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Neuropsychological Functioning in Youth with Obsessive-Compulsive Behaviors Identified Using the Child Behavior Checklist

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2019, PHD, Kent State University, College of Arts and Sciences / Department of Psychological Sciences.
Habitual repetitive behaviors have been identified in a variety of pediatric psychopathology (e.g., obsessive compulsive related disorders [OCRDs], body-focused repetitive behaviors [BFRBs], tic disorders [TD], generalized anxiety disorder [GAD], autism spectrum disorders [ASD]), though they may take different forms. These behaviors, many of which share overlapping comorbidity and certain traits (e.g., habit circuitry, functional presentation), are often experienced as compulsive and may be associated with significant distress and impairment. Study One sought to provide a well-defined operationalization of obsessive-compulsive behaviors (OCBs) and to produce a valid screening tool derived from the CBCL for the identification and characterization of OCBs in youth using EFA. The resultant 8-item scale followed a two-factor structure, producing two subscales (i.e., Obsessissive/Ritualized OCBs and Motoric OCBs) and a Total Score. Appropriate measures of reliability and validity were produced to support the strength and utility of the scale. ROC curve and AUC analyses identified the best cut-off score for the identification of clinically meaningful OCBs to be 1.5 on the CBCL-OCB Scale. Study Two utilized scores from the new CBCL-OCB Scale to test whether poorer executive functioning (as measured by subtests from the Cambridge Neuropsychological Test Automate Battery CANTAB) was associated with OCB severity. Results suggested a trend for aspects of planning to be associated with OCB severity in youth, but no other notable relationships emerged. Additional work is called for to continue this line of inquiry into the nature of OCBs, through further refinement and validation of the CBCL-OCB Scale and continued exploration into the relationships between OCBs and EF, as well as other measures of neuropsychological functioning in youth.
Christopher Flessner, PhD (Committee Chair)
John Gunstad, PhD (Committee Co-Chair)
Doug Delahanty, PhD (Committee Member)
William Kalkhoff, PhD (Committee Member)
Deric Kenne, PhD (Committee Member)
92 p.

Recommended Citations

Citations

  • Brennan, E. (2019). Neuropsychological Functioning in Youth with Obsessive-Compulsive Behaviors Identified Using the Child Behavior Checklist [Doctoral dissertation, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1564913548445812

    APA Style (7th edition)

  • Brennan, Elle. Neuropsychological Functioning in Youth with Obsessive-Compulsive Behaviors Identified Using the Child Behavior Checklist. 2019. Kent State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1564913548445812.

    MLA Style (8th edition)

  • Brennan, Elle. "Neuropsychological Functioning in Youth with Obsessive-Compulsive Behaviors Identified Using the Child Behavior Checklist." Doctoral dissertation, Kent State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=kent1564913548445812

    Chicago Manual of Style (17th edition)