ArticleEuropean child & adolescent psychiatry2017
Structure and clinical correlates of obsessive-compulsive symptoms in a large sample of children and adolescents: a factor analytic study across five nations.
Article in European child & adolescent psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Parental involvement in cognitive behavioral group treatment for adolescents with obsessive-compulsive disorder: a qualitative study.BMC psychiatry · 2026Article
- Factors linked to depressive symptoms in obsessive-compulsive disorder: a machine learning and network analysis from China OCD Cohort (COCC).BMC psychiatry · 2026Article
- Article
- Psychotic vulnerability in pediatric obsessive-compulsive disorder: associations with clinical features and treatment outcome in two clinical samples.European child & adolescent psychiatry · 2025Article
- Sexuality and Related Disorders in OCD and Their Symptoms.Journal of clinical medicine · 2025Review
- Family Accommodation in Pediatric Obsessive-Compulsive Disorder: Investigating Prevalence and Clinical Correlates in the NordLOTS Study.Child psychiatry and human development · 2025Article
- Exploring latent clusters in pediatric OCD based on symptoms, severity, age, gender, and comorbidity.European child & adolescent psychiatry · 2024Article
- Specific Contamination Symptoms are Associated with Experiencing a Limited Response of Cognitive-Behavioral Therapy in Pediatric Patients with OCD.Child psychiatry and human development · 2024Article
- The dynamics of psychological attributes and symptomatic comorbidity of depression in children and adolescents.Social psychiatry and psychiatric epidemiology · 2024Article
- Closing the Gap for Children with OCD: A Staged-Care Model of Cognitive Behavioural Therapy with Exposure and Response Prevention.Clinical child and family psychology review · 2023Review
- Obsessive-compulsive disorder: Etiology, neuropathology, and cognitive dysfunction.Brain and behavior · 2023Review
- Obsessional intrusive thoughts in children: An interview based study.Psychology and psychotherapy · 2023Article
- Relationship between insight level and clinical and familial features in pediatric obsessive-compulsive disorder.Northern clinics of Istanbul · 2023Article
- Quality of life in pediatric patients with obsessive-compulsive disorder during and 3 years after stepped-care treatment.European child & adolescent psychiatry · 2022Article
- Cognitive Beliefs Across the Symptom Dimensions of Pediatric Obsessive-Compulsive Disorder: Type of Symptom Matters.Behavior therapy · 2022Article
- The moderating effect of age on the associations of cognitive and metacognitive beliefs with pediatric OCD symptoms.Cognitive behaviour therapy · 2021Article
- Symmetry Dimension in Obsessive-Compulsive Disorder: Prevalence, Severity and Clinical Correlates.Journal of clinical medicine · 2021Article
- The Centrality of Doubting and Checking in the Network Structure of Obsessive-Compulsive Symptom Dimensions in Youth.Journal of the American Academy of Child and Adolescent Psychiatry · 2020Article
- Comorbid Psychopathology and the Clinical Profile of Family Accommodation in Pediatric OCD.Child psychiatry and human development · 2019Article
- Hoarding in children and adolescents with obsessive-compulsive disorder: prevalence, clinical correlates, and cognitive behavioral therapy outcome.European child & adolescent psychiatry · 2019Article
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Authors and funding
18 authors.
Funding
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Abstract
The underlying structure of obsessive-compulsive disorder (OCD) remains to be confirmed in child and adolescent populations. In this paper we report the first factor analytic study of individual OCD items from Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS). OCD symptoms were assessed using the CY-BOCS symptom checklist in a sample of 854 patients with OCD (7-18 years of age) recruited from clinics in five countries. Pooled data were subjected to exploratory and confirmatory factor analysis (CFA) to identify the optimal factor structure. Various models were tested for age and gender subgroups. Also, the invariance of the solution across age and gender was tested and associations with demographic and clinical factors were explored. A three-factor model provided the best-fit solution. It consisted of the following factors: (1) harm/sexual, (2) symmetry/hoarding, (3) contamination/cleaning. The factor structure was invariant for age and gender across subgroups. Factor one was significantly correlated with anxiety, and factor two with depression and anxiety. Factor three was negatively correlated with tic disorder and attention-deficit/hyperactivity disorder (ADHD). Females had higher scores on factor two than males. The OCD symptom structure in children and adolescents is consistent across age and gender and similar to results from recent child and adolescents although hoarding may not be a separate factor. Our three-factor structure is almost identical to that seen in early studies on adults. Common mental disorders had specific patterns of associations with the different factors.
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