Journal of Obsessive-Compulsive and Related Disorders最新文献_第10页

Effectiveness of brief daily training using a mobile app in reducing obsessive compulsive disorder (OCD) symptoms: Examining real world data of “OCD.app - Anxiety, mood & sleep” 使用移动应用程序进行简短的日常训练对减少强迫症(OCD)症状的有效性:检查“强迫症”的真实世界数据。app -焦虑，情绪和睡眠”

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2023.100782

Avi Gamoran , Guy Doron

{"title":"Effectiveness of brief daily training using a mobile app in reducing obsessive compulsive disorder (OCD) symptoms: Examining real world data of “OCD.app - Anxiety, mood & sleep”","authors":"Avi Gamoran , Guy Doron","doi":"10.1016/j.jocrd.2023.100782","DOIUrl":"10.1016/j.jocrd.2023.100782","url":null,"abstract":"<div><h3>Background</h3><p><span>Randomized controlled trials (RCTs) indicate that mobile delivered training targeting </span>OCD<span> cognitions is effective in reducing OCD symptoms. However, interventions shown to be effective in RCTs may be less effective in real world settings.</span></p></div><div><h3>Methods</h3><p>Real world data of “OCD.app - Anxiety, Mood & Sleep” users was collected from October 2020 to June 2022. Users’ OCD symptoms, trait and state mood scores were evaluated at baseline (T0; n = 46,955), payment barrier (T1; n = 13,568), and at the final level (T-final; n = 1732).</p></div><div><h3>Results</h3><p>Dropout rates were higher for women and associated with younger age. Medium effect size reductions in OCI-R scores from T0 to T1 (Cohen's d = 0.37) and medium-large (Cohen's d = 0.66) reductions from T0 to T-final were found. Effects remained when controlling for demographic data and mood and were strongest for users with severe OCD symptoms. Clinically significant improvement (OCI-R change ≥21) was found in 16% of users with severe OCD symptoms. Although stable user traits were prominent moderators of change following short-term use, app usage indicators were more notable over longer training periods.</p></div><div><h3>Conclusions</h3><p>Real world data supports the effectiveness of OCD.app for reducing the full range of OCD symptoms.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44500189","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}

引用次数: 2

A network approach to understanding obsessions and compulsions 一种理解强迫和强迫的网络方法

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2023.100786

David Berle , Vladan Starcevic , Bethany Wootton , Sandra Arnáez , Stéphanie Baggio

{"title":"A network approach to understanding obsessions and compulsions","authors":"David Berle , Vladan Starcevic , Bethany Wootton , Sandra Arnáez , Stéphanie Baggio","doi":"10.1016/j.jocrd.2023.100786","DOIUrl":"10.1016/j.jocrd.2023.100786","url":null,"abstract":"<div><h3>Background</h3><p>Efforts to understand the constellation of symptoms in obsessive-compulsive disorder (OCD) have typically relied on models where latent variable(s) are assumed to underlie all symptoms. In contrast, a network approach does not assume that there are underlying latent variables and allows for the possibility that clusters of symptoms may mutually reinforce each other. We aimed to determine whether obsessions and compulsions formed a coherent and mutually reinforcing network of symptoms.</p></div><div><h3>Method</h3><p>400 participants were recruited online and administered the Obsessive-Compulsive Inventory-Revised (OCI-R). A network analysis was computed using an Extended Bayesian Information Criterion estimator.</p></div><div><h3>Results</h3><p>There were five communities of symptoms: 1. A mixed contamination and checking community, 2. An ordering/arranging community, 3. A superstitious/counting/repeating community, 4. A mixed hoarding and checking community, and 5. An intrusive thoughts community. In the accuracy check, edges displayed wide confidence intervals, indicating that edges’ strength could not be interpreted. Additional analyses at the level of OCI-R subscales indicated that checking was significantly more central than other subscales in the network.</p></div><div><h3>Conclusions</h3><p>Obsessions and compulsions may be related in a mutually reinforcing way, thereby constituting OCD as a psychopathological entity. Prospective investigations are needed to ascertain the directionality of relationships in the network.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45320097","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}

引用次数: 0

Validation of the Chinese version of the dimensional obsessive-compulsive scale (DOCS) in Chinese clinical samples 中国临床样本维度强迫症量表中文版的验证

