{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:10:07Z","timestamp":1760058607930,"version":"build-2065373602"},"reference-count":68,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T00:00:00Z","timestamp":1744675200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"McLean\u2019s Simches Division of Child and Adolescent Psychiatry"},{"name":"Rite Aid Healthy Futures"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background\/Objectives: Residential treatment represents an important level of care for adolescents with severe and\/or treatment-refractory obsessive\u2013compulsive disorder (OCD). Despite accumulating evidence supporting the treatment efficacy and cost-effectiveness of insurance-based intensive OCD treatment in residential settings, few data exist that characterize the population of adolescent patients utilizing this level of care. As a result, residential treatment may be poorly understood by patients, their families, and referring providers, which may delay appropriate treatment for adolescents with OCD. Here, we characterize the patient population at an intensive residential treatment center (RTC) and partial hospitalization program (PHP) for adolescents (Mage = 15.23) with a primary diagnosis of OCD. Methods: We examine quantitative data collected from 168 adolescents admitted to the McLean OCD Institute for Children and Adolescents for the treatment of primary OCD or a related disorder over a three-year period. We also conduct analyses on a subset of patients (n = 120) who participated in the Child and Adolescent Routine Evaluation (CARE) Initiative (McLean Child Division-Wide Measurement-Based Care Program) to further characterize this patient population with a lens toward additional comorbidities and factors impacting prognosis. Results: The current paper describes the severity of symptom presentation, comorbidities, psychotropic medication profiles, and disruption to personal and family functioning. Analyses also include the prevalence of OCD subtypes and co-occurrence among varied presentations. Conclusions: In addition to identifying common clinical presentations in an RTC\/PHP, this paper further aims to detail best practices and clinical rationale guiding a specialty RTC\/PHP to inform families, providers, and payors about the individuals that most benefit from this level of care.<\/jats:p>","DOI":"10.3390\/children12040505","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T06:50:27Z","timestamp":1744699827000},"page":"505","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["McLean OCD Institute for Children and Adolescents: Overview, Rationale, and Description of Symptomatology and Functional Impairment"],"prefix":"10.3390","volume":"12","author":[{"given":"Alyssa L.","family":"Faro","sequence":"first","affiliation":[{"name":"McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA"},{"name":"Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca A.","family":"Wolenski","sequence":"additional","affiliation":[{"name":"McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA"},{"name":"Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0276-2757","authenticated-orcid":false,"given":"Chun W.","family":"Lee","sequence":"additional","affiliation":[{"name":"McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Perihan Esra","family":"Guvenek-Cokol","sequence":"additional","affiliation":[{"name":"McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA"},{"name":"Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel P.","family":"Dickstein","sequence":"additional","affiliation":[{"name":"McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA"},{"name":"Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria G","family":"Fraire","sequence":"additional","affiliation":[{"name":"McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA"},{"name":"Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,4,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"597","DOI":"10.2147\/NDT.S122306","article-title":"Quality of Life in Children and Adolescents with Obsessive-Compulsive Disorder: A Systematic Review and Meta-Analysis","volume":"13","author":"Coluccia","year":"2017","journal-title":"NDT"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1192\/bjp.bp.109.075317","article-title":"Long-Term Outcomes of Obsessive\u2013Compulsive Disorder: Follow-up of 142 Children and Adolescents","volume":"197","author":"Micali","year":"2010","journal-title":"Br. J. Psychiatry"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1080\/13651501.2020.1773503","article-title":"Impulsivity, Hostility and Suicidality in Patients Diagnosed with Obsessive Compulsive Disorder","volume":"24","author":"Nagy","year":"2020","journal-title":"Int. J. Psychiatry Clin. Pract."