Challenges of insight assessment in pediatric obsessive-compulsive disorder: Initial results and clinical considerations from a measure development study

Robert R. Selles1,2, John R. Best1,2, Cynthia Lu1,2, Noam Soreni3,4, Lara J. Farrell5, Sharna Mathieu5, S. Evelyn Stewart1,2,6
1University of British Columbia, Vancouver, BC, Canada
2BC Children's Hospital, Vancouver, BC, Canada
3St Joseph's Hospital, Hamilton, ON, Canada
4McMaster University, Hamilton, ON, Canada
5Griffith University – Gold Coast, Queensland, Australia
6BC Mental Health and Substance Use Services, BC, Canada

Tài liệu tham khảo

Association, 2013 de Berardis, 2005, Insight and alexithymia in adult outpatients with obsessive–compulsive disorder, European Archives of Psychiatry and Clinical Neuroscience, 255, 350, 10.1007/s00406-005-0573-y Boedhoe, 2017, Distinct subcortical volume alterations in pediatric and adult OCD: A worldwide meta-and mega-analysis, American Journal of Psychiatry, 174, 60, 10.1176/appi.ajp.2016.16020201 Borda, 2017, Overvalued ideation in adolescents with obsessive-compulsive disorder, Psychiatry Research, 255, 66, 10.1016/j.psychres.2017.05.001 Browne, 2001, An overview of analytic rotation in exploratory factor analysis, Multivariate Behavioral Research, 36, 111, 10.1207/S15327906MBR3601_05 Catapano, 2010, Obsessive–compulsive disorder with poor insight: A three-year prospective study, Progress in Neuro-Psychopharmacology and Biological Psychiatry, 34, 323, 10.1016/j.pnpbp.2009.12.007 Catapano, 2001, Insight and resistance in patients with obsessive-compulsive disorder, Psychopathology, 34, 62, 10.1159/000049282 Cervin, 2021, Cognitive beliefs across the symptom dimensions of pediatric obsessive-compulsive disorder: Type of symptom matters, Behavior Therapy Eisen, 1998, The brown assessment of beliefs scale: Reliability and validity, American Journal of Psychiatry, 155, 102, 10.1176/ajp.155.1.102 Emmelkamp, 1999, Metacognition, specific obsessive-compulsive beliefs and obsessive-compulsive behaviour, Clinical Psychology & Psychotherapy, 6, 10.1002/(SICI)1099-0879(199905)6:2<139::AID-CPP194>3.0.CO;2-9 Garcia, 2010, Predictors and moderators of treatment outcome in the pediatric obsessive compulsive treatment study (POTS I), Journal of the American Academy of Child & Adolescent Psychiatry, 49, 1024, 10.1016/j.jaac.2010.06.013 Geller, 2021, Developmental considerations in obsessive compulsive disorder: Comparing pediatric and adult-onset cases, Frontiers in Psychiatry, 12, 10.3389/fpsyt.2021.678538 Grayson, 2010, OCD and intolerance of uncertainty: Treatment issues, Journal of Cognitive Psychotherapy, 24, 10.1891/0889-8391.24.1.3 Hood, 2019, Poor insight in obsessive-compulsive disorder: Examining the role of cognitive and metacognitive variables, J. Obsessive-Compulsive Related Disord., 23, 10.1016/j.jocrd.2019.100447 Horn, 1965, A rationale and test for the number of factors in factor analysis, Psychometrika, 30, 179, 10.1007/BF02289447 Hu, 1999, Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives, Structural Equation Modeling, 6, 1, 10.1080/10705519909540118 Jaafari, 2011, The relationship between insight and uncertainty in obsessive-compulsive disorder for the insight study group, Psychopathology, 44, 10.1159/000323607 Jakubovski, 2011, Dimensional correlates of poor insight in obsessive–compulsive disorder, Progress in Neuro-Psychopharmacology and Biological Psychiatry, 35, 1677, 10.1016/j.pnpbp.2011.05.012 Kishore, 2004, Clinical characteristics and treatment response in poor and good insight obsessive–compulsive disorder, European Psychiatry, 19, 202, 10.1016/j.eurpsy.2003.12.005 Kozak, 1994, Obsessions, overvalued ideas, and delusions in obsessive-compulsive disorder, Behaviour Research and Therapy, 32, 343, 10.1016/0005-7967(94)90132-5 Landmann, 2019, Mindfulness predicts insight in obsessive-compulsive disorder over and above OC symptoms: An experience-sampling study, Behaviour Research and Therapy, 121, 10.1016/j.brat.2019.103449 Lebowitz, 2013, Parent-based treatment for childhood and adolescent OCD, J. Obsessive-Compulsive Related Disord., 10.1016/j.jocrd.2013.08.004 Lewin, 2010, Correlates of insight among youth with obsessive‐compulsive disorder, Journal of Child Psychology and Psychiatry, 51, 603, 10.1111/j.1469-7610.2009.02181.x Marková, 2009, Insight and obsessive-compulsive