{"title":"Skin picking disorder in sexual minority individuals","authors":"Sophie Boutouis, Jon E. Grant","doi":"10.1016/j.jocrd.2024.100914","DOIUrl":"10.1016/j.jocrd.2024.100914","url":null,"abstract":"<div><h3>Background</h3><div>Skin picking disorder (SPD) is common, but little is known about whether or how it differs in sexual minorities. We explored whether sexual minority individuals differ from heterosexual individuals in terms of skin picking and comorbidities. We also evaluated potential differences between gay or lesbian and bisexual individuals.</div></div><div><h3>Methods</h3><div>293 participants with SPD completed an online survey. Sexual minority participants were compared to heterosexual participants on demographics, how often they picked their skin, and validated self-report measures of SPD and comorbidities. Gay or lesbian and bisexual participants were compared on the same variables.</div></div><div><h3>Results</h3><div>Sexual minority status was associated with more body-focused repetitive behavior (BFRB) impairment and a greater likelihood of picking 7 days per week. Heterosexual participants reported more alcohol misuse, aggression, and compulsive sexual behavior than sexual minority participants. The groups did not differ in overall BFRB severity or rates of other disorders. Gay or lesbian and bisexual participants did not differ in SPD or comorbidities.</div></div><div><h3>Conclusions</h3><div>The rate of sexual minority individuals in this study (37.9%) is much higher than the rate in the community (about 10%). Sexual minority individuals with SPD may present with unique clinical symptoms. Treatments should be tailored for this population.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531294","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}
Mercedes G. Woolley , Leila K. Capel , Emily M. Bowers , Julie M. Petersen , Karen Muñoz , Michael P. Twohig
{"title":"Clinical characteristics of a treatment seeking sample of adults with misophonia: Onset, course, triggers, context, and comorbidity","authors":"Mercedes G. Woolley , Leila K. Capel , Emily M. Bowers , Julie M. Petersen , Karen Muñoz , Michael P. Twohig","doi":"10.1016/j.jocrd.2024.100915","DOIUrl":"10.1016/j.jocrd.2024.100915","url":null,"abstract":"<div><div>Misophonia is characterized by intense emotional reactions to specific repetitive sounds. The clinical characteristics and developmental course of misophonia remain underexplored, particularly in treatment-seeking adults. In this study, we characterized the onset, symptom progression, trigger noises, and psychiatric comorbidities associated with misophonia. Additionally, we investigated the relationships between these clinical attributes and the severity of self- and clinician-rated misophonia symptoms. The sample included 60 adults with misophonia enrolled in a randomized controlled trial. Most participants (79%) reported symptom onset in childhood and early adolescence, with symptoms often worsening over time. All participants reported being bothered by human produced sounds. However, responses to trigger noises vary based on the context surrounding the sound. Those who reported equivalent distress across misophonic triggers –regardless of the individual producing the sound—endorsed significantly higher self-reported misophonia symptoms. Approximately half of the sample met diagnostic criteria for another psychiatric condition, with attention-deficit hyperactivity disorder and generalized anxiety disorder being the most prevalent. These findings underscore the complexity of misophonia and highlight the importance of considering the individual clinical histories and contextual factors influencing reactions to misophonic sounds.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142537801","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}
Lena Jelinek , Anna Serve , Saskia Pampuch , Jakob Scheunemann , Josephine Schultz , Franziska Miegel , Bjarne Hansen , Kristen Hagen , Frances Bohnsack , Jürgen Gallinat , Amir H. Yassari
{"title":"Exploring the Peaks and Potholes: Understanding positive and negative effects of concentrated exposure treatment for obsessive-compulsive disorder","authors":"Lena Jelinek , Anna Serve , Saskia Pampuch , Jakob Scheunemann , Josephine Schultz , Franziska Miegel , Bjarne Hansen , Kristen Hagen , Frances Bohnsack , Jürgen Gallinat , Amir H. Yassari","doi":"10.1016/j.jocrd.2024.100913","DOIUrl":"10.1016/j.jocrd.2024.100913","url":null,"abstract":"<div><div>The Bergen 4-Day Treatment offers brief concentrated exposure with response prevention (cERP) for obsessive-compulsive disorder (OCD). To date, this intervention has primarily been studied in Norway, and no study has been done on its side effects. We tested the safety, feasibility, and effectiveness of cERP in Germany and compared cERP to a historical inpatient control group.