Citation

Kochman F, Hantouche EG, Millet B, Lancrenon S, Demonfaucon C, Barrot I, Akiskal HS. Neuropsychiatr. Enfance Adolesc. 2002; 50(2): 132-138.

Copyright

(Copyright © 2002, Elsevier Publishing)

DOI

10.1016/S0222-9617(02)00081-8

PMID

unavailable

Abstract

Nowadays, there is a huge contrast between the scarcity of French-speaking publications concerning early-onset obsessive compulsive disorder and the prevalence of this illness according to the most recent publications. We present herein the epidemiological and clinical results of a vast national survey called "ABC-TOC" from which we extracted the complete data emanating from 36 children and adolescent aged from 6 to 15 years old. This study reveals that obsessive compulsive disorder in this age group is characterised by the plurality of many obsessions and concomitant compulsions whose evolution remains unstable and fluctuating, and is often marked by irritability and conduct disorders in the foreground. Moreover, there is an outstanding comorbid pathology: bipolar disorder (17.4% of the patients) preceded by a cyclothymic temperament, which is strongly related to a high suicidal risk: more than one third of the subjects of this study had suicidal ideations and 3 of them (9.7%) have attempted suicide several times since the OCD onset. © 2002 Éditions scientifiques et médicales Elsevier SAS.

Language: fr

Keywords

adolescent; article; Bipolar disorder; child; clinical article; comorbidity; Comorbidity; controlled study; Cyclothymia; dysthymia; epidemiological data; female; human; irritability; male; manic depressive psychosis; obsession; OCD; OCD French Association; prevalence; risk assessment; suicidal behavior; temperament