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

Visual attention to threat during stove-checking in people high in checking behaviour 检查行为高的人在检查炉子时对威胁的视觉注意

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2022-10-01 DOI: 10.1016/j.jocrd.2022.100753

Olivia A. Merritt, Christine Purdon

{"title":"Visual attention to threat during stove-checking in people high in checking behaviour","authors":"Olivia A. Merritt, Christine Purdon","doi":"10.1016/j.jocrd.2022.100753","DOIUrl":"10.1016/j.jocrd.2022.100753","url":null,"abstract":"<div>Leading models of obsessive-compulsive disorder (OCD) state that hypervigilance to threat is a factor in compulsion persistence; however, previous research on attention deployment in OCD is mixed. The current study examines the hypothesized role of strategic avoidance and situational goals through exploring the relationships between visual attention, self-rated need to avoid and need to attend, and post-check certainty. Individuals low (LCC, n = 30) and high (HCC, n = 29) in checking concerns completed a stove-checking task with a real stove surrounded by threat and neutral items. Eye movements were tracked with a portable eye tracker and participants self-reported their need to attend to and avoid attending to items, as well as their post-check certainty. Although the HCC group reported greater need to avoid attending to threat, visual attention to threat did not differ between groups. Greater visual attention to threat predicted lower post-check certainty in the HCC group, but not the LCC group, and need to avoid threat was not associated with post-check certainty. People high in checking concerns may wish to avoid attending to threat, but have limited success in doing so, and the more they look at threat the less confident they feel. Implications for OCD treatment are discussed.</div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"35 ","pages":"Article 100753"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42608379","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

A network examination of symptoms of obsessive-compulsive disorder and sleep disturbances 强迫症和睡眠障碍症状的网络检查

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2022-10-01 DOI: 10.1016/j.jocrd.2022.100755

Boris Litvin , Srishti Sardana , Bradley C. Riemann , Helen Verdeli , Richard J. McNally

{"title":"A network examination of symptoms of obsessive-compulsive disorder and sleep disturbances","authors":"Boris Litvin , Srishti Sardana , Bradley C. Riemann , Helen Verdeli , Richard J. McNally","doi":"10.1016/j.jocrd.2022.100755","DOIUrl":"10.1016/j.jocrd.2022.100755","url":null,"abstract":"<div>Sleep disturbances in people with obsessive-compulsive disorder (OCD) may worsen symptoms of the latter. The presence of insomnia or hypersomnia in patients with OCD does not clarify what features of OCD are directly linked to sleep disturbances. To investigate this issue in depth, we conducted network analyses on the relations among aspects of OCD and disturbances in sleep in 773 patients with a primary diagnosis of OCD who were receiving one of three levels of residential and outpatient treatment. Results indicate that insomnia and hypersomnia had very weak correlations with OCD symptoms and had low bridge and strength centrality. This indicates that merely targeting either sleep disturbances or OCD symptoms may not be the most effective approach to treatment of OCD patients with sleep problems. Further, our findings indicate that within OCD, degree of control over obsessions was the most central symptom, and resistance to both obsessions and compulsions possessed the highest bridge strength and expected influence.</div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"35 ","pages":"Article 100755"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43790958","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

Do exposure therapy processes impact the efficacy of deep TMS for obsessive-compulsive disorder? 暴露疗法会影响深度经颅磁刺激治疗强迫症的疗效吗?

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2022-10-01 DOI: 10.1016/j.jocrd.2022.100756

Andrew G. Guzick , Ethan Schweissing , Aron Tendler , Sameer A. Sheth , Wayne K. Goodman , Eric A. Storch

{"title":"Do exposure therapy processes impact the efficacy of deep TMS for obsessive-compulsive disorder?","authors":"Andrew G. Guzick , Ethan Schweissing , Aron Tendler , Sameer A. Sheth , Wayne K. Goodman , Eric A. Storch","doi":"10.1016/j.jocrd.2022.100756","DOIUrl":"https://doi.org/10.1016/j.jocrd.2022.100756","url":null,"abstract":"<div>This study evaluated exposure therapy processes during symptom provocation in a randomized sham-controlled trial of deep transcranial magnetic stimulation (Deep TMS) for 99 adults with obsessive-compulsive disorder (OCD). The following factors were expected to lead to more symptom improvement, particularly in active relative to sham groups: 1) progression to more hierarchy items, 2) greater distress during provocations, 3) between-session habituation, and 4) variability in distress during provocations. Participants were randomized to six weeks of daily symptom provocation plus sham or active Deep TMS of the dorsal medial prefrontal cortex and anterior cingulate cortex. Obsessive-compulsive symptoms were assessed weekly and at four-week follow-up. No significant predictors were identified though increased distress moderated outcomes (b = −.041, p = .048); those who reported more distress during provocations had an improved active vs. sham response, though there was less of a difference between active and sham for those who reported less distress. Lack of an association between other exposure processes and treatment outcome may suggest differences between Deep TMS provocations and exposure exercises.</div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"35 ","pages":"Article 100756"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136799429","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

