Behavior TherapyPub Date : 2025-01-01DOI: 10.1016/j.beth.2024.05.007
Shari A. Steinman, Cierra B. Edwards, Mira D.H. Snider, Amber L. Billingsley, Gabriella T. Ponzini, Kelsey J. Evey, Brian Doss, Kiara R. Timpano
{"title":"Preventing Postpartum Anxiety and Obsessive-Compulsive Disorder Over the Internet: An Open-Trial Pilot Study","authors":"Shari A. Steinman, Cierra B. Edwards, Mira D.H. Snider, Amber L. Billingsley, Gabriella T. Ponzini, Kelsey J. Evey, Brian Doss, Kiara R. Timpano","doi":"10.1016/j.beth.2024.05.007","DOIUrl":"10.1016/j.beth.2024.05.007","url":null,"abstract":"<div><div>Anxiety disorders are the most common postpartum psychiatric conditions, yet limited research exists on the prevention of postpartum anxiety and obsessive-compulsive disorder (OCD). Postpartum anxiety leads to significant problems in both mother and child, such as maternal depression, difficulty breastfeeding, interference with parent-infant bonding, and childhood anxiety. In the current study, we tested the feasibility, acceptability, and initial efficacy of an Internet-delivered postpartum anxiety and OCD prevention program, “Preventing Postpartum Onset Distress” (P-POD), in a sample of 15 pregnant women in their third trimester. Geared toward at-risk pregnant people, P-POD includes seven 30-minute educational, interactive modules that teach skills derived from cognitive-behavioral treatment for anxiety and OCD. P-POD also includes three additional modules for partners, with strategies for supporting their partners. Findings suggest that P-POD is acceptable and feasible. Participants experienced reductions in postpartum anxiety risk factors. However, this was a small, open-trial pilot study with a relatively homogeneous sample. Future research should compare P-POD to an active control condition, use more diverse samples, include qualitative interviews, and assess symptoms postpartum.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 192-198"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141398442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behavior TherapyPub Date : 2025-01-01DOI: 10.1016/j.beth.2024.04.006
Mia Asplund, Fabian Lenhard, Christian Rück, Erik Andersson, Tova Grimlund, Maja Nilsson, Mika Sarachu-Nilsson, Linda Sundh, Volen Z. Ivanov
{"title":"Therapist-Guided Internet-Delivered Acceptance-Enhanced Behavior Therapy for Skin-Picking Disorder: A Randomized Controlled Trial","authors":"Mia Asplund, Fabian Lenhard, Christian Rück, Erik Andersson, Tova Grimlund, Maja Nilsson, Mika Sarachu-Nilsson, Linda Sundh, Volen Z. Ivanov","doi":"10.1016/j.beth.2024.04.006","DOIUrl":"10.1016/j.beth.2024.04.006","url":null,"abstract":"<div><div>Despite its high prevalence, individuals suffering from skin-picking disorder (SPD) face limited access to treatment due to several factors, including geographical and economic barriers, as well as a shortage of properly trained therapists. Offering Internet-delivered therapy could be a solution to these barriers. This study aimed to evaluate the efficacy of therapist-guided Internet-delivered acceptance-enhanced behavior therapy (iBT) for SPD compared to a wait-list control condition. Participants randomized to the intervention group received 10 weeks of iBT (<em>n</em> = 35), while those in the control group were placed on a wait-list (<em>n</em> = 35). The primary outcome was the Skin Picking Scale—Revised (SPS-R). Mixed-model regression analyses demonstrated a significantly greater improvement in SPD symptoms in the iBT group compared to the control group at posttreatment (between-group difference −5.1 points, <em>F</em> = 9.69, <em>p</em> < .001). The between-group effect size was in the large range, with a bootstrapped <em>d</em> of 1.3 (95% CI [0.92, 1.69]). At posttreatment, 43% of the participants in the iBT group were classified as responders, and 31% were in remission, compared to 0% responders and 3% in remission in the control group. At the 6-month follow-up, the SPD symptoms had increased compared to posttreatment. However, the improvement from pretreatment remained significant. Participants reported a high level of satisfaction and credibility of the treatment, and a perceived good level of working alliance. Compared to wait-list control, iBT is an efficacious treatment for SPD at posttreatment and follow-up, with the potential to substantially increase the availability and access to evidence-based treatment for this disorder. Replication studies, particularly those comparing iBT to an active control, are warranted.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 70-82"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140787528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behavior TherapyPub Date : 2025-01-01DOI: 10.1016/j.beth.2024.05.003