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2022.100779

Joanne S.Y. Ling , Isaac H.H. Wong , Lucy L.W. Tsang , Mimi M.C. Wong , Wai-chung Lam , Edward K.Y. Choi

引用次数: 0

Examining the role of emotion dysregulation in the association between obsessive compulsive symptom severity and suicide risk 研究情绪失调在强迫症状严重程度和自杀风险之间的关系中的作用

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2023.100784

Dylan N. Mikonowicz , Matthew T. Tull

{"title":"Examining the role of emotion dysregulation in the association between obsessive compulsive symptom severity and suicide risk","authors":"Dylan N. Mikonowicz , Matthew T. Tull","doi":"10.1016/j.jocrd.2023.100784","DOIUrl":"10.1016/j.jocrd.2023.100784","url":null,"abstract":"<div><p>Obsessive-compulsive disorder (OCD) has been found to be associated with increased risk for suicidal thoughts and behaviors. However, little research has explored factors that may account for the OCD-suicide link. One factor that holds promise in this regard is emotion dysregulation<span> given its previously demonstrated association with obsessive-compulsive (OC) symptom severity and suicide risk. Therefore, the goal of this study was to examine whether emotion dysregulation accounts for the association between OC symptom severity and suicide risk. A sample of 109 adults (60.6% female, mean age = 39.85) seeking treatment at an anxiety disorders clinic completed a variety of self-report measures of OC symptom severity, emotion dysregulation, and recent (past two weeks) suicide risk upon intake into the clinic. As expected, emotion dysregulation accounted for the association between OC symptom severity and recent suicide risk. This result remained when anxiety symptom severity was included as a covariate. Results suggest that emotion dysregulation may be an important target for intervention in reducing suicide risk among individuals experiencing OC symptoms.</span></p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48475899","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}

引用次数: 1

Digital mental health interventions for obsessive compulsive and related disorders: A brief review of evidence-based interventions and future directions 强迫症及相关疾病的数字心理健康干预:基于证据的干预措施和未来方向的简要回顾

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2022.100765

Sarah Hiranandani , Simay I. Ipek , Sabine Wilhelm , Jennifer L. Greenberg

{"title":"Digital mental health interventions for obsessive compulsive and related disorders: A brief review of evidence-based interventions and future directions","authors":"Sarah Hiranandani , Simay I. Ipek , Sabine Wilhelm , Jennifer L. Greenberg","doi":"10.1016/j.jocrd.2022.100765","DOIUrl":"10.1016/j.jocrd.2022.100765","url":null,"abstract":"<div><p><span>Individuals with obsessive compulsive and related disorders (OCRDs), including obsessive compulsive disorder (OCD), </span>body dysmorphic disorder<span> (BDD), trichotillomania<span> (hair-pulling disorder), excoriation (skin-picking) disorder, and hoarding disorder<span>, suffer from distressing or impairing obsessive preoccupation and/or time-consuming compulsive behaviors<span><span><span>. OCRDs are often severe, chronic, and associated with significant psychiatric comorbidity and functional impairment. Cognitive behavioral therapy (CBT) has been shown to be efficacious for all the OCRDs. However, most individuals with an OCRD do not receive CBT, and of those who do, not all respond or respond fully to </span>treatment. The COVID-19 pandemic has deepened the chasm between those who need </span>mental health care and access to clinical services. Digital mental health interventions (DMHIs) have emerged over the past two decades as a solution to the access to care gap, and acceptance of digital solutions was catalyzed by the pandemic. DMHIs have the potential to address unmet mental health needs by offering scalable, low-stigma, cost-effective solutions. This paper reviews current evidence-based DMHIs for OCRDs and describes areas for future research.</span></span></span></span></p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48464970","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}

引用次数: 3

Falling into the OCD trap: Are clinicians hesitant to encourage exposure therapy for repugnant obsessions? 落入强迫症陷阱:临床医生是否在鼓励暴露疗法治疗令人反感的强迫行为方面犹豫不决?