disorder: A conceptual analysis, 42 McNamara, 2014, Self-regulation and other executive functions relationship to pediatric OCD severity and treatment outcome, Journal of Psychopathology and Behavioral Assessment, 36, 10.1007/s10862-014-9408-3 Merlo, 2009, Decreased family accommodation associated with improved therapy outcome in pediatric obsessive-compulsive disorder, Journal of Consulting and Clinical Psychology, 10.1037/a0012652 Merlo, 2010, Cognitive-behavioral therapy plus motivational interviewing improves outcome for pediatric obsessive-compulsive disorder: A preliminary study, Cognitive Behaviour Therapy, 39, 24, 10.1080/16506070902831773 Moritz, 2006, A generalized bias against disconfirmatory evidence in schizophrenia, Psychiatry Research, 142 Neziroglu, 1999, The overvalued ideas scale: Development, reliability and validity in obsessive–compulsive disorder, Behaviour Research and Therapy, 37, 881, 10.1016/S0005-7967(98)00191-0 O'Dwyer, 2000, Obsessive-compulsive disorder and delusions revisited, The British Journal of Psychiatry, 176, 281, 10.1192/bjp.176.3.281 Önen, 2013, The relationship between metacognitions and insight in obsessive–compulsive disorder, Comprehensive Psychiatry, 54, 541, 10.1016/j.comppsych.2012.11.006 Ozkiris, 2015, The relationship between insight and the level of expressed emotion in patients with obsessive–compulsive disorder, Nordic Journal of Psychiatry, 69, 204, 10.3109/08039488.2014.959996 Peris, 2012, Family factors predict treatment outcome for pediatric obsessive-compulsive disorder, Journal of Consulting and Clinical Psychology, 10.1037/a0027084 Reid, 2017, How willing are you? Willingness as a predictor of change during treatment of adults with obsessive–compulsive disorder, Depression and Anxiety, 34, 1057, 10.1002/da.22672 Reynolds, 2008, Do cognitive models of obsessive compulsive disorder apply to children and adolescents?, Behavioural and Cognitive Psychotherapy, 36, 10.1017/S1352465808004463 Scahill, 1997, Children's Yale-Brown obsessive compulsive scale: Reliability and validity, Journal of the American Academy of Child & Adolescent Psychiatry, 36, 844, 10.1097/00004583-199706000-00023 Schuberth, 2018, Coercive and disruptive behaviors mediate group cognitive-behavioral therapy response in pediatric obsessive-compulsive disorder, Comprehensive Psychiatry, 86, 10.1016/j.comppsych.2018.07.012 Selles, 2018, Symptom insight in pediatric obsessive-compulsive disorder: Outcomes of an international aggregated cross-sectional sample, Journal of the American Academy of Child and Adolescent Psychiatry, 57, 615, 10.1016/j.jaac.2018.04.012 Selles, 2018, Children's and parents' ability to tolerate child distress: Impact on cognitive behavioral therapy for pediatric obsessive compulsive disorder, Child Psychiatry and Human Development, 49, 308, 10.1007/s10578-017-0748-6 Selles, 2019, Avoidance, insight, impairment recognition concordance, and cognitive-behavioral therapy outcomes in pediatric obsessive-compulsive disorder, Journal of the American Academy of Child & Adolescent Psychiatry, 59, 10.1016/j.jaac.2019.05.030 Shaw, 2021, Relationship of affect intolerance with anxiety, depressive, and obsessive-compulsive symptoms in youth, Journal of Affective Disorders, 280, 10.1016/j.jad.2020.10.048 Shimshoni, 2011, Insight in obsessive-compulsive disorder: A comparative study of insight measures in an Israeli clinical sample, Journal of Behavior Therapy and Experimental Psychiatry, 42, 389, 10.1016/j.jbtep.2011.02.011 Steketee, 1995, Predicting behavioral treatment outcome for agoraphobia and obsessive compulsive disorder, Clinical Psychology Review, 15, 10.1016/0272-7358(95)00017-J Storch, 2008, Insight in pediatric obsessive-compulsive disorder: Associations with clinical presentation, Psychiatry Research, 160, 212, 10.1016/j.psychres.2007.07.005 Tavakol, 2011, Making sense of Cronbach's alpha, International Journal of Medical Education, 2, 53, 10.5116/ijme.4dfb.8dfd Tulacı, 2018, The relationship between theory of mind and insight in obsessive-compulsive disorder, Nordic Journal of Psychiatry, 72, 273, 10.1080/08039488.2018.1436724 Voderholzer, 2020, Frequency and level of self-efficacy predict the effectiveness of therapist- and self-guided exposure in obsessive compulsive disorder, Behavioural and Cognitive Psychotherapy, 48, 10.1017/S1352465820000582