Mei-Rong Pan , Xue-Ying Liu , Xue Gao, Zhong-Fang Fu, Lu Liu, Hai-Mei Li, Yu-Feng Wang, Qiu-Jin Qian
{"title":"Feasibility, Acceptability, and Preliminary Efficacy of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents in China: A Pilot Study","authors":"Mei-Rong Pan , Xue-Ying Liu , Xue Gao, Zhong-Fang Fu, Lu Liu, Hai-Mei Li, Yu-Feng Wang, Qiu-Jin Qian","doi":"10.1016/j.beth.2024.05.003","DOIUrl":"10.1016/j.beth.2024.05.003","url":null,"abstract":"<div><div>Currently, there is a lack of cost-effective and accessible intervention resources for Chinese adolescents with emotional disorders. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A), which aims to apply transdiagnostic treatment principles to target core dysfunctions across a range of emotional disorders with a single protocol, could fill this gap. We first modified the UP-A for use in the Chinese cultural context and then assessed its feasibility, acceptability, and preliminary efficacy using a single-arm design. Twenty-four Chinese adolescents (14.1 ± 1.2 years old) with emotional disorders completed a 12-week group UP-A intervention along with their parents. Multiple outcomes were evaluated at five time points: pretreatment (T1), week 4 (T2), week 8 (T3), posttreatment (T4), and 3-month follow-up (T5). The results showed a low dropout rate (16.7%), high attendance (at 10.2 ± 1.6 sessions in adolescents and 10.7 ± 2.0 sessions in parents), and sufficient participant satisfaction. Adolescents exhibited significant decreases in emotional disorder severity (<em>g</em> = −1.298 to −1.341) and emotional symptoms (<em>g</em> = −0.440 to −1.988) and significant improvements in emotion regulation (ER) strategies, resilience, functional outcomes, and executive function. The efficacy of the intervention was significant starting at T2 and was maintained at T4 and T5. Exploratory analyses revealed that predictors of treatment outcomes included the presence of multiple comorbidities, the severity of emotional disorders, adaptive ER strategies, and resilience at T1. This study demonstrated the feasibility, acceptability, and preliminary efficacy of the Chinese version of the UP-A, and future randomized controlled trials are warranted.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 145-161"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141142918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behavior TherapyPub Date : 2025-01-01DOI: 10.1016/j.beth.2024.05.002
Saima A. Akbar, Timothy Hayes, Matthew J. Valente, Melissa M. Milbert, Jennifer C. Cousins, Greg J. Siegle, Cecile D. Ladouceur, Jennifer S. Silk, Erika E. Forbes, Neal D. Ryan, Allison G. Harvey, Ronald E. Dahl, Dana L. McMakin
{"title":"Targeted Sleep Enhancement Reduces Residual Anxiety Symptoms in Peri-Adolescents Previously Treated for Anxiety Disorders","authors":"Saima A. Akbar, Timothy Hayes, Matthew J. Valente, Melissa M. Milbert, Jennifer C. Cousins, Greg J. Siegle, Cecile D. Ladouceur, Jennifer S. Silk, Erika E. Forbes, Neal D. Ryan, Allison G. Harvey, Ronald E. Dahl, Dana L. McMakin","doi":"10.1016/j.beth.2024.05.002","DOIUrl":"10.1016/j.beth.2024.05.002","url":null,"abstract":"<div><div>Sleep-related problems (SRPs) are a common precursor to anxiety disorders, especially during peri-adolescence, and may be a predictor of treatment response. However, evidence-based anxiety treatments do not alleviate SRPs to a clinically significant degree. The current study examines whether improving sleep in a sample of young adolescents previously treated for anxiety disorders can further reduce anxiety severity. Participants include 46 adolescents (65% female, ages 9–14 years) previously treated for anxiety disorders who self-selected to participate in a 6-week open trial of targeted sleep enhancement (TIGERS). Measures of parent- and child report on SRPs, and clinician-rated anxiety severity, were collected at several time points of the study: pre-, and postanxiety treatment, pre- and post-TIGERS, and at four yearly follow-ups. Two hierarchical mediation models were run using either parent- or child report on sleep. On the between-subjects level, participants with higher overall average SRPs also had higher overall anxiety severity over all time points. On the within-subjects level, participation in TIGERS was not directly associated with change in anxiety severity—however, participation in TIGERS was associated with a drop in SRPs, which was associated with a drop in anxiety severity. Improving sleep in anxious peri-adolescents further improves anxiety above and beyond anxiety treatment. Further research is needed to confirm the effects of improving sleep on clinical anxiety in a randomized controlled trial.