Journal of Obsessive-Compulsive and Related Disorders最新文献

{"title":"Beyond the rituals: A symptom dimension analysis of the relationship between obsessive-compulsive disorder and dissociation","authors":"Angelique B. Slattery,&nbsp;Mary-Anne Kate,&nbsp;David L. Hegarty,&nbsp;Benjamin Buchanan,&nbsp;Jessica R. Grisham","doi":"10.1016/j.jocrd.2026.101051","DOIUrl":"10.1016/j.jocrd.2026.101051","url":null,"abstract":"<div><div>Obsessive-compulsive disorder (OCD) and dissociation are heterogeneous psychological constructs that frequently co-occur, yet their relationship remains underexplored. Both involve disruptions in perception, memory, identity, and perceived control over thoughts and actions, suggesting shared vulnerability mechanisms. As associations between dissociation and OCD are likely to manifest differently across OCD symptom dimensions, the current study examined associations among OCD symptom dimensions (<em>Washing</em>, <em>Obsessing</em>, <em>Ordering</em>, <em>Checking</em>, and <em>Neutralising</em>) and distinct dissociative domains, as defined by the DSM-5-TR, in a large clinical sample of Australian adults (<em>N</em> = 633). Individuals completed the Obsessive-Compulsive Inventory-Revised (OCI-R) and the Multidimensional Inventory of Dissociation-60-item version (MID-60). Spearman's correlations, Kruskal-Wallis group comparisons, and odds ratios examined symptom-level associations between OCD dimensions and dissociative domains across severity levels. MID-60 total scores were strongly correlated with OCI-OCD total scores (ρ = .51, p &lt; .001), with <em>Obsessing</em> showing the strongest subscale-level association with dissociation (ρ = .51). Individuals scoring above the OCD clinical cut-off reported significantly higher dissociation across the majority of symptom dimensions and were nine times more likely to report clinically significant dissociation compared to those scoring below the OCI-R OCD clinical cut-off. <em>Obsessing</em> demonstrated the strongest and most consistent associations with dissociation, particularly flashbacks, depersonalisation/derealisation, persecutory intrusions, and self-confusion. <em>Checking</em> and <em>Washing</em> had the weakest relationship with dissociation overall. These findings suggest that dissociation is dimension-specific rather than a nonspecific correlate of obsessive-compulsive psychopathology. Assessing dissociation in OCD, especially for <em>Obsessing</em> symptom presentations, may improve clinical formulation, treatment planning, and outcomes, particularly for complex or treatment-resistant presentations.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"51 ","pages":"Article 101051"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149212098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fear of self and mental contamination: Experimental evidence in a cross-cultural context","authors":"Mujgan Inozu,&nbsp;Elif Uzumcu,&nbsp;Nicholas S. Myers,&nbsp;Yasemin Erol,&nbsp;Elif Usta,&nbsp;Ozlem Ergin Ayan,&nbsp;Joseph B. Friedman,&nbsp;Emily K. Juel,&nbsp;Jonathan S. Abramowitz","doi":"10.1016/j.jocrd.2026.101050","DOIUrl":"10.1016/j.jocrd.2026.101050","url":null,"abstract":"<div><div>Mental contamination (MC) refers to feelings of internal dirtiness that arise without direct physical contact with a contaminant. Although cognitive contributors to MC have received increasing attention, experimental and cross-cultural studies remain limited. This study examined how fear of self (FOS) and cultural background shape responses to a MC induction. A total of 276 participants from Turkey and the United States were randomly assigned to a FOS or control condition. Participants received either threatening or neutral false feedback about their personality and potential to engage in immoral behavior and then listened to a non-consensual kissing scenario in which they imagined themselves as the perpetrator. MC-specific negative emotions, feelings of dirtiness, and urge to wash were assessed before the FOS manipulation, after this manipulation, and after the MC induction. The FOS manipulation increased self-related threat perceptions across cultures. Participants in the FOS condition reported greater MC-specific negative emotions immediately after the manipulation, indicating earlier emotional activation. However, after the MC induction, both FOS and control participants showed increased negative emotions, feelings of dirtiness, and urge to wash, suggesting that the scenario itself was a strong contamination-related cue. Cultural differences were also observed: U.S. participants showed earlier emotional responses following the FOS manipulation, whereas Turkish participants showed stronger emotional responses after the MC induction. These findings suggest that FOS may shape the timing of emotional responses to self-related moral threat, while dirtiness and washing urges may depend more strongly on concrete moral contamination cues.