Publication year: 2012
Source:Journal of Obsessive-Compulsive and Related Disorders
Kerri L. Kim, Katharine C. Reynolds, Candice A. Alfano
Available studies examining the social relationships of children with obsessive compulsive disorder (OCD) suggest the presence of significant social difficulties. A notable limitation of these studies, however, is a lack of consideration for the potential impact of comorbidity on social variables. Given the high rate of attention-deficit/hyperactivity disorder (ADHD) in youth with OCD, and extensive evidence for ADHD-specific social impairments, the current study examined the interpersonal functioning and peer relationships of youth, ages 6 to 15 years, with primary OCD (n=24) and a non-psychiatric control group (n=18) while accounting for comorbid problems of inattention/hyperactivity. Overall results based on parent and child reports revealed that children with OCD, regardless of ADHD symptomology, were less socially competent, had fewer dyadic friendships, and greater difficulty making new friends compared to controls. Children with OCD were just as likely, however, to have a best friend. Findings are considered in terms of their potential implications for intervention.
Highlights
► We compare the social functioning and peer problems of OCD youth to controls (CON). ► Beyond ADHD symptoms, OCD youth have less social competence/more social problems. ► OCD youth have fewer friends and more difficulty making friends compared to CON. ► OCD youth don’t differ from CON in having a best friend or maintaining friendships. ► Results are discussed to inform treatment design.