{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T21:17:43Z","timestamp":1787001463278,"version":"build-2736575974"},"reference-count":51,"publisher":"Hogrefe Publishing Group","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zeitschrift f\u00fcr Kinder- und Jugendpsychiatrie und Psychotherapie"],"published-print":{"date-parts":[[2007,1]]},"abstract":"<jats:p>Zusammenfassung: Fragestellung: Gegenstand der Studie waren die Symptomatologie und die Komorbidit\u00e4t der Zwangsst\u00f6rung mit Beginn im Kindes- und Jugendalter. Methodik: Untersucht wurde eine Inanspruchnahmestichprobe von 55 kinder- und jugendpsychiatrischen Patienten (29 m\u00e4nnlich, 26 weiblich), die \u00fcberwiegend station\u00e4r behandelt wurden (95%). Strukturierte diagnostische Interviews zur Erfassung von Zwangsst\u00f6rung und weiteren psychischen St\u00f6rungen wurden zu Befragungen von Eltern und Kind eingesetzt. Ergebnis: Das mittlere Alter bei Beginn der Zwangsst\u00f6rung betrug 11,3 Jahre. Jungen waren bei St\u00f6rungsbeginn etwas, aber nicht statistisch signifikant j\u00fcnger als M\u00e4dchen. Zwangshandlungen bezogen sich vorwiegend auf Waschen und Sauberkeit, Kontrollieren sowie Wiederholungen, Ordnen und Z\u00e4hlen. Zwangsgedanken beinhalteten vor allem Verunreinigung, die Erwartung schlimmer Ereignisse, Sexualit\u00e4t oder Aggression. In der klinischen Behandlungsroutine wurden seltener eine gemischte Zwangsst\u00f6rung mit Gedanken und Handlungen diagnostiziert als bei Anwendung strukturierter Interviews. Die Komorbidit\u00e4tsrate war Elternangaben zufolge hoch (Lebenszeit-Diagnosen: 69%; aktuelle Diagnosen: 53%). Angstst\u00f6rungen, affektive St\u00f6rungen, hyperkinetische St\u00f6rungen, St\u00f6rungen des Sozialverhaltens und Ess-St\u00f6rungen standen im Vordergrund. Die Zwangssymptomatik war bei Patienten mit einer h\u00f6heren Anzahl an komorbiden Lebenszeitdiagnosen signifikant st\u00e4rker ausgepr\u00e4gt. Schlussfolgerungen: Die Studienergebnisse stehen in Einklang mit denjenigen internationaler Studien. Deutlich wurde eine Methodenabh\u00e4ngigkeit gestellter Diagnosen. In der Subtypisierung von Patientengruppen durch Symptomdimensionen wird ein fruchtbarer Ansatz f\u00fcr weitere Studien gesehen.<\/jats:p>","DOI":"10.1024\/1422-4917.35.1.41","type":"journal-article","created":{"date-parts":[[2007,1,12]],"date-time":"2007-01-12T17:55:04Z","timestamp":1168624504000},"page":"41-50","source":"Crossref","is-referenced-by-count":19,"title":["Ph\u00e4nomenologie und Komorbidit\u00e4t der Zwangsst\u00f6rung bei Kindern und Jugendlichen"],"prefix":"10.1024","volume":"35","author":[{"given":"Thomas","family":"Jans","sequence":"first","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Kinder- und Jugendpsychiatrie und Psychotherapie der Julius-Maximilians-Universit\u00e4t W\u00fcrzburg (Direktor: Prof. Dr. A. Warnke)1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Wewetzer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendpsychiatrie am KKH K\u00f6ln-Holweide (Direktor: Prof. Dr. Ch. 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