Klara Olofsdotter Lauri , Maria Bragesjö , Kristina Aspvall , Nathalie Lybert , Conrad Samuelsson , Eva Serlachius , Christian Rück , David Mataix-Cols , Erik Andersson
{"title":"“I'm not afraid to be alone with the baby now”: Parents' experiences of an online self-guided cognitive intervention for unwanted intrusive thoughts about harming their child","authors":"Klara Olofsdotter Lauri , Maria Bragesjö , Kristina Aspvall , Nathalie Lybert , Conrad Samuelsson , Eva Serlachius , Christian Rück , David Mataix-Cols , Erik Andersson","doi":"10.1016/j.jocrd.2024.100897","DOIUrl":"10.1016/j.jocrd.2024.100897","url":null,"abstract":"<div><p>Half of parents to infants and toddlers experience unwanted intrusive thoughts (UITs) about intentionally harming their child. For some, this can lead to impaired parental self-efficacy, elevated parental stress, and symptoms of depression. Many do not disclose their thoughts due to shame. Our research group has developed a self-guided online cognitive intervention for parents with distressing UITs of intentional child-related harm. A previous randomized pilot trial (<em>N</em> = 43) showed that the intervention was more effective than waitlist in reducing distress related to UITs. It also improved parental self-efficacy. This study is an qualitative investigation of the participants’ experiences with the intervention. We conducted semi-structured interviews with 8 participants. A thematic analysis revealed two overarching themes: (1) Changed perception of the unwanted intrusive thoughts and (2) Different paths to recovery. The parents reported that the intervention taught skills to approach their UITs in a more flexible way, which had positive effects on well-being and parenting. The flexibility and anonymity of the online format was highlighted as positive. Some would have liked additional therapist support and better adaptations to a smartphone format. The findings provide additional qualitative data how an online self-guided intervention can help parents who struggle with UITs.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211364924000411/pdfft?md5=6c5c108063f2554685f10a5627ae6ca8&pid=1-s2.0-S2211364924000411-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142150742","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}
Nils Eivind Holth Landrø , Sigurd Holmen Pryser , Kristen Hagen , Bjarne Hansen , Gerd Kvale , Stian Solem
{"title":"Effect of concentrated exposure and response prevention on symptoms of insomnia","authors":"Nils Eivind Holth Landrø , Sigurd Holmen Pryser , Kristen Hagen , Bjarne Hansen , Gerd Kvale , Stian Solem","doi":"10.1016/j.jocrd.2024.100891","DOIUrl":"10.1016/j.jocrd.2024.100891","url":null,"abstract":"<div><h3>Background</h3><p>Insomnia symptoms are prevalent among patients with obsessive-compulsive disorder (OCD). This study involved secondary analyses from a previous randomized controlled trial testing if <span>d</span>-Cycloserine (DCS) augmented the effects of the Bergen 4-day treatment (B4DT) for OCD. In this study, the effects of the B4DT on sleep difficulties in a sample of difficult-to-treat OCD were explored.</p></div><div><h3>Methods</h3><p>The three groups received B4DT with either a placebo, 100 mg, or 250 mg of DCS. Patients (<em>N</em> = 163) had either not responded or relapsed after previous exposure-based treatment for OCD.</p></div><div><h3>Results</h3><p>The results showed a small, but robust treatment effect on insomnia symptoms (<em>d</em> = 0.37), maintained at 3-month follow-up (<em>d</em> = 0.38), and 12-month follow-up (<em>d</em> = 0.23). No significant differences between the groups receiving DCS or placebo were found. Insomnia did not affect OCD-treatment outcome.</p></div><div><h3>Discussion</h3><p>This study showed that OCD treatment is associated with some improvement in insomnia symptoms. Comorbid insomnia and DCS did not moderate treatment outcome. Patients with OCD and comorbid insomnia should be considered for specific insomnia treatment.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211364924000356/pdfft?md5=2e087f2e4fae937ffe1e9b2ab43cf1f7&pid=1-s2.0-S2211364924000356-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141393067","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}
Kesley A. Ramsey , Lauren E. Browning , Alexandria H. Chang , Joseph F. McGuire