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"51 ","pages":"Article 101050"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149155729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An open trial of the Keen2 system: Adherence, feasibility, acceptability, and preliminary efficacy of a smart bracelet and personalized just-in-time strategy app for the management of hair pulling disorder","authors":"B. Feler,&nbsp;M. DuBois,&nbsp;J. Pritchard,&nbsp;H. Weingarden,&nbsp;E. Crupi,&nbsp;A.K. Idnani,&nbsp;S. Kumar,&nbsp;C.A. Flessner","doi":"10.1016/j.jocrd.2026.101049","DOIUrl":"10.1016/j.jocrd.2026.101049","url":null,"abstract":"<div><div>Hair-pulling disorder (HPD) is a chronic and impairing mental health condition. Access to frontline behavioral treatments is limited due to a shortage of specialized providers. Pulling often occurs with low awareness, making it difficult for patients to recognize real-time hair-pulling and apply behavioral strategies independently. To address these barriers, we developed an innovative digital self-help system, integrating HabitAware‘s Keen2 smart bracelet and a novel behavioral strategy app. The bracelet passively detects hair-pulling gestures and vibrates to build real-time awareness; the app learns from users' pulling episode data over 4 weeks and delivers personalized, context-matched just-in-time (JIT) behavioral strategy suggestions, prior to predicted hair-pulling episodes. We conducted an 8-week open trial in 10 adults with HPD, testing initial adherence, feasibility, and acceptability of the system and changes in hair-pulling severity and impairment in the completer sample (n = 8). Results showed strong adherence, with 62% of participants reporting they applied majority of suggested JIT strategies; high feasibility and acceptability, with 100% reporting they would recommend the system; and significant within-person reductions in hair-pulling severity and impairment, with mean reductions in outcomes ranging from 36.3% to 46.6%. Results provide initial evidence that this novel and innovative Keen2 system is a safe, feasible, and acceptable tool for managing hair-pulling severity and impairment in adults with HPD, with a randomized controlled trial warranted as a next step.</div></div><div><h3>Clinical trials gov identifier</h3><div>NCT07224126.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"51 ","pages":"Article 101049"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149155730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"OCD with and without tics: Differences in symptoms, suicidality, co-occurring mental health conditions, and treatment perceptions","authors":"Kevin M. Wagner,&nbsp;Jessica S.C. Cheng,&nbsp;Hannah C. Moore,&nbsp;Danqi Li,&nbsp;Mahnoor Ahmad,&nbsp;Silvina Tonarelli,&nbsp;Matti Cervin,&nbsp;Humberto Nicolini,&nbsp;Josselyn S. Muñoz,&nbsp;Jacey L. Anderberg,&nbsp;Renee M. Frederick,&nbsp;Vanessa Zavala Cruz,&nbsp;Dayan Berrones,&nbsp;Ryan J. McCarty,&nbsp;Ogechi C. Onyeka,&nbsp;Carolina Cappi,&nbsp;Andrew D. Wiese,&nbsp;Wayne K. Goodman","doi":"10.1016/j.jocrd.2026.101030","DOIUrl":"10.1016/j.jocrd.2026.101030","url":null,"abstract":"<div><h3>Objective</h3><div>Obsessive–compulsive disorder (OCD) and tics frequently co-occur, particularly among youth. However, limited research has examined how OCD presentations differ in adults with and without tics, especially among Latino populations, who are underrepresented in both the OCD and tics literature. This study investigated how tic history relates to OCD symptom presentation, suicide-related features (i.e., ideation, intent, plan, and attempts), co-occurring conditions, and perceived effectiveness of selective serotonin reuptake inhibitors (SSRIs) and exposure and response prevention (ERP) in an international, multi-site sample of Latino adults with OCD.</div></div><div><h3>Method</h3><div>Participants were 3224 Latino adults with clinically significant OCD symptoms.</div></div><div><h3>Results</h3><div>Nearly 14% met criteria for a lifetime tic-related disorder. Those with tics more frequently endorsed “just-right” symptoms (e.g., touching/tapping, counting, repeating), higher rates of suicidal ideation, planning, and attempts, and greater prevalence of depressive, obsessive-compulsive-related, and eating disorders. Perceived ERP effectiveness was higher among those without tics, whereas perceived SSRI effectiveness did not differ between groups. All effect sizes were small.