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首页> 外文期刊>Sri Lanka Journal of Psychiatry >Clinical presentation and comorbidities of obsessive compulsive disorders in children and adolescents presenting to a tertiary care hospital in Sri Lanka
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Clinical presentation and comorbidities of obsessive compulsive disorders in children and adolescents presenting to a tertiary care hospital in Sri Lanka

机译：斯里兰卡三级医院就诊的儿童和青少年强迫症的临床表现和合并症

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BackgroundObsessive compulsive disorder (OCD) in children differs from adults in that children do not show ego dystonicity, rarely have pure obsessions and commonly have pure compulsions with hidden obsessions. Comorbid psychiatric diagnoses are seen in more than 50% of children with OCD.AimsTo describe the socio-demographic factors, clinical presentations and psychiatric comorbidities of children with OCD in a Sri Lanka setting, and to determine the factors associated with comorbidities.MethodsA retrospective descriptive study design was used. Data was collected from clinic records of all patients diagnosed to have OCD at the child guidance clinic of Lady Ridgeway Hospital for Children, Colombo during the 3-year period from 2013-2016.ResultsFifty two children were included in the study. The mean age of the children was 9.2 years. Males accounted for 71.2%. The majority (55.8%) had both obsessions and compulsions. Multiple obsessions were seen in 15.4% and multiple rituals in 26.9%. The most common theme was contamination (61.5%). Washing was the most common ritual (50%). Comorbidities were present in 55.7%, with attention deficit hyperactivity disorder (ADHD) (17.3%) being the most common. Of the participants, 90.4% had impairments related to OCD. There was a significant association between the gender and the age of the child (p=0.029) in the 5-10 year age group, boys were 5 times more common than girls, while the proportion of boys and girls were equal in children aged more than 10 years.ConclusionComorbidities are common in childhood OCD, and all children with OCD should be screened for comorbidities.
机译：背景儿童强迫症（OCD）与成年人的强迫症不同，儿童不表现出自我肌张力障碍，很少有纯粹的强迫症，并且通常具有隐藏的强迫症。目的：描述斯里兰卡环境下强迫症儿童的社会人口统计学因素，临床表现和精神疾病合并症，并确定与合并症相关的因素。使用研究设计。从2013年至2016年的3年期间，在可伦坡的Lady Ridgeway儿童儿童医院的儿童指导诊所中，所有被诊断为患有强迫症的患者的临床记录中收集了结果。该研究包括52名儿童。儿童的平均年龄为9.2岁。男性占71.2％。绝大多数（55.8％）既有强迫症又有强迫症。在15.4％的人群中发现了多种强迫症，在26.9％的人群中发现了多种仪式。最常见的主题是污染（61.5％）。洗是最常见的习惯（50％）。合并症占55.7％，其中注意力缺陷多动障碍（ADHD）（17.3％）是最常见的。在参与者中，有90.4％的人患有强迫症。在5-10岁年龄组中，性别与儿童年龄之间存在显着相关性（p = 0.029），男孩比女孩的普遍性高5倍，而男孩和女孩在年龄更大的儿童中所占的比例相等超过10岁。结论合并症在儿童强迫症中很常见，应该对所有患有强迫症的儿童进行合并症筛查。

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