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e2214779","DOI":"10.1001\/jamanetworkopen.2022.14779","article-title":"Association of Obsessive-Compulsive Disorder and Obsessive-Compulsive Symptoms With Substance Misuse in 2 Longitudinal Cohorts in Sweden","volume":"5","author":"Virtanen","year":"2022","journal-title":"JAMA Netw. Open"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1038\/mp.2008.94","article-title":"The Epidemiology of Obsessive-Compulsive Disorder in the National Comorbidity Survey Replication","volume":"15","author":"Ruscio","year":"2010","journal-title":"Mol. Psychiatry"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1002\/jclp.23240","article-title":"Psychiatric Comorbidities of Obsessive-compulsive Disorder: A Series of Systematic Reviews and Meta-analyses","volume":"78","author":"Rowe","year":"2022","journal-title":"J. Clin. Psychol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.jad.2024.08.136","article-title":"Exploring the Impact of Pediatric OCD on Family Impairment: A Consideration of Parent, Sibling, and Affected-Child Perspectives","volume":"366","author":"Rodger","year":"2024","journal-title":"J. Affect. Disord."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"114567","DOI":"10.1016\/j.psychres.2022.114567","article-title":"Latency to Treatment Seeking in Patients with Obsessive-Compulsive Disorder: Results from a Large Multicenter Clinical Sample","volume":"312","author":"Costa","year":"2022","journal-title":"Psychiatry Res."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1097\/YIC.0b013e3283384c74","article-title":"Age at Onset and Latency to Treatment (Duration of Untreated Illness) in Patients with Mood and Anxiety Disorders: A Naturalistic Study","volume":"25","author":"Altamura","year":"2010","journal-title":"Int. Clin. Psychopharmacol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1007\/s00127-012-0544-3","article-title":"Mental Health Treatment Seeking among Patients with OCD: Impact of Age of Onset","volume":"48","author":"Stengler","year":"2013","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Pediatric OCD Treatment Study (2004). Cognitive-Behavior Therapy, Sertraline, and Their Combination for Children and Adolescents With Obsessive-Compulsive Disorder: The Pediatric OCD Treatment Study (POTS) Randomized Controlled Trial. JAMA, 292, 1969.","DOI":"10.1001\/jama.292.16.1969"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.jaac.2011.09.019","article-title":"Practice Parameter for the Assessment and Treatment of Children and Adolescents with Obsessive-Compulsive Disorder","volume":"51","author":"Geller","year":"2012","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association. [5th ed.].","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Geller, D.A., Homayoun, S., and Johnson, G. (2021). Developmental Considerations in Obsessive Compulsive Disorder: Comparing Pediatric and Adult-Onset Cases. Front. Psychiatry, 12.","DOI":"10.3389\/fpsyt.2021.678538"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1586\/ern.12.82","article-title":"The Intolerance of Uncertainty Construct in the Context of Anxiety Disorders: Theoretical and Practical Perspectives","volume":"12","author":"Carleton","year":"2012","journal-title":"Expert Rev. Neurother."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1111\/cpsp.12077","article-title":"Extension of the Transdiagnostic Model to Focus on Intolerance of Uncertainty: A Review of the Literature and Implications for Treatment","volume":"21","author":"Einstein","year":"2014","journal-title":"Clin. Psychol. Sci. Pract."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1037\/cps0000150","article-title":"Intolerance of Uncertainty as a Cognitive Vulnerability for Obsessive-Compulsive Disorder: A Qualitative Review","volume":"30","author":"Knowles","year":"2023","journal-title":"Clin. Psychol. Sci. Pract."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"102417","DOI":"10.1016\/j.janxdis.2021.102417","article-title":"Intolerance of Uncertainty and Obsessive-Compulsive Disorder Dimensions","volume":"81","author":"Pinciotti","year":"2021","journal-title":"J. Anxiety Disord."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1001\/jamapsychiatry.2014.2656","article-title":"Familial Clustering of Tic Disorders and Obsessive-Compulsive Disorder","volume":"72","author":"Browne","year":"2015","journal-title":"JAMA Psychiatry"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1177\/13591045211028169","article-title":"The COVID-19 Pandemic and Obsessive\u2013Compulsive Disorder in Young People: Systematic Review","volume":"27","author":"Cunning","year":"2022","journal-title":"Clin. Child. Psychol. Psychiatry"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"113363","DOI":"10.1016\/j.psychres.2020.113363","article-title":"Exacerbation of Obsessive Compulsive Disorder Symptoms in Children and Adolescents during COVID-19 Pandemic","volume":"293","author":"Tanir","year":"2020","journal-title":"Psychiatry Res."