Comparison of patient-reported distress during harm avoidance and incompleteness exposure tasks for youth with OCD 青少年强迫症患者报告的伤害避免和不完整暴露任务中的痛苦比较

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2022-10-01 DOI: 10.1016/j.jocrd.2022.100760

Lauren Milgram , Kate Sheehan , Grace Cain , Matthew M. Carper , Erin E. O'Connor , Jennifer B. Freeman , Abbe Garcia , Brady Case , Kristen Benito

{"title":"Comparison of patient-reported distress during harm avoidance and incompleteness exposure tasks for youth with OCD","authors":"Lauren Milgram , Kate Sheehan , Grace Cain , Matthew M. Carper , Erin E. O'Connor , Jennifer B. Freeman , Abbe Garcia , Brady Case , Kristen Benito","doi":"10.1016/j.jocrd.2022.100760","DOIUrl":"10.1016/j.jocrd.2022.100760","url":null,"abstract":"<div>Exposure and response prevention is the front-line treatment for OCD, but many patients do not achieve symptom remission. Most theories of exposure mechanism suggest that eliciting and/or tolerating distress is necessary for exposure effectiveness. Moreover, research suggests that the type of distress may relate to treatment response, such that patients with “incompleteness” OCD symptom presentations exhibit poorer response than patients with “harm avoidance” symptom presentations. However, no studies have examined differences in distress during harm avoidance versus incompleteness exposure tasks. The current study examined differences in patient-reported distress during harm avoidance and incompleteness exposure tasks for 280 youth with severe OCD in a partial hospitalization program. Participants reported less distress and more often exhibited “flat,” unchanging distress trajectories during exposure tasks targeting incompleteness compared to harm avoidance. Findings provide preliminary evidence of differences in emotional processes during harm avoidance versus incompleteness exposure tasks for youth with OCD.</div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"35 ","pages":"Article 100760"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47126212","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 training for compulsive acquisition in hoarding: A multiple baseline single case design 囤积症患者强迫性习得的反应抑制训练:多基线单案例设计

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2022-10-01 DOI: 10.1016/j.jocrd.2022.100745

Lucinda J. Gledhill , David Veale , Helena Drury , Victoria Bream , Juliana Onwumere

引用次数: 0

Obsessive-compulsive symptoms and distress in daily life: Mediating effects of social cognition about morality 强迫症状与日常生活苦恼:道德社会认知的中介作用

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2022-10-01 DOI: 10.1016/j.jocrd.2022.100754

Samantha V. Jacobson, Rachel S. Inabata, Thane M. Erickson

{"title":"Obsessive-compulsive symptoms and distress in daily life: Mediating effects of social cognition about morality","authors":"Samantha V. Jacobson, Rachel S. Inabata, Thane M. Erickson","doi":"10.1016/j.jocrd.2022.100754","DOIUrl":"10.1016/j.jocrd.2022.100754","url":null,"abstract":"<div>Obsessive-compulsive (OC) symptoms occur in individuals with anxiety and mood disorders, even outside of formal diagnosis of obsessive-compulsive disorder (OCD). Because OC symptoms commonly coexist alongside perseverative negative experiences (i.e., worry and depression), their unique contribution to distress in daily life is unclear. Moreover, OC symptoms might shape daily distress via pathways of social cognition related to morality (i.e., self-perceptions about virtue or vice), but previous studies of OC symptoms and morality have not accounted for overlap with how individuals perceive themselves in relation to others in terms of agency (i.e., competence) and communion (i.e., connection). Research has demonstrated links between OC symptoms and sensitivity to moral domains via scrupulosity symptoms and importance of moral facets, which raises questions around relationships between morality, OC symptoms, and distress. The present study aims to investigate links of OC symptoms to daily distress via self-perceptions of morality, agency, and communion. A clinical sample of individuals with anxiety and depressive disorders (N = 84) completed baseline measures of OC symptoms, worry, and depression, followed by one week of diary records of self-perceptions and distress during best and worst events of the day. Multilevel modeling results showed that, while controlling for depression and worry, OC symptoms uniquely predicted higher daily distress. Moreover, self-perceptions of negative and positive morality and low communion each uniquely mediated effects of baseline OC symptoms on daily distress. Thus, findings suggest unique contributions of OC symptoms and social cognition to distressing experiences of individuals seeking treatment for anxiety and depression.</div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"35 ","pages":"Article 100754"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47446920","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

Family accommodation as a predictor of treatment outcome in outpatient intensive cognitive behavioral therapy of adult obsessive compulsive disorder 家庭住宿作为成人强迫症门诊强化认知行为治疗结果的预测因子

