@article{ref1,
title="Coercive and disruptive behaviors in pediatric obsessive-compulsive disorder",
journal="Depression and anxiety",
year="2011",
author="Lebowitz, Eli R. and Omer, Haim and Leckman, James F.",
volume="28",
number="10",
pages="899-905",
abstract="Background: This study explored the nature of disruptive and coercive behaviors in pediatric obsessive-compulsive disorder (OCD). Method: Thirty children with OCD and a disruptive behavior disorder (DBD) were compared to 30 children with DBD alone using the Child Behavior Checklist and a novel 18-item questionnaire focused on distinctive coercive and disruptive behaviors seen in pediatric OCD (CD-POC). Results: Although youth with DBD alone had higher ratings of Externalizing Behaviors on the CBCL compared to the youth with OCD + DBD, their ratings on the CB-POC scale were lower. For example, 83% of OCD + DBD parents reported that their child &quot;Imposes rules or behaviors on others due to tactile or other sensitivity and reacts to disobedience with rage or violence (e.g. forbids certain sounds, demands specific temperature settings)&quot; compared to 23% of the parents of youth with DBD alone. Other highly discriminating behaviors included: &quot;Demands special 'cuddling' or ritualized contact without regard for the will of others&quot; and &quot;Forbids the use of objects in his/her vicinity because of feelings of fear or disgust (e.g. knives, scissors, creams).&quot; Total scores on the CD-POC were also correlated with OCD severity (P<.01). Conclusion: The results suggest that the nature of DBD in pediatric OCD may be distinctive and worthy of further study. <p /> <p>Language: en</p>",
language="en",
issn="1091-4269",
doi="10.1002/da.20858",
url="http://dx.doi.org/10.1002/da.20858"
}