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2022.100766

Christina Puccinelli , Jean-Philippe Gagné , Dubravka Gavric , Irena Milosevic , Randi E. McCabe , Noam Soreni , Gillian M. Alcolado , Karen Rowa

{"title":"Falling into the OCD trap: Are clinicians hesitant to encourage exposure therapy for repugnant obsessions?","authors":"Christina Puccinelli , Jean-Philippe Gagné , Dubravka Gavric , Irena Milosevic , Randi E. McCabe , Noam Soreni , Gillian M. Alcolado , Karen Rowa","doi":"10.1016/j.jocrd.2022.100766","DOIUrl":"https://doi.org/10.1016/j.jocrd.2022.100766","url":null,"abstract":"<div><p><span>Obsessive-compulsive disorder (OCD) can involve repugnant obsessions with aggressive, sexual, and/or religious themes. Although exposure and response prevention (ERP) is an effective treatment for OCD, negative beliefs about exposure are common and may cause clinicians to be hesitant to encourage exposures, especially for repugnant obsessions. This study examined whether clinicians’ willingness to encourage challenging exposures differed depending on the repugnant obsession subtype (i.e., intentional harm, accidental harm, religion, pedophilia, and sexual orientation). The impact of clinical experience on the results was also investigated. A survey of five clinical vignettes was completed by 155 clinicians with experience treating OCD. Results suggested that clinicians were significantly less likely to encourage an in vivo exposure for intentional harm, accidental harm, and pedophilia obsessions as compared to other subtypes and were less likely to encourage an </span>imaginal exposure for pedophilic obsessions as compared to all other subtypes. Clinicians reported varying levels of comfort in encouraging clients to face feared thoughts/triggers depending on the content of symptoms, which may contribute to suboptimal treatment for those with pedophilic and harm obsessions. Clinician experience had limited impact on these findings, highlighting the need for more training about ERP being a safe and effective intervention across symptom presentations.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49858846","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}

引用次数: 0

Response inhibition in youth undergoing intensive treatment for obsessive compulsive disorder 青少年强迫症强化治疗中的反应抑制

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2022.100764

Christine A. Conelea , Sarah Morris , Nicole McLaughlin , Erin Mamaril , Kristen Benito , Brady Case , Abbe Garcia

{"title":"Response inhibition in youth undergoing intensive treatment for obsessive compulsive disorder","authors":"Christine A. Conelea , Sarah Morris , Nicole McLaughlin , Erin Mamaril , Kristen Benito , Brady Case , Abbe Garcia","doi":"10.1016/j.jocrd.2022.100764","DOIUrl":"10.1016/j.jocrd.2022.100764","url":null,"abstract":"<div><p>Response Inhibition (RI) is the ability to suppress behaviors that are inappropriate for a given context. Obsessive-compulsive disorder (OCD) has been associated with impaired RI in adults as measured by the Stop Signal Task<span><span> (SST). Conflicting results have been found in terms of the relationship between OCD severity and SST performance, and no studies to date have examined the relationship between SST and response to OCD treatment. Also relatively unknown is whether RI performance in OCD is associated with developmental or </span>gender differences<span>. This naturalistic study examined the relationship between SST performance, OCD severity, and OCD treatment response in a pediatric<span> sample undergoing intensive treatment involving exposure and response prevention and medication management (n = 36). The SST and Children's Yale-Brown Obsessive Compulsive Scale (CYBOCS) were administered at admission and program discharge. OCD severity was not significantly related to stop signal reaction time (SSRT) in the whole sample and among subgroups divided by age and gender. Baseline SSRT and SSRT change did not predict CYBOCS change across treatment in the whole sample, but exploratory analyses indicated both were significant predictors among female adolescents. Results suggest there may be developmental gender differences in the relationship between RI and clinical improvement in pediatric OCD.</span></span></span></p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9835685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10545441","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}

引用次数: 0

Obsessive-compulsive symptoms and daily experiences of posttraumatic stress and mental contamination following sexual trauma 性创伤后的强迫症症状和创伤后压力和精神污染的日常经历

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2022.100767

Christal L. Badour , Jordyn M. Tipsword , Alyssa C. Jones , Jesse P. McCann , Emily E. Fenlon , C. Alex Brake , Sophia Alvarran , Caitlyn O. Hood , Thomas G. Adams Jr.