</div></div><div><h3>Conclusions</h3><div>Latino adults with OCD and tics exhibited a partially distinct profile marked by more “just-right” symptoms, greater suicidality, more co-occurring conditions, and lower perceived ERP effectiveness but comparable perceived SSRI benefit. The small effect sizes suggest that targeted refinements to address these areas may yield meaningful improvements for those with OCD and tics, although our results do not advise that major treatment changes are warranted.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"51 ","pages":"Article 101030"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149212099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of a high-frequency, low-intensity values intervention on hoarding symptoms: A randomized controlled trial","authors":"Jennifer Krafft,&nbsp;Natalie Tadros,&nbsp;Ashley C. Middleton,&nbsp;Caitlyn A. Nix,&nbsp;Mary E. Dozier","doi":"10.1016/j.jocrd.2026.101029","DOIUrl":"10.1016/j.jocrd.2026.101029","url":null,"abstract":"<div><div>Difficulties in motivation may interfere with successful treatment of hoarding problems. Values clarification is an evidence-based process that may theoretically lead to more consistent motivation over time. Therefore, this randomized controlled trial tested the impact of written exercises targeting values clarification, delivered twice-daily in a prototype mobile app, relative to a control condition that also involved writing about belongings without targeting cognitive-behavioral processes, and a waitlist control. Participants (<em>N</em> = 99) were American adults with clinically significant hoarding symptoms. The sample was mostly White and mostly women; they varied in social class and most reported having at least one disability. All conditions improved significantly on the primary outcome of overall hoarding severity. The values clarification condition improved significantly relative to waitlist on most outcomes, including clutter, distress, and hoarding-related disability; however, the values condition was not significantly different from the control writing condition on most outcomes. In momentary data, the values condition improved significantly over time on motivation to declutter, items discarded, and items acquired, compared to the control writing condition. Overall, results suggest that values clarification may have benefits for motivation and improving hoarding-related behaviors. However, in this high-frequency, low-intensity intervention, values clarification alone did not lead to significant improvement relative to an active control on broader hoarding symptoms. Notable limitations include a sample that was relatively low in hoarding severity and lacked diversity in important ways, reliance on self-report rather than clinician diagnosis, and a brief timeframe.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"50 ","pages":"Article 101029"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148527307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Bergen 4-day treatment for OCD: A systematic review","authors":"Tom Hardman,&nbsp;Brett Deacon,&nbsp;Jesse Gates","doi":"10.1016/j.jocrd.2026.101035","DOIUrl":"10.1016/j.jocrd.2026.101035","url":null,"abstract":"<div><div>The Bergen 4-day treatment (B4DT) for obsessive-compulsive disorder (OCD) is a concentrated, exposure-based intervention delivered in a group format. Research into the B4DT has proliferated in the last decade. However, there has been no systematic review of the literature on the B4DT to date. This systematic review aimed to evaluate the effectiveness, long-term outcomes, acceptability, and factors affecting outcomes of the B4DT for OCD. Any peer-reviewed study published in English between 2012 and February 2026 which evaluated the B4DT for OCD in at least one of these domains was eligible for inclusion. A search of PubMed, PsycInfo, Scopus, Embase, the Cochrane Library, ProQuest Dissertations and Theses, and EBSCO Open Dissertations was conducted in March 2026. Owing to a lack of randomised controlled trials (RCTs), results were synthesised in a narrative review. Thirty-eight eligible studies were identified, including 27 studies with original data. Combining all intervention studies using original data yielded a total sample of 1144 B4DT participants. Only one RCT of the B4DT was identified. All intervention studies included in the review found the B4DT to be an effective treatment for OCD. There is also evidence to suggest that treatment gains are maintained long-term. Satisfaction ratings of the treatment were high, while attrition rates were low. Various predictors of treatment outcomes were identified. However, the overall quality of the evidence pertaining to the B4DT was poor, since almost all studies lacked comparators. Future research should evaluate the B4DT against current first-line treatments for OCD using RCTs.