Prevalence of obsessive-compulsive disorder in the British nationwide survey of child mental health

I. Heyman, Eric Fombonne, H. Simmons, T. Ford, H. Meltzer, R. Goodman

Research output: Contribution to journalArticle

199 Citations (Scopus)

Abstract

Background Obsessive-compulsive disorder (OCD) is a disorder that appears to be underdiagnosed and undertreated, despite the evidence for effective treatments. There are variable estimates of OCD prevalence in the under-16s and published rates give little indication of age trends. Aims To establish the prevalence and associates of OCD in young people aged 5-15 years. Method A nationwide (UK) epidemiological study of rates of psychiatric disorder in 5- to 15-year-olds (1999 British Child Mental Health Survey): 10 438 children were assessed. Results Twenty-five children with OCD were identified (weighted overall prevalence 0.25%; 95% Cl 0.14-0.35), with prevalence rising exponentially with increasing age. Compared with normal controls, children with OCD were more likely to be from lower socio-economic class and of lower intelligence. Only three of these children had been seen by specialist children's services. Conclusions Although OCD is rare in young children, the rate increases towards the adult rates at puberty. Children with OCD have additional psychosocial disadvantage. The majority of the childhood cases identified in this survey appear to have been undetected and untreated.

Original languageEnglish (US)
Pages (from-to)324-329
Number of pages6
JournalBritish Journal of Psychiatry
Volume179
Issue numberOCT.
DOIs
StatePublished - 2001
Externally publishedYes

Fingerprint

Obsessive-Compulsive Disorder
Mental Health
Puberty
Child Health
Surveys and Questionnaires
Health Surveys
Intelligence
Psychiatry
Epidemiologic Studies
Economics

ASJC Scopus subject areas

  • Neuroscience(all)
  • Psychiatry and Mental health

Cite this

Prevalence of obsessive-compulsive disorder in the British nationwide survey of child mental health. / Heyman, I.; Fombonne, Eric; Simmons, H.; Ford, T.; Meltzer, H.; Goodman, R.

In: British Journal of Psychiatry, Vol. 179, No. OCT., 2001, p. 324-329.

Research output: Contribution to journalArticle

Heyman, I. ; Fombonne, Eric ; Simmons, H. ; Ford, T. ; Meltzer, H. ; Goodman, R. / Prevalence of obsessive-compulsive disorder in the British nationwide survey of child mental health. In: British Journal of Psychiatry. 2001 ; Vol. 179, No. OCT. pp. 324-329.
@article{c4a17085c1534f15b3b755437c5c5fdd,
title = "Prevalence of obsessive-compulsive disorder in the British nationwide survey of child mental health",
abstract = "Background Obsessive-compulsive disorder (OCD) is a disorder that appears to be underdiagnosed and undertreated, despite the evidence for effective treatments. There are variable estimates of OCD prevalence in the under-16s and published rates give little indication of age trends. Aims To establish the prevalence and associates of OCD in young people aged 5-15 years. Method A nationwide (UK) epidemiological study of rates of psychiatric disorder in 5- to 15-year-olds (1999 British Child Mental Health Survey): 10 438 children were assessed. Results Twenty-five children with OCD were identified (weighted overall prevalence 0.25{\%}; 95{\%} Cl 0.14-0.35), with prevalence rising exponentially with increasing age. Compared with normal controls, children with OCD were more likely to be from lower socio-economic class and of lower intelligence. Only three of these children had been seen by specialist children's services. Conclusions Although OCD is rare in young children, the rate increases towards the adult rates at puberty. Children with OCD have additional psychosocial disadvantage. The majority of the childhood cases identified in this survey appear to have been undetected and untreated.",
author = "I. Heyman and Eric Fombonne and H. Simmons and T. Ford and H. Meltzer and R. Goodman",
year = "2001",
doi = "10.1192/bjp.179.4.324",
language = "English (US)",
volume = "179",
pages = "324--329",
journal = "British Journal of Psychiatry",
issn = "0007-1250",
publisher = "Royal College of Psychiatrists",
number = "OCT.",

}

TY - JOUR

T1 - Prevalence of obsessive-compulsive disorder in the British nationwide survey of child mental health

AU - Heyman, I.

AU - Fombonne, Eric

AU - Simmons, H.

AU - Ford, T.

AU - Meltzer, H.

AU - Goodman, R.

PY - 2001

Y1 - 2001

N2 - Background Obsessive-compulsive disorder (OCD) is a disorder that appears to be underdiagnosed and undertreated, despite the evidence for effective treatments. There are variable estimates of OCD prevalence in the under-16s and published rates give little indication of age trends. Aims To establish the prevalence and associates of OCD in young people aged 5-15 years. Method A nationwide (UK) epidemiological study of rates of psychiatric disorder in 5- to 15-year-olds (1999 British Child Mental Health Survey): 10 438 children were assessed. Results Twenty-five children with OCD were identified (weighted overall prevalence 0.25%; 95% Cl 0.14-0.35), with prevalence rising exponentially with increasing age. Compared with normal controls, children with OCD were more likely to be from lower socio-economic class and of lower intelligence. Only three of these children had been seen by specialist children's services. Conclusions Although OCD is rare in young children, the rate increases towards the adult rates at puberty. Children with OCD have additional psychosocial disadvantage. The majority of the childhood cases identified in this survey appear to have been undetected and untreated.

AB - Background Obsessive-compulsive disorder (OCD) is a disorder that appears to be underdiagnosed and undertreated, despite the evidence for effective treatments. There are variable estimates of OCD prevalence in the under-16s and published rates give little indication of age trends. Aims To establish the prevalence and associates of OCD in young people aged 5-15 years. Method A nationwide (UK) epidemiological study of rates of psychiatric disorder in 5- to 15-year-olds (1999 British Child Mental Health Survey): 10 438 children were assessed. Results Twenty-five children with OCD were identified (weighted overall prevalence 0.25%; 95% Cl 0.14-0.35), with prevalence rising exponentially with increasing age. Compared with normal controls, children with OCD were more likely to be from lower socio-economic class and of lower intelligence. Only three of these children had been seen by specialist children's services. Conclusions Although OCD is rare in young children, the rate increases towards the adult rates at puberty. Children with OCD have additional psychosocial disadvantage. The majority of the childhood cases identified in this survey appear to have been undetected and untreated.

UR - http://www.scopus.com/inward/record.url?scp=0034771273&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034771273&partnerID=8YFLogxK

U2 - 10.1192/bjp.179.4.324

DO - 10.1192/bjp.179.4.324

M3 - Article

C2 - 11581112

AN - SCOPUS:0034771273

VL - 179

SP - 324

EP - 329

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

SN - 0007-1250

IS - OCT.

ER -