{"title":"Obsessive-compulsive symptoms and daily experiences of posttraumatic stress and mental contamination following sexual trauma","authors":"Christal L. Badour , Jordyn M. Tipsword , Alyssa C. Jones , Jesse P. McCann , Emily E. Fenlon , C. Alex Brake , Sophia Alvarran , Caitlyn O. Hood , Thomas G. Adams Jr.","doi":"10.1016/j.jocrd.2022.100767","DOIUrl":"10.1016/j.jocrd.2022.100767","url":null,"abstract":"<div><p>Although cross-sectional research highlights similarities between symptoms of obsessive-compulsive disorder (OCD) and posttraumatic stress disorder<span> (PTSD) among individuals exposed to sexual trauma, little is known about how these disorders relate over time. The goal of the present study was to examine whether 1) OCD symptoms prospectively predicted daily symptoms of PTSD, and 2) OCD and PTSD symptoms prospectively predicted daily experiences of sexual trauma-related mental contamination (i.e., dirtiness in the absence of a physical pollutant). Forty-one women with a sexual trauma history completed baseline measures of OCD and PTSD, as well as twice-daily assessments of PTSD symptoms and mental contamination over a two-week period. Total OCD symptoms and the unacceptable thoughts dimension significantly predicted daily PTSD symptoms after accounting for other OCD dimensions. Only total OCD symptoms significantly predicted daily mental contamination when examined together with total PTSD symptoms. No individual PTSD or OCD clusters/dimensions significantly predicted daily mental contamination when examined simultaneously. Findings from this study highlight the nuanced associations among OCD symptoms, PTSD symptoms, and experiences of mental contamination. Future research is needed to further understand the development of PTSD, OCD, and mental contamination over time to inform targets for intervention.</span></p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42141753","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}

引用次数: 0

Falling into the OCD trap: Are clinicians hesitant to encourage exposure therapy for repugnant obsessions? 落入强迫症陷阱:临床医生是否在鼓励暴露疗法治疗令人反感的强迫行为方面犹豫不决?

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2022-11-01 DOI: 10.1016/j.jocrd.2022.100766

Christina Puccinelli, Jean-Philippe Gagné, Dubravka L Gavric, I. Milosevic, R. McCabe, N. Soreni, Gillian M. Alcolado, K. Rowa

引用次数: 0

Whom are you mad at? Anger and revenge in obsessive-compulsive symptoms during adolescence 你在生谁的气?青春期强迫症状中的愤怒和报复

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2022-10-01 DOI: 10.1016/j.jocrd.2022.100763

Barbara Barcaccia , Matti Cervin , Susanna Pallini , Alessandro Couyoumdjian , Francesco Mancini , Andrea Pozza

{"title":"Whom are you mad at? Anger and revenge in obsessive-compulsive symptoms during adolescence","authors":"Barbara Barcaccia , Matti Cervin , Susanna Pallini , Alessandro Couyoumdjian , Francesco Mancini , Andrea Pozza","doi":"10.1016/j.jocrd.2022.100763","DOIUrl":"https://doi.org/10.1016/j.jocrd.2022.100763","url":null,"abstract":"<div><p><span><span>Previous research has extensively explored the role of anxiety, disgust, guilt, and shame in obsessive-compulsive (OC) symptoms, but few studies have investigated anger and associated vengeful motivations, especially during adolescence, when OC symptoms typically onset. This is unfortunate as anger is a key human emotion linked to various aspects of behaviour. Our aim was to explore how anger and revenge motivations were associated with the most common OC subtypes in adolescents. Participants were 1035 high school students who completed a battery of questionnaires including the Obsessive-Compulsive Inventory-Child Version, the </span>Children's Depression Inventory, the Transgression-Related Interpersonal Motivations Inventory-18 and the State-Trait Anger Expression Inventory for children and adolescents. Even when accounting for different aspects of anger, TRIMs and depression, trait anger (i.e., a stable tendency to experience anger) was uniquely associated with all types of OC symptoms (doubting/checking, obsessing, and ordering). Unique associations were also found between revenge motivations and doubting/checking and obsessing. Our findings show that adolescents with high OC symptoms may experience not only intense anger, but also vengeful feelings and motivations. Future research should examine how anger, vengeful motivations and OC symptoms co-develop over time. Clinicians should be aware that anger and vengeful motivations can be part of the clinical presentation of </span>OCD<span>, which can inform assessment and treatment.</span></p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136799428","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}

引用次数: 0