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"50 ","pages":"Article 101035"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148776681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of licensed mental health counselors accurately diagnosing and recommending empirically supported treatments for obsessive compulsive disorder","authors":"Natalie E. Grierson,&nbsp;Arden Gale,&nbsp;Sidney Shaw","doi":"10.1016/j.jocrd.2026.101033","DOIUrl":"10.1016/j.jocrd.2026.101033","url":null,"abstract":"<div><div>For over a decade, research has supported that obsessive-compulsive disorder (OCD) is frequently misdiagnosed and not treated with OCD-specific, empirically supported treatments (ESTs) by healthcare professionals. This has resulted in barriers for those seeking effective treatments. Empirical findings are mixed regarding predictors for misdiagnosis and non-OCD-specific treatment recommendations among mental health professionals. Additionally, there is a dearth of research investigating licensed mental health counselors' (LMHCs) accuracy in OCD assessment and treatment recommendations. In this study, we examined LMHCs’ diagnostic impressions and treatment recommendations for OCD across subtypes, focusing on (a) accuracy of diagnosis, (b) whether OCD-specific ESTs were recommended, and (c) whether theoretical orientation, years of experience, and clinical specialty influenced OCD diagnosis and treatment recommendations. Case vignettes were used in an online survey to gather data from LMHCs (<em>N</em> = 130) who were asked to diagnose and provide treatment recommendations based on the presented symptoms. Over 62% of LMHCs accurately diagnosed OCD and recommended OCD-specific ESTs across varying subtypes. LMHCs were six times more likely to diagnose OCD accurately in nontaboo subtypes. Those with a theoretical orientation that included an OCD-specific EST (exposure therapy, CBT, ACT) were over five times more likely to recommend an OCD-specific EST. These results supported that OCD treatment remains an issue in the field, with LMHCs, among other types of mental health professionals, contributing to the concerns.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"50 ","pages":"Article 101033"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148776680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinician perspectives on using exposure to treat obsessive compulsive disorder in pregnancy","authors":"Erica Weitz,&nbsp;Rachel Schwartz,&nbsp;Emma Farber,&nbsp;Lily Brown","doi":"10.1016/j.jocrd.2026.101032","DOIUrl":"10.1016/j.jocrd.2026.101032","url":null,"abstract":"<div><h3>Purpose</h3><div>Obsessive-compulsive disorder (OCD) affects 8% of pregnant people. Exposure and Response Prevention (ERP) is a well-studied efficacious psychotherapy for OCD, yet clinicians have endorsed concerns about its safety and tolerability that may become magnified in vulnerable populations. Thus, we designed a naturalistic survey study to examine clinician experiences and reservations about utilizing exposure-based therapies for OCD in pregnancy.</div><div>Me<em>thods</em>: We administered a cross-sectional internet-based survey to clinicians (N = 112) to assess treatments used for OCD in pregnancy, clinician experiences and reservations regarding ERP in pregnancy, and perceived patient outcomes.</div></div><div><h3>Results</h3><div>ERP was most often selected as the preferred modality for treating OCD in pregnancy (60%). Clinicians who used ERP in pregnancy (n = 85) perceived it to be effective (99%), tolerable (89%), and safe (100%). No adverse effects were reported for patient or fetus. Some clinicians reported reluctance to use ERP in pregnancy (13%) and that ERP should be modified for pregnant individuals (30%). Over 20% endorsed concerns related to tolerability, lack of established guidelines, and logistical difficulties.</div></div><div><h3>Conclusion</h3><div>Many clinicians have used, or would use, ERP with pregnant individuals and found it safe, tolerable, and effective. Still, some clinicians reported a desire for more research on safety, tolerability, and effectiveness, as well as firmer treatment guidelines for pregnancy. Future treatment studies should include pregnant individuals and examine whether adaptations to ERP are needed in pregnancy.