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Traumatic and Adverse Attachment Childhood Experiences are not Characteristic of OCD but of Depression in Adolescents

Journal article
Authors T. Ivarsson
Fanny Saavedra
P. Granqvist
Anders G Broberg
Published in Child Psychiatry & Human Development
Volume 47
Issue 2
Pages 270-280
ISSN 0009-398X
Publication year 2016
Published at Department of Psychology
Pages 270-280
Language en
Links dx.doi.org/10.1007/s10578-015-0563-...
Keywords School controls, Attachment experience, Adult attachment interview, obsessive-compulsive disorder, cognitive-behavioral therapy, psychosocial risk-factors, community sample, neuropsychological, performance, environmental contributions, discriminant validity, symptom, dimensions, children, interview, Psychology, Pediatrics, Psychiatry
Subject categories Psychology

Abstract

We investigated whether adverse attachment experience might contribute to the development of obsessive-compulsive disorder (OCD). We interviewed 100 adolescents, 25 each with primary OCD, depressive disorder (DD), OCD plus DD and general population controls (CTRs) using the adult attachment interview to assess attachment experiences (AEs), including traumatic and adverse AE (TAE). Adolescents with OCD, OCD+DD and DD had little evidence of secure base/safe haven parental behaviour and their childhood attachment needs judged to be rejected as compared to the controls. Overprotection was not characteristic of OCD, and parents using the child for their own needs (elevated levels of involving/role reversal) occurred only in DD, with low levels in OCD, OCD+DD and CTR. Traumatic experiences, often multiple, and/or attachment related were reported significantly more often in the DD group, and was less common in OCD+DD, CTR and particularly in the OCD group. In OCD, little TAE was reported and adverse AE were less serious and seem unlikely to contribute directly to OCD aetiology. In DD and to some degree in OCD+DD serious AE/TAE may have some etiological significance for the depressive states.

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