorcleaningRepeatingCheckingTouchingCountingOrdering/
8、arrangingHoardingPrayingCommonOCDsymptomsinchildrenOCDsymptomsfrequentlychangeovertimeBytheendoftheiradolescen