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 133-144"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141036848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behavior TherapyPub Date : 2025-01-01DOI: 10.1016/j.beth.2024.04.011
Cecilie Schultz Isaksen, Katja Anna Hybel, Lidewij Wolters, Davíð R.M.A. Højgaard, Lara Farrell, Per Hove Thomsen
{"title":"Metacognition in Children and Adolescents With Obsessive-Compulsive Disorder Treated With Cognitive Behavioral Therapy","authors":"Cecilie Schultz Isaksen, Katja Anna Hybel, Lidewij Wolters, Davíð R.M.A. Højgaard, Lara Farrell, Per Hove Thomsen","doi":"10.1016/j.beth.2024.04.011","DOIUrl":"10.1016/j.beth.2024.04.011","url":null,"abstract":"<div><div>According to the metacognitive theory, maladaptive metacognition is associated with the development and maintenance of emotional disorders. This study is the first to explore maladaptive metacognition in a sample of children and adolescents (7–17 years) with obsessive-compulsive disorder (OCD) in the context of cognitive behavioral therapy (CBT). A total of 114 children and adolescents were included in the study. Of these 56 were OCD patients who were assessed on metacognition (<em>Metacognitions Questionnaire–Child Version</em>) and OCD symptom severity (<em>Children’s Yale-Brown Obsessive Compulsive Scale</em>) before and after 14 sessions of individual CBT. Fifty-eight children and adolescents without any psychiatric diagnoses constituted a control group and were assessed on metacognition temporally corresponding to the OCD group. Results showed that the OCD group had significantly elevated maladaptive metacognition relative to the control group, with the exception of positive beliefs about worry. The maladaptive metacognition in the OCD group was significantly reduced from pre- to posttreatment. Additionally, the reduction in the total level of maladaptive metacognition was significantly larger than that reported by the control group. However, it remained significantly elevated relative to controls at posttreatment. Furthermore, lower posttreatment OCD severity was associated with larger reductions in negative beliefs about worry, beliefs about the need to control thoughts, and cognitive self-consciousness, as well as with a higher pretreatment level of positive beliefs about worry. Overall, age group (children vs adolescents) did not moderate these results. Collectively, the results suggest that amending maladaptive metacognition in children and adolescents with OCD might be important considering the associations between reductions in maladaptive metacognition and favorable treatment outcome.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 95-109"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141046957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behavior TherapyPub Date : 2025-01-01DOI: 10.1016/j.beth.2024.04.014
Maarten C. Eisma, Asuman Buyukcan-Tetik
{"title":"Prolonged Grief Symptoms Predict Social and Emotional Loneliness and Depression Symptoms","authors":"Maarten C. Eisma, Asuman Buyukcan-Tetik","doi":"10.1016/j.beth.2024.04.014","DOIUrl":"10.1016/j.beth.2024.04.014","url":null,"abstract":"<div><div>A minority of bereaved individuals develops severe, persistent, and disabling grief, termed “prolonged grief.” The <em>International Classification of Diseases</em>, eleventh edition (ICD-11) and the <em>Diagnostic and Statistical Manual of Mental Disorders</em>, fifth edition, text revision (DSM-5-TR) include such grief reactions as prolonged grief disorder (PGD). Loneliness is often experienced by bereaved persons and can have severe health consequences. Preliminary research suggests that loneliness may perpetuate grief, but prolonged grief may also aggravate loneliness. Since existing empirical research provides limited information on temporal relationships between both constructs, we aimed to fill this gap in knowledge. Bereaved adults (88% female, mean age 54 years) filled in questionnaires assessing general, social, and emotional loneliness and prolonged grief