</div><div>Thirty-three patients with OCD were treated with cERP. We assessed severity of OCD (primary outcome: Y-BOCS), depression, global functioning, self-esteem, self-efficacy, experiential avoidance, and quality of life at baseline (t0), two weeks after t0 (t1), and three months after t1 (t2). Side effects were assessed at t1 and t2. The changes in OCD were compared to a matched historical inpatient control group (<em>n</em> = 33) treated at the same site.</div><div>The cERP group improved over time, with a large effect size in OCD symptoms and other outcome measures. Improvement of OCD symptoms over treatment was superior in the cERP group compared to the historical control group, with a medium effect size for OCD symptoms. 53–56% of the participants reported at least one side effect (e.g., exhaustion). cERP is safe and effective in the treatment of OCD and can be successfully implemented in Germany.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142586622","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}
Marie Louise Reinholdt-Dunne , Marie Tolstrup , Kira Svenstrup , Odin Hjemdal , Henrik Nordahl
{"title":"Group metacognitive therapy for pediatric obsessive-compulsive disorder: A pilot study","authors":"Marie Louise Reinholdt-Dunne , Marie Tolstrup , Kira Svenstrup , Odin Hjemdal , Henrik Nordahl","doi":"10.1016/j.jocrd.2024.100912","DOIUrl":"10.1016/j.jocrd.2024.100912","url":null,"abstract":"<div><div>Cognitive-behavioral therapy including exposure and response prevention is the first-line treatment of pediatric OCD showing response- and remission rates around 70% and 53%. Thus, there is room for improvements. Metacognitive therapy (MCT) for OCD might be cost-effective and focuses on modifying metacognitive beliefs about the significance and dangerousness of intrusive thoughts/feelings, and about the need to perform rituals. MCT is effective in adults but needs to be evaluated in youths. In the current study, eleven adolescents divided in three groups received eight MCT group sessions of 75 min duration (and two 60 min workshop for parents) delivered by an MCT-therapist and an assistant. The within-group effect size (hedges g) from pre-to post-treatment on the CY-BOCS was 1.90, and the response and remission rates were 82% and 55%, respectively. Effect sizes for secondary outcomes were also large. Therapist time (one certified MCT-therapist and a clinical psychology student working together) used per patient to achieve these results were 2.18 therapy sessions of 75-min duration in addition to 33 min therapist time per patient of workshops for the parents. Follow-up assessments were not available, and the results should be interpreted with caution. However, they are encouraging and suggest that MCT for pediatric OCD should be evaluated further.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142319070","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}
Tapan A. Patel , Berta J. Summers , Jesse R. Cougle
{"title":"The scientific status of safety behaviors in body dysmorphic disorder","authors":"Tapan A. Patel , Berta J. Summers , Jesse R. Cougle","doi":"10.1016/j.jocrd.2024.100911","DOIUrl":"10.1016/j.jocrd.2024.100911","url":null,"abstract":"<div><p>Individuals with body dysmorphic disorder engage in maladaptive behaviors such as checking mirrors, excessive grooming, asking others for reassurance, and avoiding situations due to their appearance. These counterproductive coping mechanisms, or false “safety behaviors,” serve to maintain and exacerbate symptoms rather than alleviating them. The present review provides a summary of cross-sectional, longitudinal, experimental, and treatment research to highlight the relevance of these behaviors to body dysmorphic disorder. Additionally, the article identifies current gaps in the research and future directions that will be important in further understanding the role of these behaviors.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142248336","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}
Christina Gallinat , Markus Moessner , Maximilian Wilhelm , Nancy J. Keuthen , Stephanie Bauer