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2022-10-01 DOI: 10.1016/j.jocrd.2022.100761

Gracia J. van den Berg , William M. van der Veld , Mirjam Kampman

{"title":"Family accommodation as a predictor of treatment outcome in outpatient intensive cognitive behavioral therapy of adult obsessive compulsive disorder","authors":"Gracia J. van den Berg , William M. van der Veld , Mirjam Kampman","doi":"10.1016/j.jocrd.2022.100761","DOIUrl":"10.1016/j.jocrd.2022.100761","url":null,"abstract":"<div>Family accommodation in obsessive compulsive disorder (OCD) consists of participation in symptoms and modification of family routines in order to reduce patients' anxiety and impairment, manage relatives’ own distress, and maintain family functioning. Higher levels of accommodation are associated with increased symptom severity and worse treatment outcome. However, this has not been investigated for adults with OCD receiving intensive cognitive behavioral therapy (iCBT). The aim of this study was to examine if change in family accommodation during the intensive phase of iCBT predicted treatment outcome. Within an observational study design, 52 adult patients received iCBT with pre-, between- and post-treatment measurements. Results showed that family accommodation was reported by 94% of relatives of OCD patients and was associated with self-reported OCD symptoms but not global functioning. Family accommodation was significantly reduced from pre-to post-treatment. Greater reductions in family accommodation were associated with lower levels of OCD symptom severity and better global functioning at post-treatment, and greater likelihood of achieving remission status. However, changes on the outcome measures from pre-to post-treatment were not dependent on the magnitude of change in family accommodation during the intensive phase of treatment. Therefore, findings are inconclusive in supporting that targeting family accommodation might directly affect treatment outcome for adults with OCD receiving iCBT.</div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"35 ","pages":"Article 100761"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43760811","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

Preliminary evidence for the effectiveness of concurrent exposure and response prevention for OCD and prolonged exposure for PTSD 同时暴露和反应预防治疗强迫症和长期暴露治疗PTSD有效性的初步证据

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2022-07-01 DOI: 10.1016/j.jocrd.2022.100742

Caitlin M. Pinciotti, Loren M. Post, Lynsey R. Miron, Chad T. Wetterneck, Bradley C. Riemann

{"title":"Preliminary evidence for the effectiveness of concurrent exposure and response prevention for OCD and prolonged exposure for PTSD","authors":"Caitlin M. Pinciotti, Loren M. Post, Lynsey R. Miron, Chad T. Wetterneck, Bradley C. Riemann","doi":"10.1016/j.jocrd.2022.100742","DOIUrl":"10.1016/j.jocrd.2022.100742","url":null,"abstract":"<div>Several case studies describe utilizing combined approaches to treating individuals with co-occurring obsessive-compulsive disorder (OCD) and posttraumatic stress disorder (PTSD), yet empirical support for concurrent approaches is lacking. Further, no study has described a combined exposure and response prevention (ERP) and prolonged exposure (PE) approach despite theoretical and implementation similarities. Given the noted challenges in treating co-occurring OCD and PTSD, particularly in cases of dynamic comorbidity, the current study sought to provide empirical support for concurrent ERP + PE in a small sample of individuals diagnosed with co-occurring OCD and PTSD. Retrospective data was analyzed from eight patients (87.5% dynamic comorbidity) who underwent concurrent ERP + PE in a behavioral health hospital system. Effectiveness of ERP + PE was comparable to previous research on the separate treatments; patients experienced an average reduction in Yale-Brown Obsessive-Compulsive Scale-Self-Report scores of 11.75 and PTSD Checklist scores of 22.50, effect sizes of 1.65 and 1.44, respectively. Broadly, these preliminary findings suggest that a concurrent approach to treating co-occurring OCD and PTSD is effective even with dynamic comorbidity and that concurrent ERP + PE, specifically, yields promising treatment outcomes. The current study provides a foundation for future exploration of other treatment types and approaches. Replication of findings in larger, prospective samples is needed.</div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"34 ","pages":"Article 100742"},"PeriodicalIF":1.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42374966","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

An examination of the fear of self and religiosity as either related or independent vulnerability factors for mental contamination 对自我恐惧和宗教虔诚作为精神污染的相关或独立脆弱性因素的研究

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2022-07-01 DOI: 10.1016/j.jocrd.2022.100740

Mujgan Inozu , Yasemin Kahya , Elif Üzümcü , Ela Serpil Evliyaoğlu

引用次数: 2

Skin Picking Scale-Revised: Diagnostic accuracy and optimal cut-off scores in university and psychiatric settings 皮肤采摘量表-修订:诊断准确性和最佳切断分数在大学和精神病学设置

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2022-07-01 DOI: 10.1016/j.jocrd.2022.100743

Ivar Snorrason , Nancy J. Keuthen , Han-Joo Lee , Courtney Beard , Thröstur Björgvinsson

引用次数: 0