Theory of Mind Abilities May Predict Treatment Outcomes in Adolescents With Obsessive-Compulsive Disorder: A Follow-Up Study

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dc.authorid0000-0002-0313-558X
dc.authorid0000-0001-5938-3243
dc.authorid0000-0002-2156-3457
dc.contributor.authorKara, Tayfun
dc.contributor.authorAvsar, Pinar Aydogan
dc.contributor.authorKuru, Tacettin
dc.contributor.authorKocaman, Orhan
dc.date.accessioned2026-01-24T12:29:01Z
dc.date.available2026-01-24T12:29:01Z
dc.date.issued2025
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractAims: Researchers report varying levels of cognitive flexibility and theory of mind (ToM) deficiencies in adolescents with obsessive-compulsive disorder (OCD). This research set out to investigate the impact of these variables on the disorder's outcomes. Method: The study involved 39 adolescents with OCD and 40 healthy controls. We assessed the case group at the initial visit to the outpatient clinic and again at the end of the first year of treatment. The Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) was applied to assess OCD symptom distribution and severity. The Reading the Mind in the Eyes of Children Test (RME-CT) was applied to evaluate ToM skills, and the Cognitive Flexibility Scale (CFS) was employed to evaluate cognitive flexibility levels. Results: Baseline RME-CT and CFS scores were significantly lower in adolescents with OCD compared to the control group (p = 0.002 p = 0.001, respectively). At the end of the 1-year follow-up, RME-CT and CFS scores increased significantly in the adolescents with OCD (p < 0.001, p = 0.003, respectively). A significant negative correlation was observed between the initial RME-CT scores and the Y-BOCS scores at the end of the 1-year follow-up (p < 0.001). The initial RME-CT score had a significant negative predictive effect on the subsequent severity of OCD (beta = -0.711, p < 0.001). Conclusions: The research revealed poorer long-term prognoses for OCD in adolescents who exhibit low ToM skills. In conclusion, the results indicate that ToM skills may serve as a predictive factor for long-term treatment outcomes among adolescents diagnosed with OCD.
dc.identifier.doi10.1111/eip.13608
dc.identifier.issn1751-7885
dc.identifier.issn1751-7893
dc.identifier.issue1
dc.identifier.pmid39166714
dc.identifier.scopus2-s2.0-85201698796
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1111/eip.13608
dc.identifier.urihttps://hdl.handle.net/20.500.12868/5084
dc.identifier.volume19
dc.identifier.wosWOS:001295163300001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofEarly Intervention in Psychiatry
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260121
dc.subjectadolescents
dc.subjectcognitive flexibility
dc.subjectOCD
dc.subjectpredictors of response
dc.subjecttheory of mind
dc.titleTheory of Mind Abilities May Predict Treatment Outcomes in Adolescents With Obsessive-Compulsive Disorder: A Follow-Up Study
dc.typeArticle

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