Evidence map›Paper›PMID 28151703›Full record

ArticleJournal of child and adolescent psychopharmacology2017

The Child Behavior Checklist-Obsessive-Compulsive Subscale Detects Severe Psychopathology and Behavioral Problems Among School-Aged Children.

Laura O Saad, Maria C do Rosario, Raony C Cesar, Marcelo C Batistuzzo, Marcelo Q Hoexter, Gisele G Manfro, Roseli G Shavitt, James F Leckman, Eurípedes C Miguel, Pedro G Alvarenga

Abstract read
In one paragraph

Article in Journal of child and adolescent psychopharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Review
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  9. Article
  10. Developmental Trajectories of Pediatric Obsessive-Compulsive Symptoms.Research on child and adolescent psychopathology · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Laura O Saad1 Department of Psychiatry, University of São Paulo Medical School (USP) , São Paulo, Brazil .
Maria C do Rosario2 National Institute of Developmental Psychiatry for Children and Adolescents , São Paulo, Brazil .
Raony C Cesar1 Department of Psychiatry, University of São Paulo Medical School (USP) , São Paulo, Brazil .
Marcelo C Batistuzzo1 Department of Psychiatry, University of São Paulo Medical School (USP) , São Paulo, Brazil .
Marcelo Q Hoexter1 Department of Psychiatry, University of São Paulo Medical School (USP) , São Paulo, Brazil .
Gisele G Manfro2 National Institute of Developmental Psychiatry for Children and Adolescents , São Paulo, Brazil .
Roseli G Shavitt1 Department of Psychiatry, University of São Paulo Medical School (USP) , São Paulo, Brazil .
James F Leckman1 Department of Psychiatry, University of São Paulo Medical School (USP) , São Paulo, Brazil .
Eurípedes C Miguel1 Department of Psychiatry, University of São Paulo Medical School (USP) , São Paulo, Brazil .
Pedro G Alvarenga1 Department of Psychiatry, University of São Paulo Medical School (USP) , São Paulo, Brazil .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aims of this study were (1) to assess obsessive-compulsive symptoms (OCS) dimensionally in a school-aged community sample and to correlate them with clinical and demographical variables; (2) to determine a subgroup with significant OCS ("at-risk for OCD") using the Child Behavior Checklist (CBCL-OCS) and (3) to compare it with the rest of the sample; (4) To review the CBCL-OCS subscale properties as a screening tool for pediatric OCD.

methodsData from the Brazilian High Risk Cohort were analyzed. The presence and severity of OCS were assessed through the CBCL-OCS subscale. DSM-IV psychiatric diagnoses were obtained by the Developmental and Well-Being Assessment. Behavioral problems were assessed using the Strengths and Difficulties Questionnaire, the Youth Strengths Inventory, and the CBCL internalizing and externalizing behavior subscales.

resultsA total of 2512 (mean age: 8.86 ± 1.84 years; 55.0% male) children were included. Moderate correlations were found between OCS severity and functional impairment (r = 0.36, p < 0.001). Children with higher levels of OCS had higher rates of psychiatric comorbidity and behavioral problems (p < 0.001). A score of 5 or higher in the CBCL-OCS scale determined an "at-risk for OCD" subgroup, comprising 9.7% of the sample (n = 244), with behavioral patterns and psychiatric comorbidities (e.g., tics [odds ratios, OR = 6.41, p < 0.001]), anxiety disorders grouped [OR = 3.68, p < 0.001] and depressive disorders [OR = 3.0, p < 0.001] very similar to those described in OCD. Sensitivity, specificity, positive predictive value, and negative predictive value of the CBCL-OCS for OCD diagnosis were, respectively, 48%, 91.5%; 15.1%, and 98.2%.

conclusionsThe dimensional approach suggests that the presence of OCS in children is associated with higher rates of comorbidity, behavioral problems, and impairment. The "at-risk for OCD" group defined by the CBCL revealed a group of patients phenotypically similar to full blown OCD.

Indexed as

Anxiety DisordersBrazilChecklistChildChild Behavior DisordersComorbidityDiagnostic and Statistical Manual of Mental DisordersFemaleHumansMaleObsessive-Compulsive DisorderProblem BehaviorPsychiatric Status Rating Scaleschild and adolescent psychiatrychild behavior checklistdimensional obsessive-compulsive symptomsepidemiologyschool-aged children

Identifiers

PMID28151703
PMCPMC5439443

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.