and depression symptoms across two time points, 6 months apart. Cross-lagged panel model analyses showed that prolonged grief symptoms predicted more severe general, social, and emotional loneliness, as well as more depression symptoms. Loneliness did not predict prolonged grief symptoms and depression symptoms. Depression symptoms did not predict prolonged grief symptoms and loneliness. Additionally, latent change score analyses demonstrated that within person changes in prolonged grief symptoms and loneliness were related. Findings are inconsistent with the notion that loneliness causes prolonged grief and depression. Possibly, severe grief could lead to stigmatization, reduced social support, and feeling socially disconnected, perpetuating loneliness and depression symptoms.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 121-132"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141024574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behavior TherapyPub Date : 2025-01-01DOI: 10.1016/j.beth.2024.08.002
Jamilah R. George, Robert Joseph Taylor, Traleena M. Rouleau, Emma D. Turner, Monnica T. Williams
{"title":"Seeking Care for Obsessive-Compulsive Symptoms Among African Americans: Findings From the National Survey of American Life","authors":"Jamilah R. George, Robert Joseph Taylor, Traleena M. Rouleau, Emma D. Turner, Monnica T. Williams","doi":"10.1016/j.beth.2024.08.002","DOIUrl":"10.1016/j.beth.2024.08.002","url":null,"abstract":"<div><div>Although obsessive-compulsive disorder (OCD) is associated with clinically significant distress, many OCD patients do not seek treatment. Studies show that Black Americans with OCD are even less likely to obtain treatment due to differences in access. This study explored demographic and symptom outcomes associated with mental health service use for obsessions and compulsions among a nationally representative sample of African American adults (<em>n</em> = 3,570). The analytic sample for this analysis is African Americans who endorsed either obsessions (<em>n</em> = 435) or compulsions (<em>n</em> = 543). Few respondents sought care from their doctor for obsessions (14.25%, <em>n</em> = 62) and even fewer sought care for compulsions (7.55%, <em>n</em> = 36). Respondents were significantly more likely to seek care for obsessions if they had poorer self-rated mental health and perceived impairment due to obsessions—however, they were significantly less likely to seek care for obsessions if they had a high school education or less. Additionally, respondents were more likely to seek care for compulsions if they had poorer self-rated mental health. Our findings suggest that demographic factors, such as level of education, can impact care-seeking behaviors and, therefore, treatment outcomes for African Americans with obsessive-compulsive symptoms. Knowledge of factors associated with OCD care-seeking behavior can help inform potential barriers to treatment and strategies to ensure equity in access to mental health care for this population. Clinical implications and future directions are discussed.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 1-15"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behavior TherapyPub Date : 2025-01-01DOI: 10.1016/j.beth.2024.04.013
Valerie J. Micol, Alejandra Arango, Cheryl A. King, Ewa K. Czyz
{"title":"Stress in Caregivers of Youth Hospitalized for Suicide Ideation or Attempt","authors":"Valerie J. Micol, Alejandra Arango, Cheryl A. King, Ewa K. Czyz","doi":"10.1016/j.beth.2024.04.013","DOIUrl":"10.1016/j.beth.2024.04.013","url":null,"abstract":"<div><div>Youth hospitalizations for suicide risk-related concerns are increasing. The postdischarge time is a high-risk period for repeated suicide attempts and represents a vulnerable time for youth and their caregivers. However, little is known about caregiving stress during this time and what factors influence its levels. This study characterizes caregiving stress across 3 months following discharge among caregivers (74% biological mothers) of psychiatrically hospitalized adolescents (<em>N</em> = 80; ages 13–17 years) and explores its baseline and time-varying predictors. Participants completed measures at baseline and 1- and 3-month follow-ups. Caregivers completed measures of caregiving stress, caregiver self-efficacy, and depression/anxiety symptoms. Youth completed measures of depression along with a measure of parent–family connection. Youth suicidal ideation (SI) severity was assessed at all time