Although considerable research has highlighted the importance of cognitive and metacognitive beliefs in adult obsessive-compulsive disorder (OCD), there has been limited investigation of these beliefs in pediatric OCD. The present study investigated the clinical correlates of cognitive and metacognitive beliefs in pediatric OCD. Previous studies found positive relations between OCD symptoms and these beliefs in pediatric patients, and we hypothesized these beliefs would also be positively related to pediatric OCD symptom severity. We additionally hypothesized age would moderate these relationships in consideration of previous studies highlighting age differences in symptom presentation and self-reported beliefs. We also explored age differences in belief endorsements. Youth aged 7-17 (n = 142) diagnosed with OCD completed self-report scales to measure cognitive and meta-cognitive beliefs. OCD severity was assessed using self-report and clinician-rated measures. Pearson correlations, moderation analyses, and independent-samples t-tests were used to test our hypotheses and aims. Significant positive relationships were observed between cognitive and metacognitive beliefs and self-reported OCD severity, although age did not moderate these relationships. Age differences were found in belief endorsements. In conclusion, cognitive and metacognitive beliefs appear clinically relevant to pediatric OCD cases, and we recommend clinicians assess these beliefs and incorporate cognitive components to corresponding evidence-based treatment.

中文翻译：

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年龄对认知和元认知信念与儿科强迫症症状关联的调节作用

尽管大量研究强调了认知和元认知信念在成人强迫症 (OCD) 中的重要性，但对这些信念在儿童强迫症中的研究却很有限。本研究调查了儿童强迫症中认知和元认知信念的临床相关性。以前的研究发现，强迫症症状与儿科患者的这些信念之间存在正相关关系，我们假设这些信念也与儿科强迫症症状的严重程度呈正相关。考虑到以前的研究强调症状表现和自我报告的信念的年龄差异，我们还假设年龄会缓和这些关系。我们还探讨了信仰背书的年龄差异。被诊断患有强迫症的 7-17 岁青年 (n = 142) 完成了自我报告量表，以测量认知和元认知信念。使用自我报告和临床医生评定的措施评估强迫症的严重程度。Pearson 相关性、适度分析和独立样本 t 检验用于检验我们的假设和目标。在认知和元认知信念与自我报告的强迫症严重程度之间观察到显着的正相关关系，尽管年龄并没有缓和这些关系。在信仰认可中发现了年龄差异。总之，认知和元认知信念在临床上与儿科强迫症病例相关，我们建议临床医生评估这些信念并将认知成分纳入相应的循证治疗。使用自我报告和临床医生评定的措施评估强迫症的严重程度。Pearson 相关性、适度分析和独立样本 t 检验用于检验我们的假设和目标。在认知和元认知信念与自我报告的强迫症严重程度之间观察到显着的正相关关系，尽管年龄并没有缓和这些关系。在信仰认可中发现了年龄差异。总之，认知和元认知信念在临床上与儿科强迫症病例相关，我们建议临床医生评估这些信念并将认知成分纳入相应的循证治疗。使用自我报告和临床医生评定的措施评估强迫症的严重程度。Pearson 相关性、适度分析和独立样本 t 检验用于检验我们的假设和目标。在认知和元认知信念与自我报告的强迫症严重程度之间观察到显着的正相关关系，尽管年龄并没有缓和这些关系。在信仰认可中发现了年龄差异。总之，认知和元认知信念在临床上与儿科强迫症病例相关，我们建议临床医生评估这些信念并将认知成分纳入相应的循证治疗。在认知和元认知信念与自我报告的强迫症严重程度之间观察到显着的正相关关系，尽管年龄并没有缓和这些关系。在信仰认可中发现了年龄差异。总之，认知和元认知信念在临床上与儿科强迫症病例相关，我们建议临床医生评估这些信念并将认知成分纳入相应的循证治疗。在认知和元认知信念与自我报告的强迫症严重程度之间观察到显着的正相关关系，尽管年龄并没有缓和这些关系。在信仰认可中发现了年龄差异。总之，认知和元认知信念在临床上与儿科强迫症病例相关，我们建议临床医生评估这些信念并将认知成分纳入相应的循证治疗。