Rage Attacks in Pediatric Obsessive-Compulsive Disorder: Phenomenology and Clinical Correlates
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| Title: | Rage Attacks in Pediatric Obsessive-Compulsive Disorder: Phenomenology and Clinical Correlates |
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| Language: | English |
| Authors: | Storch, Eric A., Jones, Anna M., Lack, Caleb W., Ale, Chelsea M., Sulkowski, Michael L., Lewin, Adam B., De Nadai, Alessandro S., Murphy, Tanya K. |
| Source: | Journal of the American Academy of Child & Adolescent Psychiatry. Jun 2012 51(6):582-592. |
| Availability: | Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com |
| Peer Reviewed: | Y |
| Page Count: | 11 |
| Publication Date: | 2012 |
| Document Type: | Journal Articles Reports - Research |
| Descriptors: | Anxiety Disorders, Patients, Measures (Individuals), Severity (of Disability), Phenomenology, Depression (Psychology), Psychological Patterns, Symptoms (Individual Disorders), Children, Questionnaires, Parents, Correlation, Clinical Psychology, Functional Behavioral Assessment, Child Behavior, Behavioral Science Research |
| Assessment and Survey Identifiers: | Aberrant Behavior Checklist |
| DOI: | 10.1016/j.jaac.2012.02.016 |
| ISSN: | 0890-8567 |
| Abstract: | Objective: Rage attacks have been documented in youth with varied psychiatric disorders, but few data have been reported on the clinical characteristics and correlates of rage attacks among children with obsessive-compulsive disorder (OCD). Method: Participants were 86 children (ages 6-16 years) with a primary diagnosis of OCD. Patients and their primary caregiver were administered clinician-rated measures of obsessive-compulsive severity and rage severity. Children completed the Center for Epidemiologic Studies Depression Scale and the Child Sheehan Disability Scale-Child, whereas parents completed the Rage Attacks Questionnaire, Aberrant Behavior Checklist-Irritability Scale, Children's Affective Liability Scale, and Child Sheehan Disability Scale-Parent. Results: Rage was common among youth with OCD and was associated with varied clinical characteristics. Rage severity accounted for functional impairment beyond the influence of obsessive-compulsive symptom severity; however, these relations were explained by the impact of family accommodation. Conclusions: These data suggest that rage attacks are relatively common, have a negative impact on illness presentation, and contribute to functional impairment above and beyond obsessive-compulsive symptom severity. Rage may contribute to family accommodation of symptoms, which may further affect obsessive-compulsive symptom severity and impairment. (Contains 6 tables and 2 figures.) |
| Abstractor: | As Provided |
| Entry Date: | 2012 |
| Accession Number: | EJ967359 |
| Database: | ERIC |
| Abstract: | Objective: Rage attacks have been documented in youth with varied psychiatric disorders, but few data have been reported on the clinical characteristics and correlates of rage attacks among children with obsessive-compulsive disorder (OCD). Method: Participants were 86 children (ages 6-16 years) with a primary diagnosis of OCD. Patients and their primary caregiver were administered clinician-rated measures of obsessive-compulsive severity and rage severity. Children completed the Center for Epidemiologic Studies Depression Scale and the Child Sheehan Disability Scale-Child, whereas parents completed the Rage Attacks Questionnaire, Aberrant Behavior Checklist-Irritability Scale, Children's Affective Liability Scale, and Child Sheehan Disability Scale-Parent. Results: Rage was common among youth with OCD and was associated with varied clinical characteristics. Rage severity accounted for functional impairment beyond the influence of obsessive-compulsive symptom severity; however, these relations were explained by the impact of family accommodation. Conclusions: These data suggest that rage attacks are relatively common, have a negative impact on illness presentation, and contribute to functional impairment above and beyond obsessive-compulsive symptom severity. Rage may contribute to family accommodation of symptoms, which may further affect obsessive-compulsive symptom severity and impairment. (Contains 6 tables and 2 figures.) |
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| ISSN: | 0890-8567 |
| DOI: | 10.1016/j.jaac.2012.02.016 |