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Brezinka, V., Mail\u00e4nder, V., and Walitza, S. (2020). Obsessive Compulsive Disorder in Very Young Children\u2014A Case Series from a Specialized Outpatient Clinic. BMC Psychiatry, 20.","DOI":"10.1186\/s12888-020-02780-0"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1007\/s10862-008-9094-0","article-title":"Phenomenology of Early Childhood Onset Obsessive Compulsive Disorder","volume":"31","author":"Garcia","year":"2009","journal-title":"J. Psychopathol. Behav. Assess."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/j.jad.2015.07.045","article-title":"Admixture Analysis of Age at Symptom Onset and Age at Disorder Onset in a Large Sample of Patients with Obsessive\u2013Compulsive Disorder","volume":"187","author":"Albert","year":"2015","journal-title":"J. Affect. Disord."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1016\/j.cpr.2011.06.007","article-title":"Early versus Late Onset Obsessive\u2013Compulsive Disorder: Evidence for Distinct Subtypes","volume":"31","author":"Taylor","year":"2011","journal-title":"Clin. Psychol. Rev."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1016\/S0005-7894(78)80013-6","article-title":"Continuous Exposure and Complete Response Prevention in the Treatment of Obsessive-Compulsive Neurosis","volume":"9","author":"Foa","year":"1978","journal-title":"Behav. Ther."},{"key":"ref_27","unstructured":"Barlow, D.H. (1993). Obsessive Compulsive Disorder. Clinical Handbook of Psychological Disorders: A Step-by-Step Treatment Manual, Guilford Press."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1002\/da.22389","article-title":"A Meta-Analysis of Cognitive Behavior Therapy and Medication for Child Obsessive Compulsive Disorder: Moderators of Treatment Efficacy, Response, and Remission","volume":"32","author":"McGuire","year":"2015","journal-title":"Depress. Anxiety"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.brat.2014.04.006","article-title":"Maximizing Exposure Therapy: An Inhibitory Learning Approach","volume":"58","author":"Craske","year":"2014","journal-title":"Behav. Res. Ther."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1159\/000381574","article-title":"Optimizing Exposure Therapy for Anxiety Disorders: An Inhibitory Learning and Inhibitory Regulation Approach","volume":"25","author":"Craske","year":"2015","journal-title":"Verhaltenstherapie"},{"key":"ref_31","unstructured":"Hayes, S.C., Strosahl, K., and Wilson, K.G. (2016). Acceptance and Commitment Therapy: The Process and Practice of Mindful Change, The Guilford Press. [2nd ed.]."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1080\/10503307.2015.1065022","article-title":"Residential Treatment Outcomes for Adolescents with Obsessive-Compulsive Disorder","volume":"26","author":"Leonard","year":"2016","journal-title":"Psychother. Res."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1093\/brief-treatment\/mhg028","article-title":"Short-Term Residential Treatment for Obsessive-Compulsive Disorder","volume":"3","author":"Riemann","year":"2003","journal-title":"Brief. Treat. Crisis Interv."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1016\/j.jaac.2023.05.023","article-title":"10 Lessons Learned in Launching a Division-Wide Measurement-Based Care Initiative","volume":"62","author":"Kaplan","year":"2023","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1097\/00004583-199706000-00023","article-title":"Children\u2019s Yale-Brown Obsessive Compulsive Scale: Reliability and Validity","volume":"36","author":"Scahill","year":"1997","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"\u00dcst\u00fcn, T.B., Kostanjsek, N., Chatterji, S., and Rehm, J. (2010). Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0), World Health Organization.","DOI":"10.2471\/BLT.09.067231"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1177\/014662167700100306","article-title":"The CES-D Scale: A Self-Report Depression Scale for Research in the General Population","volume":"1","author":"Radloff","year":"1977","journal-title":"Appl. Psychol. Meas."