Data for: A Network Perspective on Comorbid Depression in Adolescents with Obsessive-compulsive Disorder

Participants

The participants were 87 adolescents beginning treatment for OCD in the residential and intensive outpatient units of the Obsessive-Compulsive Disorder Center at Rogers Memorial Hospital. There were 41 (47.1%) males and 46 (52.9%) females, who ranged in age from 13 to 17 (M = 15.37, SD = 1.17). The racial/ethnic breakdown was Caucasian (n = 72), Asian (n = 10), Hispanic (n = 2), biracial (n = 2), and Black (n = 1). Board-certified staff psychiatrists, who are all experts in OCD and related disorders, used DSM-IV criteria to diagnose patients upon admission. These diagnoses were based on in-depth reviews of patients’ records from previous providers, information gathered by the hospital admissions staff, and an unstructured clinical interview with the adolescents and caretakers upon arrival at the treatment center. All participants received a primary diagnosis of OCD, and each consented for their data to be used in de-identified research. Current comorbid disorders according to these diagnoses were major depression (n = 21; 24.1%), depressive mood disorder not otherwise specified (n = 41; 47.1%, combined percentage = 71.3%), attention deficit hyperactivity disorder (n = 25; 28.7%), generalized anxiety disorder (n = 18; 20.7%), social anxiety disorder (n = 10; 11.5%), and tic/Tourette's syndrome (n = 8; 9.2%). Elevated comorbidities of current mood disorders is likely a result of the sample largely consisting of severe, clinically complex residential inpatients.

Measures

Children's Yale-Brown Obsessive Compulsive Scale Self-Report (CY-BOCS-SR; Scahill et al., 1997).

The CY-BOCS-SR is a self-report questionnaire that evaluates the severity of OCD symptoms during the previous week. The scale includes 10 five-point Likert items which are summed to a score that ranges from 0-40 (a score of 16 or above signifies clinically significant severity). Reliability and validity of the self-report version of the scale are satisfactory (Scahill et al., 1997). The mean score in our sample was 26.1 (SD = 5.8, range = 24; Conelea, Schmidt, Leonard, Riemann, & Cahill, 2012). The 10 questions in the CY-BOCS-SR correspond to the 10 questions in the adult version of the scale (Y-BOCS; Goodman et al., 1989).

Quick Inventory of Depressive Symptomatology (QIDS-SR; Rush et al., 2003).

The QIDS-SR is a self-report questionnaire that evaluates the severity of depression symptoms. The scale includes 16 four-point Likert items summing to a total score ranging from 0-64. Reliability and validity of the scale are satisfactory (Rush et al., 2003). The mean score in our sample was 10.7 (SD = 5.9, range = 25).

参与者
本研究的参与者共有87名青少年，他们正在罗杰斯纪念医院强迫症中心接受 residential 和 intensive outpatient units 的治疗。其中男性41名（占比47.1%），女性46名（占比52.9%），年龄在13至17岁之间（平均年龄为15.37岁，标准差为1.17）。种族/民族分布如下：白人（n=72）、亚洲人（n=10）、西班牙裔（n=2）、混血（n=2）和黑人（n=1）。所有参与诊断的医生均为获得认证的精神病学家，并专长于强迫症及相关疾病。他们根据DSM-IV标准对患者在入院时进行诊断。这些诊断基于对先前提供者记录的深入审查、医院入院工作人员收集的信息，以及患者在到达治疗中心后与青少年及其监护人的非结构化临床访谈。所有参与者均接受了强迫症的主要诊断，并同意将他们的数据用于去标识化的研究。根据这些诊断，目前的共病状况包括重度抑郁症（n=21；占比24.1%）、未指定的抑郁情绪障碍（n=41；占比47.1%，合计占比为71.3%）、注意力缺陷多动障碍（n=25；占比28.7%）、广泛性焦虑症（n=18；占比20.7%）、社交焦虑症（n=10；占比11.5%）和抽动/Tourette 综合征（n=8；占比9.2%）。目前情绪障碍的高共病率可能是由于样本中大部分为严重且临床复杂的居住患者。
测量方法
儿童耶鲁-布朗强迫症量表自我报告版（CY-BOCS-SR；Scahill等，1997年）。
CY-BOCS-SR是一种自我报告问卷，用于评估过去一周内强迫症症状的严重程度。量表包含10个五点利克特量表项目，总分范围为0-40（得分16或以上表示临床上有显著严重程度）。该量表自我报告版本的可靠性和有效性令人满意（Scahill等，1997年）。在我们的样本中，平均得分为26.1（标准差为5.8，范围为24；Conelea，Schmidt，Leonard，Riemann，& Cahill，2012年）。CY-BOCS-SR中的10个问题与量表成人版（Y-BOCS；Goodman等，1989年）中的10个问题相对应。
快速抑郁症状量表（QIDS-SR；Rush等，2003年）。
QIDS-SR是一种自我报告问卷，用于评估抑郁症状的严重程度。量表包含16个四点利克特量表项目，总分范围为0-64。该量表的可靠性和有效性令人满意（Rush等，2003年）。在我们的样本中，平均得分为10.7（标准差为5.9，范围为25）。