{"title":"Clinician-reported challenges associated with delivery of exposure with response prevention for patients with obsessive-compulsive disorder","authors":"Kesley A. Ramsey , Lauren E. Browning , Alexandria H. Chang , Joseph F. McGuire","doi":"10.1016/j.jocrd.2024.100895","DOIUrl":"10.1016/j.jocrd.2024.100895","url":null,"abstract":"<div><p>Exposure with response prevention (E/RP) within cognitive behavior therapy (CBT) is recognized as a critical therapeutic element that drives clinical improvement in the behavioral treatment of obsessive-compulsive disorder (OCD). However, many clinicians encounter a number of barriers when implementing E/RP for patients with OCD, negatively impacting patient outcomes. To understand and better address these challenges, we conducted a survey with 228 clinicians to capture the experiences of mental health providers that use E/RP to treat patients with OCD, and identify challenges they may experience when implementing this form of evidence-based care. We found that the majority of clinicians sampled endorsed facing barriers in implementing E/RP for patients with OCD. Additionally, we found that specific OCD symptom domains were identified by clinicians as difficult to complete exposures for within and between treatment sessions. Ultimately, this investigation identifies some of the challenges faced by clinicians using E/RP to treat patients with OCD, and offers several future research directions to pave the way toward addressing these barriers and improving treatment outcomes.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141963282","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}
Michael Colman , Josie Millar , Bhagyashree Patil , Daniel Finnegan , Ailsa Russell , Nina Higson-Sweeney , Mariana Da Silva Aguiar , Danae Stanton Fraser
{"title":"A systematic review and narrative synthesis of the use and effectiveness of extended reality technology in the assessment, treatment and study of obsessive compulsive disorder","authors":"Michael Colman , Josie Millar , Bhagyashree Patil , Daniel Finnegan , Ailsa Russell , Nina Higson-Sweeney , Mariana Da Silva Aguiar , Danae Stanton Fraser","doi":"10.1016/j.jocrd.2024.100893","DOIUrl":"10.1016/j.jocrd.2024.100893","url":null,"abstract":"<div><p>Extended reality (XR) technologies including virtual and augmented reality are seeing increasing research interest in the field of mental health. Obsessive compulsive disorder (OCD) is a condition that remains difficult to assess and treat despite the availability of effective therapies. This systematic review synthesises the current knowledge regarding the use and effectiveness of XR in the assessment, treatment, and study of OCD. The protocol for this review was registered on PROSPERO (ID: CRD42021248021). Searches of six databases were conducted. The xReality framework was used to define which technologies would be included as XR. Studies that recruited analogue samples as well as clinical OCD populations were included. A narrative synthesis of the findings was planned. There was consistent evidence for the use of virtual reality as a tool for symptom provocation in people with contamination-related OCD, as part of exposure and response prevention. Significant heterogeneity exists between study designs found in both symptom provocation and treatment outcome studies. This review has important implications about the narrow focus of research in this area thus far, highlighting the need for further study of different uses of XR in providing positive treatment outcomes across a broader range of OCD symptoms.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221136492400037X/pdfft?md5=58c641bbfbe76fe30115b8676c715165&pid=1-s2.0-S221136492400037X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141630348","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}
Andreas Bezahler , Martha J. Falkenstein , Jennie M. Kuckertz
{"title":"What do you believe? Differentiating obsessive beliefs between bi+, gay/lesbian and heterosexual adults with OCD","authors":"Andreas Bezahler , Martha J. Falkenstein , Jennie M. Kuckertz","doi":"10.1016/j.jocrd.2024.100898","DOIUrl":"10.1016/j.jocrd.2024.100898","url":null,"abstract":"<div><p>Sexual minority (e.g., gay, lesbian, bisexual) people are 9 times more likely than heterosexual people to be diagnosed with OCD. Cognitive models of OCD posit that obsessive beliefs drive clinical OCD symptoms, however, obsessive beliefs have yet to be examined based on sexual orientation. Due to prior research identifying that sexual minority people are more likely to be diagnosed or treated for OCD and present with unique symptom profiles, elucidating underlying beliefs may partially explain why these disparities persist. Participants (<em>N</em> = 505) completed the Obsessive Beliefs Questionnaire-44 (OBQ-44) upon admission to a partial hospital/residential treatment program for OCD. The three largest sexual orientation groups were