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1037\/0021-843X.106.2.280","article-title":"Spence Children\u2032s Anxiety Scale","volume":"106","author":"Spence","year":"1997","journal-title":"J. Abnorm. Psychol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1023\/A:1022637815797","article-title":"A New Self-Report Scale for Assessment of Adolescent Psychopathology: Factor Structure, Reliability, Validity, and Diagnostic Sensitivity","volume":"25","author":"Conners","year":"1997","journal-title":"J. Abnorm. Child Psychol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1037\/a0016719","article-title":"The Intolerance of Uncertainty Scale for Children: A Psychometric Evaluation","volume":"21","author":"Comer","year":"2009","journal-title":"Psychol. Assess."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1037\/pas0000165","article-title":"Psychometric Properties of the Family Accommodation Scale for Obsessive\u2013Compulsive Disorder\u2013Patient Version","volume":"28","author":"Wu","year":"2016","journal-title":"Psychol. Assess."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1111\/j.1752-0606.1983.tb01497.x","article-title":"The McMaster family assessment device","volume":"9","author":"Epstein","year":"1983","journal-title":"J. Marital Fam. Ther."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1037\/h0080547","article-title":"A Psychometric Study of the McMaster Family Assessment Device in Psychiatric, Medical, and Nonclinical Samples","volume":"3","author":"Kabacoff","year":"1990","journal-title":"J. Fam. Psychol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1111\/j.1752-0606.1985.tb00028.x","article-title":"The McMaster family assessment device: Reliability and validity","volume":"11","author":"Miller","year":"1985","journal-title":"J. Marital Fam. Ther."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1080\/08039488.2018.1486454","article-title":"The Importance of Insight, Avoidance Behavior, Not-Just-Right Perception and Personality Traits in Pediatric Obsessive-Compulsive Disorder (OCD): A Naturalistic Clinical Study","volume":"72","author":"Nissen","year":"2018","journal-title":"Nord. J. Psychiatry"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Shah, P.S., Prajapati, A.B., Parikh, A.N., Vibhakar, G.R., Desai, J., and Patel, D.S. (2024). Assessment of \u201cIncompleteness\u201d and \u201cNot-Just-Right Experiences\u201d in Patients of Obsessive-Compulsive Disorders: A Cross-Sectional Study. Ann. Indian Psychiatry.","DOI":"10.4103\/aip.aip_73_24"},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Sharma, E., Sharma, L.P., Balachander, S., Lin, B., Manohar, H., Khanna, P., Lu, C., Garg, K., Thomas, T.L., and Au, A.C.L. (2021). Comorbidities in Obsessive-Compulsive Disorder Across the Lifespan: A Systematic Review and Meta-Analysis. Front. Psychiatry, 12.","DOI":"10.3389\/fpsyt.2021.703701"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Kreutzer, J.S., DeLuca, J., and Caplan, B. (2011). Conners Comprehensive Behavior Rating Scale. Encyclopedia of Clinical Neuropsychology, Springer.","DOI":"10.1007\/978-0-387-79948-3"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1080\/23794925.2022.2051215","article-title":"The Role of Intolerance of Uncertainty in Treatment for Pediatric Anxiety Disorders and Obsessive-Compulsive Disorder","volume":"8","author":"Sperling","year":"2023","journal-title":"Evid.-Based Pract. Child Adolesc. Ment. Health"},{"key":"ref_50","unstructured":"(2025, January 05). U.S. Department of Education, Office for Civil Rights, Civil Rights Data Collection: 2004, 2006, 2011\u20132012, 2013\u20132014, 2017\u20132018, and 2020\u20132021. Table 204.90. Percentage of Public School Students Enrolled in Gifted and Talented Programs, by Sex, Race\/Ethnicity, and State or Jurisdiction: Selected School Years, 2004 Through 2020\u201321, Available online: https:\/\/nces.ed.gov\/programs\/digest\/d23\/tables\/dt23_204.90.asp."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1007\/s40272-024-00639-5","article-title":"Pediatric Treatment-Resistant Obsessive Compulsive Disorder: Treatment Options and Challenges","volume":"26","author":"Younus","year":"2024","journal-title":"Pediatr. Drugs"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1097\/YIC.0000000000000127","article-title":"Role and Clinical Implications of Atypical Antipsychotics in Anxiety Disorders, Obsessive-Compulsive Disorder, Trauma-Related, and Somatic Symptom Disorders: A Systematized Review","volume":"31","author":"Albert","year":"2016","journal-title":"Int. Clin. Psychopharmacol."