Pediatric obsessive-compulsive disorder: Symptom patterns and confirmatory factor analysis

Gail A Bernstein, Andrea M. Victor, Peter M. Nelson, Susanne S Lee

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Pediatric obsessive-compulsive disorder (OCD) is a clinically heterogeneous disorder. This study evaluates patterns of obsessions and compulsions in pediatric OCD and assesses symptom dimensions in OCD based on the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) using confirmatory factor analysis (CFA). Participants were 77 youths (ages 5-18) with OCD [22 with pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) and 55 with non-PANDAS OCD]. All participants were administered Anxiety Disorders Interview Schedule for DSM-IV and CY-BOCS. CFA was run to test a four-factor model with the following CY-BOCS factors: ordering/repeating, contamination/cleaning, hoarding, and forbidden thoughts. The most common obsessions were aggressive and contamination and most common compulsions were checking and washing/cleaning. Eighty-eight percent of participants reported multiple current obsessions and compulsions. CFA results supported the fit of the hypothesized factor model to the data within this sample. Defining OCD dimensions will guide investigations of etiology and help predict and monitor response to treatments.

Original languageEnglish (US)
Pages (from-to)299-305
Number of pages7
JournalJournal of Obsessive-Compulsive and Related Disorders
Issue number3
StatePublished - Jul 2013

Bibliographical note

Funding Information:
This research was funded by grants from the Minnesota Medical Foundation and Office of the Dean of the Graduate School at the University of Minnesota to Dr. Bernstein and a grant from the Regents of the University of Minnesota Department of Psychiatry to Dr. Victor. The funding sponsors had no role in the study design, collection, analysis, or interpretation of the data, writing of the manuscript or the decision to submit the paper for publication.

Copyright 2014 Elsevier B.V., All rights reserved.


  • Child/adolescent
  • Classification
  • Hoarding
  • Obsessive-compulsive disorder


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