Social impairment in children with obsessive compulsive disorder: Do comorbid problems of inattention and hyperactivity matter?

Available studies examining the social relationships of children with obsessive compulsive disorder (OCD) suggest the presence of significant social difficulties. A notable limitation of these studies, however, is a lack of consideration for the potential impact of comorbidity on social variables. Given the high rate of attention-deficit/hyperactivity disorder (ADHD) in youth with OCD, and extensive evidence for ADHD-specific social impairments, the current study examined the interpersonal functioning and peer relationships of youth, ages 6-15 years, with primary OCD (n=24) and a non-psychiatric control group (n=18) while accounting for comorbid problems of inattention/hyperactivity. Overall results based on parent and child reports revealed that children with OCD, regardless of ADHD symptomology, were less socially-competent, had fewer dyadic friendships, and greater difficulty making new friends compared to controls. Children with OCD were just as likely, however, to have a best friend. Findings are considered in terms of their potential implications for intervention.