Identifying compulsive behaviour in children and adolescents with autism spectrum disorders

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Published

2019-12-27

How to Cite

Ortiz, A. E., Espelt, C., Rosa, M., Puig, O., Lázaro, L., & Calvo, R. (2019). Identifying compulsive behaviour in children and adolescents with autism spectrum disorders. Revista De Psiquiatría Infanto-Juvenil, 36(4), 24–40. https://doi.org/10.31766/revpsij.v36n4a4

Issue

Vol. 36 No. 4 (2019): October-December

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Orginial article
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Europe PMC

Authors

  • A. E. Ortiz Servicio de Psiquiatría y Psicología Infanto-Juvenil. Institut de Neurociències. Hospital Clínic de Barcelona
  • Clara Espelt Servicio de Psiquiatría y Psicología Infanto-Juvenil, Instituto de Neurociencias, Hospital Clinic de Barcelona
  • Mireia Rosa Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona; Servicio de Psiquiatría y Psicología Infanto-Juvenil, 2017SGR881, Instituto de Neurociencias, Hospital Clinic de Barcelona, Barcelona.
  • Olga Puig Servicio de Psiquiatría y Psicología Infanto-Juvenil, 2017SGR881, Instituto de Neurociencias, Hospital Clinic de Barcelona, Barcelona; Departamento de Medicina, Universitat de Barcelona, Barcelona; Centro de Investigación Biomédica en Red Salud Mental (CIBERSAM), Madrid
  • Luisa Lázaro Servicio de Psiquiatría y Psicología Infanto-Juvenil, 2017SGR881, Instituto de Neurociencias, Hospital Clinic de Barcelona, Barcelona; Departamento de Medicina, Universitat de Barcelona, Barcelona; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona; Centro de Investigación Biomédica en Red Salud Mental (CIBERSAM), Madrid.
  • Rosa Calvo Servicio de Psiquiatría y Psicología Infanto-Juvenil,2017SGR88,1Instituto de Neurociencias, Hospital Clinic de Barcelona, Barcelona; Departamento de Medicina, Universitat de Barcelona, Barcelona; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona; Centro de Investigación Biomédica en Red Salud Mental (CIBERSAM), Madrid.

DOI:

https://doi.org/10.31766/revpsij.v36n4a4

Keywords:

Obsessive Compulsive Disorder, OCD, Autism Spectrum Disorder, ASD, obsessive-compulsive symptoms

Abstract

Autism Spectrum Disorder (ASD) and Obsessive Compulsive Childhood Disorder (OCD) are neurodevelopmental disorders with an approximate prevalence between 1% and 3% respectively. Both disorders share characteristics as repetitive behaviors. Objective: To measure the repetitive behaviors in a sample of ASD children with the Spanish adaptation of the Child Yale-Brown Obsessive-Compulsive Scale por Autism Spectrum Disorder (CY-BOCS-ASD) and compared the characteristics of symptomology and serverity with those evaluated in an OCD matched group. Methods: 39 participants with ASD diagnoses (confirmed by the Autism Disorder Interview-Revised -ADI-R-) and 36 with OCD were evaluated. All the participants had an IQ above 70. Obsessive-compulsive symptoms were assessed with the Child Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) in the OCD group. Results: Children and adolescents with OCD showed higher rates on obsessive-compulsive symptoms (t = -3.632, p = .001). Compulsions of cleaning (p = .003), checking (p = .001), counting (p = .001), order and symmetry (p = .004), and miscellaneous (p = .001) were significantly more prevalent in the OCD group. The frequency, discomfort and interference are higher in patients with OCD than in patients with ASD. Conclusions: CY-BOCS-ASD could be a useful instrument to detect compulsive symptoms in children and adolescents with ASD. Having an instrument adapted to ASD to identify specifically compulsive symptomatology that interferes in functioning should be considered to prepare appropriate interventions in ASD children.

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Author Biography

A. E. Ortiz, Servicio de Psiquiatría y Psicología Infanto-Juvenil. Institut de Neurociències. Hospital Clínic de Barcelona

Especialista de Psiquiatría.

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