Practice parameters for the assessment and treatment of children and adolescents with obsessive-compulsive disorder

Robert A. King, Henrietta Leonard, John March, William Bernet, John E. Dunne, Maureen Adair, Valerie Arnold, R. Scott Benson, Oscar Bukstein, Joan Kinlan, Jon McClellan, David Rue, L. Elizabeth Sloan

Research output: Contribution to journalArticle

153 Citations (Scopus)

Abstract

These practice parameters describe the assessment and treatment of obsessive-compulsive disorder based on a detailed literature review and expert consultation. Obsessive-compulsive disorder is a disorder of heterogeneous origin characterized by intrusive thoughts or compulsive urges or behaviors that are distressing, time-consuming, or functionally impairing. In children and adolescents, the disorder often is accompanied by a wide range of comorbidity, including mood, anxiety, attentional, and learning difficulties, and/or tic disorder. These parameters describe the relevant areas of assessment, especially symptomatology, onset, and course, other associated psychopathology, and developmental, family, and medical history (including postinfectious onset or exacerbations). Two modalities have been systematically assessed and empirically shown to ameliorate core symptoms: cognitive-behavioral therapy (primarily exposure/response prevention) and serotonin reuptake inhibitor medication. Data regarding the indications, efficacy, and implementation of these modalities are reviewed. Because OCD frequently occurs in the context of other psychopathology and adaptive difficulties, additional individual and family psychotherapeutic, pharmacological, and educational interventions often are necessary. Treatment planning guidelines are provided.

Original languageEnglish (US)
Pages (from-to)27S-45S
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume37
Issue number10 SUPPL.
DOIs
StatePublished - Jan 1 1998

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Obsessive-Compulsive Disorder
Psychopathology
Medical History Taking
Tic Disorders
Learning Disorders
Serotonin Uptake Inhibitors
Cognitive Therapy
Comorbidity
Referral and Consultation
Anxiety
Pharmacology
Guidelines
Therapeutics

All Science Journal Classification (ASJC) codes

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Cite this

Practice parameters for the assessment and treatment of children and adolescents with obsessive-compulsive disorder. / King, Robert A.; Leonard, Henrietta; March, John; Bernet, William; Dunne, John E.; Adair, Maureen; Arnold, Valerie; Benson, R. Scott; Bukstein, Oscar; Kinlan, Joan; McClellan, Jon; Rue, David; Sloan, L. Elizabeth.

In: Journal of the American Academy of Child and Adolescent Psychiatry, Vol. 37, No. 10 SUPPL., 01.01.1998, p. 27S-45S.

Research output: Contribution to journalArticle

King, RA, Leonard, H, March, J, Bernet, W, Dunne, JE, Adair, M, Arnold, V, Benson, RS, Bukstein, O, Kinlan, J, McClellan, J, Rue, D & Sloan, LE 1998, 'Practice parameters for the assessment and treatment of children and adolescents with obsessive-compulsive disorder', Journal of the American Academy of Child and Adolescent Psychiatry, vol. 37, no. 10 SUPPL., pp. 27S-45S. https://doi.org/10.1097/00004583-199810001-00003
King, Robert A. ; Leonard, Henrietta ; March, John ; Bernet, William ; Dunne, John E. ; Adair, Maureen ; Arnold, Valerie ; Benson, R. Scott ; Bukstein, Oscar ; Kinlan, Joan ; McClellan, Jon ; Rue, David ; Sloan, L. Elizabeth. / Practice parameters for the assessment and treatment of children and adolescents with obsessive-compulsive disorder. In: Journal of the American Academy of Child and Adolescent Psychiatry. 1998 ; Vol. 37, No. 10 SUPPL. pp. 27S-45S.
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