{"title":"Patterns of hair pulling in trichotillomania: An ecological momentary assessment study","authors":"Christina Gallinat , Markus Moessner , Maximilian Wilhelm , Nancy J. Keuthen , Stephanie Bauer","doi":"10.1016/j.jocrd.2024.100910","DOIUrl":"10.1016/j.jocrd.2024.100910","url":null,"abstract":"<div><p>Trichotillomania (TTM) research lacks an ecologically valid phenomenological description despite increasing research efforts. Previous studies primarily rely on retrospective cross-sectional data, emphasizing the need for longitudinal high-frequency assessments to capture the variability of hair pulling.</p><p>The objective of this study was to describe hair pulling patterns and episode characteristics by means of ecological momentary assessment (EMA), and to compare those parameters between focused and automatic episodes.</p><p>Study procedures included an online screening, a diagnostic interview via telephone, a comprehensive self-report questionnaire and a 10-day EMA-protocol (7 EMAs/day).</p><p>Data from 61 individuals who met diagnostic criteria for TTM (age: <em>M</em> = 29.3, <em>SD</em> = 7.47; 92% female) were analyzed (3948 EMAs; 1217 episodes). Participants reported a mean number of 2.00 (<em>SD</em> = 2.31; range: 0–4.9) episodes per day. One third did not report any days without episodes. Hair pulling showed a relatively even distribution throughout the day. Most prominent triggers were tension and visual/tactile cues. The latter were more relevant in focused episodes, whereas “habit/routine” scored higher in automatic episodes.</p><p>The results suggest that hair pulling occurs not sporadic but is rather present in daily life. Using real-time data from a clinical sample, the study enhances our comprehension of the phenomenology of TTM which may ultimately advance TTM research.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142232315","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}
Leila K. Capel, Emily M. Bowers, McKenzie R. Becker, Marisa P. Davis, Michael E. Levin, Michael P. Twohig
{"title":"Assessing factors of adherence and efficacy: A randomized controlled trial of a fully automated self-help A-EBT website","authors":"Leila K. Capel, Emily M. Bowers, McKenzie R. Becker, Marisa P. Davis, Michael E. Levin, Michael P. Twohig","doi":"10.1016/j.jocrd.2024.100908","DOIUrl":"10.1016/j.jocrd.2024.100908","url":null,"abstract":"<div><p>Treatment for trichotillomania is notably limited, preventing suffering individuals from having access to treatment. To address this need, researchers have developed and tested asynchronous online interventions for adults with trichotillomania. A factor that may impact the efficacy of these programs is the use of phone check-ins (or similar coaching support) to improve treatment adherence in website treatment delivery. In the current study we evaluated the role of check-ins on treatment adherence and efficacy of a website delivering acceptance and commitment therapy-enhanced behavior therapy (A-EBT). A sample of 101 adults with trichotillomania were randomly assigned to an A-EBT web-based intervention with or without phone check-in support. Adherence to the web-based program was not significantly improved by check-ins and treatment outcomes did not vary by condition (with or without check-ins). However, adherence to the program across conditions, did predict treatment outcomes. The program was found to be effective at decreasing trichotillomania symptom severity and improving trichotillomania specific psychological inflexibility over time across check-in conditions. Our findings suggest that check-ins did not improve adherence to or efficacy of the program, thus supporting recent literature suggesting that check-ins do not necessarily improve program adherence.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164001","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}
Emily M. Bowers, Leila K. Capel, Mercedes G. Woolley, Aubry Barnes, Michael P. Twohig, Michael E. Levin
{"title":"Efficacy and feasibility of web-based ACT-Enhanced behavioral treatment for skin picking in adults: A randomized waitlist-controlled trial","authors":"Emily M. Bowers, Leila K. Capel, Mercedes G. Woolley, Aubry Barnes, Michael P. Twohig, Michael E. Levin","doi":"10.1016/j.jocrd.2024.100909","DOIUrl":"10.1016/j.jocrd.2024.100909","url":null,"abstract":"<div><p>Skin picking disorder is a chronic repetitive condition that impacts daily functioning and causes significant distress. Acceptance and commitment therapy (ACT) enhanced behavioral training (A-EBT) has shown promise in targeting skin picking symptoms but is not widely disseminated among providers. This study examines the efficacy and feasibility of an eight-week fully-automated online A-EBT program for skin picking disorder. Participants with skin picking disorder (<em>N</em> = 84) were randomized into either an online intervention (<em>n</em> = 43) or a waitlist control (<em>n</em> = 41). All participants completed self-report assessments at baseline, mid-, post-intervention, and 1-month follow-up. Analyses used multilevel linear modeling with the full intent-to-treat sample. Results demonstrated statistically stronger improvements from baseline to 1-month follow-up in the intervention condition compared to waitlist for skin picking symptoms (SMD = 0.90), skin picking-related psychological flexibility (SMD = −0.82), and well-being (SMD = −0.31), with no significant effects on distress. Treatment effects were maintained at one-month follow-up, with 29.0% of intervention participants meeting responder status, compared to 0.1% of waitlist participants. High usability and acceptability scores provide preliminary evidence of its feasibility as a fully automated intervention. These findings suggest an automated online A-EBT program may be an effective and scalable treatment for individuals with skin picking disorder.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164091","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}