points. Results: Caregiver-reported stress was high at hospitalization and decreased linearly after discharge. Regarding baseline factors, greater youth depression symptoms were associated with higher levels of caregiving stress over time. Regarding time-varying predictors, greater increases in caregiver depression/anxiety symptoms and greater SI severity in the first month after discharge were associated with greater caregiving stress over the follow-up period. This study adds to the growing literature focused on caregiving experiences in a high-risk population. Although caregiving stress tended to decrease posthospitalization, on average, certain caregiver and adolescent characteristics, particularly those related to internalizing symptoms, emerged as important markers of greater caregiving stress during this high-risk period.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 110-120"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141052398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behavior TherapyPub Date : 2025-01-01DOI: 10.1016/j.beth.2024.04.005
David L. Yap, Evelyn Behar
{"title":"Measuring Psychological Response to Pandemics: Further Psychometric Investigation of the COVID Stress Scales","authors":"David L. Yap, Evelyn Behar","doi":"10.1016/j.beth.2024.04.005","DOIUrl":"10.1016/j.beth.2024.04.005","url":null,"abstract":"<div><div>The COVID Stress Scales (CSS; Taylor et al., 2020b) were developed as a measure of stress related to any pandemic, making it a valuable self-report measure for potential future large-scale infectious disease outbreaks. Although the initial validation study of the CSS indicated evidence of its psychometric strength, further assessment is warranted of the measure’s retest reliability, the long-term stability of its five-factor structure, discriminant validity, and its relationship with pandemic-related risk and precautionary behaviors. We examined these psychometric elements of the CSS using longitudinal data collected from a nationally representative sample of adults (N = 205) during the COVID-19 pandemic. Results indicate moderate retest reliability that is consistent with changing rates of morbidity. Results also support the five-factor structure and demonstrate convergent validity, discriminant validity, and the ability to predict relevant behavioral responses to an active pandemic. Use of the CSS for future pandemics is discussed.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 57-69"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140792089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behavior TherapyPub Date : 2025-01-01DOI: 10.1016/j.beth.2024.04.009
Sarah C. Jessup, Alexandra M. Adamis, Bunmi O. Olatunji
{"title":"Preliminary Examination of Sympathetic Magic as a Psychological Endophenotype for Obsessive-Compulsive Disorder","authors":"Sarah C. Jessup, Alexandra M. Adamis, Bunmi O. Olatunji","doi":"10.1016/j.beth.2024.04.009","DOIUrl":"10.1016/j.beth.2024.04.009","url":null,"abstract":"<div><div>Although sympathetic magic (SM) beliefs (i.e., irrational understanding of contagion transmission) are observed in obsessive-compulsive disorder (OCD), it is unclear if such beliefs are psychological endophenotypes. Furthermore, predictors of SM beliefs in OCD remain unknown. Accordingly, the present study examined whether SM beliefs function as an endophenotype for OCD and whether perceived vulnerability to disease (PVD) contributes to SM beliefs. A sample of 30 individuals with OCD, 26 first-degree relatives, and 25 age-matched healthy controls completed self-report questionnaires and a SM task where we touched a clean pencil to a “contaminated” toilet, and rated the degree to which the pencil was contaminated. A second pencil was touched to the first pencil and was then rated. This process was continued for 12 pencils (12 degrees of removal from contagion). Results revealed no significant differences in the extent to which the three groups perceived a “chain of contagion” (i.e., contamination slopes) for the successive degrees of removal from the original contagion. However, the OCD group reported significantly less contamination reduction on the task, a group difference that was mediated by PVD. These findings suggest that although SM beliefs may not be an OCD endophenotype, such beliefs may derive from a PVD.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 83-94"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140757283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}