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Soc Psychiatry Psychiatr Epidemiol. 2007 Aug;42(8):647-55. Epub 2007 May 21.

Parental psychopathology in child and adolescent obsessive-compulsive disorder.

Author information

  • 1Child and Adolescent Psychiatry and Psychology Dept., Institute of Neurosciences, Hospital Clínic Universitari, 08036, Barcelona, Spain. rcalvo@clinic.ub.es

Abstract

PURPOSE:

To identify the lifetime prevalence of obsessive-compulsive disorder (OCD) and other psychiatric diagnoses in parents of OCD pediatric patients as well as the frequency of onset of psychiatric disorders in the 6 months prior to evaluation.

METHODS:

Parents (n = 63) of 32 children and adolescents (20 males and 12 females; mean age of 13.3 +/- 2.4) with OCD and parents of (n = 63) 32 age and sex-matched controls with no psychiatric diagnosis were examined. The semi-structured SCID-I was used to identify axis I psychiatric disorders and SCID-II to evaluate personality disorders.

RESULTS:

Mothers of patients had significantly more psychiatric diagnoses than control mothers (P = 0.001). Only parents of patients had diagnosis of OCD (P = 0.01) and psychiatric diagnosis (Adjustment Disorders, Major Depression, Anxiety Disorders) with onset during the 6 months prior to evaluation (P = 0.001). The duration of disease in children appeared to be related to development of morbidity in parents (P = 0.04). Parents of patients also showed a higher incidence of personality disorders (P = 0.01), in particular avoidant (6 versus 1 parents, P < 0.055) and obsessive-compulsive (9 versus 2 parents, P = 0.016) personality disorders.

CONCLUSIONS:

The findings suggest that there may be an excess of psychopathology in parents of children with OCD as compared to parents of pediatric and non-psychiatric patients. Adjustment disorders with depressive and anxious symptoms are significantly more frequent in mothers of OCD children after the onset of the disease.

PMID:
17516014
[PubMed - indexed for MEDLINE]
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