bisexual/pansexual (<em>n</em> = 46), gay/lesbian (<em>n</em> = 34), and heterosexual (<em>n</em> = 425). To examine differences, the OBQ-44's subdomains (perfectionism/certainty, responsibility for harm/threat, and importance/control of thoughts) were compared by sexual orientation. Results highlighted that perfectionism/certainty and harm/threat were significantly higher for bi+ compared to heterosexual participants, but not compared to gay/lesbian people, or between heterosexual and gay/lesbian people. This paper adds to a growing body of literature suggesting that the experience of bi+ individuals is different, and future research should identify the role of bi+ discrimination in the development of these core beliefs.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142088645","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}
Johanna A.M. du Mortier , Erik J. Giltay , Almar A.L. Kok , Patricia van Oppen , Merijn Eikelenboom , Didi Rhebergen , Richard C. Oude Voshaar , Anton J.L.M. van Balkom , Henny A.D. Visser
{"title":"Contamination fear during the COVID-19 pandemic in patients with lifetime obsessive compulsive disorder and healthy controls: A longitudinal cohort study","authors":"Johanna A.M. du Mortier , Erik J. Giltay , Almar A.L. Kok , Patricia van Oppen , Merijn Eikelenboom , Didi Rhebergen , Richard C. Oude Voshaar , Anton J.L.M. van Balkom , Henny A.D. Visser","doi":"10.1016/j.jocrd.2024.100889","DOIUrl":"10.1016/j.jocrd.2024.100889","url":null,"abstract":"<div><h3>Background</h3><p>The COVID-19 pandemic could be considered a 'symptom provocation test,' which may trigger specific OCD and other psychiatric symptoms. Therefore, we aimed to compare the long-term impact of the pandemic on fear of COVID-19, and contamination, depressive and anxiety symptoms in three groups: individuals with OCD with and without pre-pandemic contamination symptoms and healthy controls.</p></div><div><h3>Methods</h3><p>From April 2020 to February 2022, we administered 16 online questionnaires on 138 persons with a lifetime diagnosis of OCD and 373 healthy controls. We evaluated outcomes related to fear of COVID-19, cleaning obsessions and compulsions, anxiety, and depressive symptoms. Using mixed models, we compared the trajectories among persons with OCD who had pre-pandemic contamination symptoms, those without such symptoms, and healthy controls.</p></div><div><h3>Results</h3><p>Pre-pandemic contamination symptoms were significantly associated with higher fear of COVID-19, contamination symptoms, anxiety, and depressive symptoms. Persons with OCD without pre-pandemic contamination symptoms scored, on average, quite similarly to healthy controls.</p></div><div><h3>Conclusions</h3><p>Only in persons with pre-pandemic contamination symptoms did the pandemic provoke more fear of COVID-19 and contamination symptoms than in controls. It seems that stress caused by external factors, does not tri trigger OCD symptoms unless there is a connection to the subtype of OCD.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211364924000332/pdfft?md5=376c25f2dc243a91a0e3f3207f52ba8d&pid=1-s2.0-S2211364924000332-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141400601","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":"Reconciling attentional bias in obsessive-compulsive disorder","authors":"Alexandra M. Adamis, Bunmi O. Olatunji","doi":"10.1016/j.jocrd.2024.100896","DOIUrl":"10.1016/j.jocrd.2024.100896","url":null,"abstract":"<div><p>Findings on attentional bias (AB) in obsessive-compulsive disorder (OCD) are highly mixed. Although some studies provide evidence for a threat-related AB in OCD, many others yield null effects. The present review considers three potential factors that may help reconcile this inconsistency: disorder heterogeneity, methodological approaches, and individual differences in attentional control. Reconciling this inconsistency in future research may yield findings that can more directly inform the development of more effective treatment strategies.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141941959","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 Bates, Nick Neave, Alyson Dodd, Colin Hamilton
