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Race and ethnicity in pediatric OCD: An exploratory study of a clinical North American sample
Annals of Clinical Psychiatry ( IF 1.3 ) Pub Date : 2020-11-01 , DOI: 10.12788/acp.0007
Joanne JF Wang , Sarah Lin , John R. Best , Robert R. Selles , S. Evelyn Stewart

BACKGROUND Influences of race and ethnicity have received limited attention in pediatric obsessive-compulsive disorder (OCD), despite noted importance in other psychiatric diseases. We sought to compare racially defined groups presenting to a North American tertiary care pediatric OCD subspecialty clinic. METHODS Clinician-rated and parent/child-reported information was extracted from a research data registry comprising OCD-affected youth assessed between 2011 and 2018. The study population was aggregated into racial groups, defined as Caucasian, Asian, and "other." Country of origin and spoken language were used as ethnicity proxies. Obsessivecompulsive disorder phenotype, clinical course, and family environment were compared, with inclusion of mixed Asian-Caucasians in post-hoc analyses. RESULTS Asian youth reported significantly later ages of OCD symptom onset, clinical diagnosis, and treatment compared with Caucasian youth and were significantly less likely to have participated in OCD-specific treatment, despite similar clinician recommendation rates. Obsessivecompulsive disorder severity and comorbidities did not differ across groups. Asian parents reported significantly higher levels of family blame and conflict than Caucasian parents, but similar prevalence of OCD family history. CONCLUSIONS Clinically relevant differences were identified between Asians and Caucasians, highlighting the need for individualized care that respects the influences of ethnicity and race in pediatric OCD. Replication and future study of additional racial groups is warranted.

中文翻译:

儿科强迫症的种族和民族:对北美临床样本的探索性研究

背景种族和民族的影响在儿科强迫症 (OCD) 中受到的关注有限,尽管在其他精神疾病中很重要。我们试图比较在北美三级保健儿科强迫症亚专科诊所就诊的种族定义群体。方法 从包括 2011 年至 2018 年间评估的受强迫症影响的青年组成的研究数据登记处提取临床医生评级和父母/子女报告的信息。研究人群被汇总到种族群体中,定义为白种人、亚洲人和“其他”。原籍国和口语被用作种族代表。对强迫症表型、临床病程和家庭环境进行了比较,并在事后分析中纳入了混合亚裔白种人。结果 与白人青年相比,亚洲青年报告的 OCD 症状发作、临床诊断和治疗的年龄显着晚,并且尽管临床医生的推荐率相似,但他们参与 OCD 特异性治疗的可能性显着降低。强迫症的严重程度和合并症在各组之间没有差异。亚裔父母报告的家庭责备和冲突水平明显高于白人父母,但强迫症家族史的患病率相似。结论 确定了亚洲人和白人之间的临床相关差异,突出了在儿科强迫症中尊重种族和种族影响的个性化护理的必要性。有必要对其他种族群体进行复制和未来研究。尽管临床医生推荐率相似,但与白人青年相比,他们参与强迫症特定治疗的可能性显着降低。强迫症的严重程度和合并症在各组之间没有差异。亚裔父母报告的家庭责备和冲突水平明显高于白人父母,但强迫症家族史的患病率相似。结论 确定了亚洲人和白人之间的临床相关差异,突出了在儿科强迫症中尊重种族和种族影响的个性化护理的必要性。有必要对其他种族群体进行复制和未来研究。尽管临床医生推荐率相似,但与白人青年相比,他们参与强迫症特定治疗的可能性显着降低。强迫症的严重程度和合并症在各组之间没有差异。亚裔父母报告的家庭责备和冲突水平明显高于白人父母,但强迫症家族史的患病率相似。结论 确定了亚洲人和白人之间的临床相关差异,突出了在儿科强迫症中尊重种族和种族影响的个性化护理的必要性。有必要对其他种族群体进行复制和未来研究。强迫症的严重程度和合并症在各组之间没有差异。亚裔父母报告的家庭责备和冲突水平明显高于白人父母,但强迫症家族史的患病率相似。结论 确定了亚洲人和白人之间的临床相关差异,突出了在儿科强迫症中尊重种族和种族影响的个性化护理的必要性。有必要对其他种族群体进行复制和未来研究。强迫症的严重程度和合并症在各组之间没有差异。亚裔父母报告的家庭责备和冲突水平明显高于白人父母,但强迫症家族史的患病率相似。结论 确定了亚洲人和白人之间的临床相关差异,突出了在儿科强迫症中尊重种族和种族影响的个性化护理的必要性。有必要对其他种族群体进行复制和未来研究。强调需要尊重种族和种族对儿科强迫症的影响的个性化护理。有必要对其他种族群体进行复制和未来研究。强调需要尊重种族和种族对儿科强迫症的影响的个性化护理。有必要对其他种族群体进行复制和未来研究。
更新日期:2020-11-01
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