Caitlin M. Pinciotti , Ace A. Castillo , Brian A. Feinstein , Lauren P. Wadsworth , Jonathan S. Abramowitz , Bradley C. Riemann , Wayne K. Goodman , Eric A. Storch
{"title":"Psychometric properties of common self-report measures for obsessive-compulsive disorder in sexual and gender minorities","authors":"Caitlin M. Pinciotti , Ace A. Castillo , Brian A. Feinstein , Lauren P. Wadsworth , Jonathan S. Abramowitz , Bradley C. Riemann , Wayne K. Goodman , Eric A. Storch","doi":"10.1016/j.jocrd.2024.100907","DOIUrl":"10.1016/j.jocrd.2024.100907","url":null,"abstract":"<div><p>Prevalence of obsessive-compulsive disorder (OCD) appears to be higher in sexual and gender minority (SGM) individuals compared to cisgender, heterosexual individuals. Although existing self-report measures for OCD (i.e., Yale Brown Obsessive Compulsive Scale Self-Report-II-Self Report [Y-BOCS-II-SR], Dimensional Obsessive Compulsive Scale [DOCS], and Obsessive Beliefs Questionnaire-Short Form [OBQ-SF]) have demonstrated strong psychometric properties in prior samples, these studies have not reported the proportion of SGM individuals in their samples. Thus, it remains unclear how these measures perform when used with SGM individuals. Accordingly, the psychometric properties of the Y-BOCS-II-SR, DOCS, and OBQ-SF were examined in a sample of 318 sexual minority (98.4%) and gender minority (33.8%) adults with self-reported OCD (<em>M</em>age = 27.5 years; 87.4% female sex at birth; 93.4% white). Replicating prior research, these measures demonstrated consistent response patterns and strong factor structures and loadings, internal consistency, and convergent validity. Overall, these measures appear to be psychometrically sound when used with SGM individuals, and the few psychometric weaknesses found in the present study parallel those found in other samples, suggesting that they are not specific to use with SGM individuals. Findings support that the Y-BOCS-II- SR, DOCS, and OBQ- SF can be accurately used and interpreted in samples that are comprised of SGM individuals.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142172547","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}
Hannah C. Broos , Madeline L. Kushner , Caitlin A. Stamatis , Kiara R. Timpano
{"title":"The link between hoarding symptoms and interpersonal difficulties during the COVID-19 pandemic","authors":"Hannah C. Broos , Madeline L. Kushner , Caitlin A. Stamatis , Kiara R. Timpano","doi":"10.1016/j.jocrd.2024.100899","DOIUrl":"10.1016/j.jocrd.2024.100899","url":null,"abstract":"<div><p>Hoarding is characterized by difficulties discarding, clutter, and excessive acquiring. Disruptions in interpersonal attachment and associated interpersonal difficulties have been implicated in the development and maintenance of hoarding; however, limited research has investigated the link between interpersonal functioning and hoarding. The current study examined the association between hoarding symptoms and multiple interpersonal factors in young adults during the COVID-19 pandemic. Participants (<em>N</em> = 137) completed an online survey in Spring 2020 which included measures of perceived social support, thwarted belongingness, depression, and hoarding symptoms, including difficulties discarding and acquiring. Participants also completed an ecological momentary assessment protocol where they provided daily ratings of connectedness. At a basic level, both difficulties discarding and acquiring symptoms were correlated with greater thwarted belongingness and lower social support. These associations remained significant even after controlling for depression, with the exception of the relationship between difficulty discarding and thwarted belongingness. Greater acquiring was also associated with greater variability in daily connectedness. This study is the first to demonstrate a unique relationship between hoarding symptoms and multiple interpersonal factors, controlling for depression. Our findings suggest that interpersonal functioning is a potential mechanism underlying hoarding. Clinically, addressing interpersonal difficulties may improve the efficacy of current treatments for hoarding disorder.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142097892","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}