},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Zablotsky, B., Black, L., and Akinbami, L. (2023). Diagnosed Allergic Conditions in Children Aged 0\u201317 Years: United States, 2021, National Center for Health Statistics (U.S.).","DOI":"10.15620\/cdc:123250"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1111\/cei.13334","article-title":"The Immune System and Psychiatric Disease: A Basic Science Perspective","volume":"197","author":"Bennett","year":"2019","journal-title":"Clin. Exp. Immunol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1038\/mp.2016.115","article-title":"Suicide in Obsessive\u2013Compulsive Disorder: A Population-Based Study of 36 788 Swedish Patients","volume":"22","author":"Rydell","year":"2017","journal-title":"Mol. Psychiatry"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1136\/ebmental-2022-300549","article-title":"Risk Factors for Suicide in Adults: Systematic Review and Meta-Analysis of Psychological Autopsy Studies","volume":"25","author":"Favril","year":"2022","journal-title":"Evid. Based Ment. Health"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.beth.2023.07.012","article-title":"Family Accommodation in Intensive\/Residential Treatment for Adults With OCD: A Cross-Lagged Panel Analysis","volume":"55","author":"Kelley","year":"2024","journal-title":"Behav. Ther."},{"key":"ref_58","unstructured":"International OCD Foundation (2025, January 05). \u201cI\u2019m Soooo OCD\u201d + Other Common Myths About Obsessive Compulsive Disorder. Available online: http:\/\/www.iocdf.org."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1080\/23794925.2019.1685419","article-title":"Inpatient Psychiatric Care Outcomes for Adolescents: A Test of Clinical and Psychosocial Moderators","volume":"4","author":"Zambrowicz","year":"2019","journal-title":"Evid.-Based Pract. Child Adolesc. Ment. Health"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1007\/s12402-014-0146-x","article-title":"The Neurobiological Link between OCD and ADHD","volume":"6","author":"Brem","year":"2014","journal-title":"ADHD Atten. Deficit Hyperact. Disord."},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"D\u00edaz-Castro, L., Arroyo-Belmonte, M., Su\u00e1rez-Brito, P., M\u00e1rquez-Caraveo, M.E., and Garcia-Andrade, C. (2024). Validation of the World Health Organization\u2019s Disability Assessment Schedule 2.0 for Children with Mental Disorders in Specialized Health-Care Services. Front. Psychiatry, 15.","DOI":"10.3389\/fpsyt.2024.1415133"},{"key":"ref_62","first-page":"38","article-title":"Psychometric Properties and Informant Agreement of the WHODAS 2.0 in Youth with Mental Disorder","volume":"32","author":"McDonald","year":"2023","journal-title":"J. Can. Acad. Child. Adolesc. Psychiatry"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1080\/13632752.2023.2215036","article-title":"Parents\u2019 Experiences of Parenting a Preadolescent Child with OCD: A Qualitative Study","volume":"28","author":"Chessell","year":"2023","journal-title":"Emot. Behav. Difficulties"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.jaac.2016.12.012","article-title":"A Multisite Study of Family Functioning Impairment in Pediatric Obsessive-Compulsive Disorder","volume":"56","author":"Stewart","year":"2017","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.cpr.2018.01.007","article-title":"Intolerance of Uncertainty in Youth with Obsessive-Compulsive Disorder and Generalized Anxiety Disorder: A Transdiagnostic Construct with Implications for Phenomenology and Treatment","volume":"60","author":"Gillett","year":"2018","journal-title":"Clin. Psychol. Rev."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1007\/s11920-020-01170-3","article-title":"Intolerance of Uncertainty and Parental Accommodation: Promising Targets for Personalized Intervention for Youth Anxiety","volume":"22","author":"Kendall","year":"2020","journal-title":"Curr. Psychiatry Rep."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1016\/j.beth.2020.09.002","article-title":"Intolerance of Uncertainty and Eating Disorder Symptoms Over the Course of Intensive Treatment","volume":"52","author":"Reilly","year":"2021","journal-title":"Behav. Ther."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1007\/s11920-023-01413-z","article-title":"Anxiety Sensitivity and Intolerance of Uncertainty: Transdiagnostic Risk Factors for Anxiety as Targets to Reduce Risk of Suicide","volume":"25","author":"Allan","year":"2023","journal-title":"Curr. Psychiatry Rep."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/12\/4\/505\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:14:42Z","timestamp":1760030082000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/12\/4\/505"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,15]]},"references-count":68,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,4]]}},"alternative-id":["children12040505"],"URL":"https:\/\/doi.org\/10.3390\/children12040505","relation":{},"ISSN":["2227-9067"],"issn-type":[{"type":"electronic","value":"2227-9067"}],"subject":[],"published":{"date-parts":[[2025,4,15]]}}}