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"50 ","pages":"Article 101032"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148731273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aesthetic surgeries in body dysmorphic disorder symptoms: Clinical and gender-related patterns","authors":"Judith Diele,&nbsp;Anna Witte,&nbsp;Jens Barenbrügge,&nbsp;Johanna Schulte,&nbsp;Ulrike Buhlmann","doi":"10.1016/j.jocrd.2026.101031","DOIUrl":"10.1016/j.jocrd.2026.101031","url":null,"abstract":"<div><div>Body dysmorphic disorder (BDD) is characterized by an excessive preoccupation with perceived appearance flaws, often leading to high psychological burden and engagement in cosmetic procedures rather than seeking psychological help. This study explored clinical characteristics and cosmetic procedure utilization in an online sample, including individuals meeting DSM-5 criteria for BDD based on a self-report measure (hereafter referred to as <em>probable BDD</em>; pBDD; <em>n</em> = 1837), subclinical symptoms (<em>n</em> = 392), and no or unremarkable appearance concerns (<em>n</em> = 166). Participants completed standardized measures assessing BDD symptoms, appearance concerns, mental health and cosmetic surgery history.</div><div>A total of 29.5% of individuals with pBDD had undergone at least one cosmetic procedure and even more were interested in future surgeries (68.0%). Satisfaction with past procedures was low, supporting that cosmetic treatments rarely address BDD psychopathology. Hierarchical regression analyses yielded that both BDD symptom severity and stronger conviction in appearance-related beliefs predicted cosmetic surgery intent, whereas only symptom severity predicted past surgery behavior.</div><div>Gender-based analyses (women vs. men) revealed no significant overall difference in surgery rates (30.7% vs. 25.8%). However, women more often pursued or planned facial and breast procedures, whereas men more frequently reported hair-related concerns and interventions. Women also reported higher symptom severity and more financial barriers to surgery.</div><div>Only 9.4% of individuals with pBDD reported a formal diagnosis of BDD, underscoring persistent treatment barriers and under-recognition. These findings highlight the need for early screening, especially in cosmetic and dermatological contexts, and treatment concepts including modules addressing the wish for cosmetic procedures.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"50 ","pages":"Article 101031"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148527308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual dysfunction and satisfaction in individuals with OCD and obsessive-compulsive symptoms: a systematic review","authors":"Andrea Pozza,&nbsp;Sara Gallorini,&nbsp;Giulia Mignarri,&nbsp;Lucia Forchielli,&nbsp;Maria Pia Risuleo,&nbsp;Mario Pinzi,&nbsp;Alessandro Cuomo,&nbsp;Andrea Fagiolini,&nbsp;David Veale","doi":"10.1016/j.jocrd.2026.101036","DOIUrl":"10.1016/j.jocrd.2026.101036","url":null,"abstract":"<div><div>Sexual functioning and satisfaction in OCD remain underexplored domains in clinical research and practice. This systematic review synthesised evidence on sexual dysfunction and satisfaction in individuals with OCD or obsessive–compulsive (OC) symptoms in community samples.</div><div>Eligible studies were included if they assessed adolescents/adults with a primary OCD diagnosis or clinically significant obsessive-compulsive symptoms or examined dimensional obsessive-compulsive symptoms in community samples. Outcomes included sexual dysfunction and sexual satisfaction assessed with standardised instruments.</div><div>Eleven studies were included. Evidence from two studies indicated prevalence rates of sexual dysfunction ranging from 50% to 55.45% among individuals with OCD. In one case–control study, sexual dysfunction was more prevalent in OCD than in healthy controls (50% vs. 30%). Orgasmic dysfunction emerged as the most impaired domain, with a prevalence of 46% in individuals with OCD, compared with 16% in healthy controls, 26% in individuals with generalised anxiety disorder, and 32% in individuals with major depressive disorder.</div><div>Findings regarding the other sexual domains were heterogeneous. Some studies reported greater sexual inhibition and poorer sexual functioning, whereas one study reported higher sexual excitation propensity. Other found no significant differences between OCD and comparison groups. The role of sex and pharmacological treatment remained inconclusive.</div><div>OCD appears to be associated with sexual functioning impairments, particularly orgasmic dysfunction. However, conclusions remain provisional due to methodological limitations and substantial heterogeneity. Routine assessment of sexual health should be integrated into OCD care, and future longitudinal, powered studies are needed to clarify mechanisms, moderators, and treatment implications.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"50 ","pages":"Article 101036"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148776683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}