{"title":"The role of emotional regulation, executive functioning, and aggression in hoarding behaviours","authors":"Emily Bates, Nick Neave, Alyson Dodd, Colin Hamilton","doi":"10.1016/j.jocrd.2024.100894","DOIUrl":"https://doi.org/10.1016/j.jocrd.2024.100894","url":null,"abstract":"<div><p>Emotion regulation (ER), executive function (EF) and aggression have all been separately linked with hoarding behaviours. This study aimed to investigate whether difficulties with ER, deficits in EF, and an increase in aggression are linked with hoarding behaviours in a community sample, whilst controlling for anxiety, depression, age, and sex. Using a correlational design, we recruited 225 adults who completed questionnaires of anxiety and depression, hoarding severity, difficulties with ER, EF, and aggression. Two hierarchical multiple regressions were conducted to uncover which factors predicted an increase in hoarding behaviours, as well as the unique variance of these contributing factors. They revealed that difficulties with ER and physical aggression both contributed unique variance to hoarding severity scores. Further research is needed to fully uncover the relationship between aggression and HD, and the interconnection between EF and ER. The current study, although not without its limitations, has implications for further research in clinical samples.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141606024","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 J. Carlson , Elizabeth J. Malloy , Jon Grant , David A.F. Haaga
{"title":"Neurocognitive Test Performance in relation to symptom severity and age of onset of trichotillomania","authors":"Emily J. Carlson , Elizabeth J. Malloy , Jon Grant , David A.F. Haaga","doi":"10.1016/j.jocrd.2024.100892","DOIUrl":"10.1016/j.jocrd.2024.100892","url":null,"abstract":"<div><p>Prior research has yielded inconsistent findings on neurocognitive deficits, particularly in response inhibition and set shifting, when comparing patients with trichotillomania (TTM) to healthy comparison groups. This study used baseline data (<em>N</em> = 36) from a clinical trial of behavior therapy for TTM to test two possible explanations for these mixed results: (a) neurocognitive deficits are only noted among more severely symptomatic patients with TTM; and (b) age of onset is differentially associated with deficits in response inhibition vs. set shifting. Results were inconsistent with these hypotheses. Age of onset was not significantly correlated with either neurocognitive assessment. Interviewer ratings of TTM symptom severity or impairment were not significantly related to neurocognitive test performance. Self-reported symptom severity correlated significantly with motor response inhibition, but in the direction opposite to our expectation, such that faster reaction times to inhibit a dominant response were associated with more severe symptoms. Discussion centered on several possible explanations, including the possibilities that either (a) measurement methods or (b) variation across samples in the prevalence of ADHD comorbidity, not measured in this study, could explain mixed findings on the neuropsychological profile of TTM.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141391321","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":"Obsessive compulsive symptoms, mild neurocognitive disorder and dementia: A systematic review","authors":"Kaushadh Jayakody , Helen Branson","doi":"10.1016/j.jocrd.2024.100890","DOIUrl":"10.1016/j.jocrd.2024.100890","url":null,"abstract":"<div><h3>Background</h3><p>Obsessive-compulsive disorder (OCD) and obsessive-compulsive symptoms (OCS) have been reported in dementia and mild cognitive impairment (MCI). We investigated the comorbidity of OCD and OCS in patients with a diagnosis of dementia or MCI and the risk of developing dementia or MCI for those with a diagnosis of OCD or OCS later in life.</p></div><div><h3>Methods</h3><p>We conducted a systematic review, searching databases up to March 2023. The quality assessment was performed using the Weight of Evidence (WoE) framework, and a narrative synthesis was completed.</p></div><div><h3>Results</h3><p>Twenty studies met our inclusion criteria. The presence of methodological limitations and potential biases was observed in the studies included in this review. The majority were of moderate quality, were conducted in samples selected from tertiary care or research settings. OCS was present in 21–100% of patients with frontotemporal dementia (FTD) and 10–45% of patients with Alzheimer's disease (AD).</p></div><div><h3>Conclusion</h3><p>OCS is a common symptom in FTD, particularly behavioural variation FTD (bvFTD). The onset of OCD or OCS later in life should warrant careful screening and follow-up to monitor for potential cognitive changes and the risk of developing dementia.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211364924000344/pdfft?md5=c1a662b7837fd0ba16e035ea8887b971&pid=1-s2.0-S2211364924000344-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141403971","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}