Journal of Obsessive-Compulsive and Related Disorders最新文献

{"title":"#Filter or #NoFilter? - State effects of beauty filter exposure on body dissatisfaction and associated cognitive-affective factors","authors":"Fanny Alexandra Dietel,&nbsp;Silja Vocks","doi":"10.1016/j.jocrd.2026.101027","DOIUrl":"10.1016/j.jocrd.2026.101027","url":null,"abstract":"<div><div>Augmented reality beauty filters (ARB) have gained popularity on social media platforms, raising concerns about their potential to exacerbate appearance concerns. To explore these risks, this experimental study examined multimodal state effects of viewing unmodified, vs. ARB-modified, “self” or “other” images, implementing a novel free-viewing paradigm in a sample varying in appearance concerns.</div><div><em>N</em> = 91 participants identifying as women were randomized to one of four conditions in which they viewed counterbalanced sequences of unmodified, vs. ARB-modified, facial photos of their own, vs. a confederate face. Before and after trials, we assessed state affect, body dissatisfaction, degree of conviction about being unattractive, and self-esteem. We further explored the effect of model-congruent trait predictors (i.e., BDD symptoms and social comparison tendencies) on image exposure response.</div><div>Results revealed increases in state body dissatisfaction and conviction about being unattractive following exposure to “other” faces modified by the “Teenage Look”, vs. “Bold Glamour”, filter. Trait BDD symptoms and upward appearance comparison did not predict differential responses to ARB.</div><div>Taken together, these findings suggest that youth-promoting ARB might induce maladaptive cognitive-affective responses even after brief exposure. Future research should replicate and expand these findings to inform efforts toward platform regulation, prevention and intervention programs for appearance-related social media use.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"50 ","pages":"Article 101027"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148527309","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":"Emotion regulation difficulties in pediatric obsessive-compulsive disorder: A modifiable treatment target","authors":"Christine Lykke Thoustrup,&nbsp;Markus Harboe Olsen,&nbsp;Nicoline Løcke Jepsen Korsbjerg,&nbsp;Melanie Ritter,&nbsp;Sofie Heidenheim Christensen,&nbsp;Nicole Nadine Lønfeldt,&nbsp;Anna-Rosa Cecilie Mora-Jensen,&nbsp;Camilla Funch Uhre,&nbsp;Valdemar Funch Uhre,&nbsp;Linea Pretzman,&nbsp;Christian Gluud,&nbsp;Janus Engstrøm,&nbsp;Julie Hagstrøm,&nbsp;Signe Vangkilde,&nbsp;Robert James Blair,&nbsp;Kerstin Jessica Plessen,&nbsp;Anne Katrine Pagsberg","doi":"10.1016/j.jocrd.2026.101037","DOIUrl":"10.1016/j.jocrd.2026.101037","url":null,"abstract":"<div><h3>Background</h3><div>Pre-treatment emotion regulation difficulties are extensively reported in pediatric obsessive-compulsive disorder (OCD), yet information regarding whether they are addressed by current interventions and/or moderate treatment outcomes, particularly differentiating between different types of psychotherapy, is lacking.</div></div><div><h3>Methods</h3><div>Seventy-nine adolescents with OCD (11-17 years) completed the Difficulties in Emotion Regulation Scale (DERS) before and after being randomized to 16 weeks of either family-based cognitive behavioral therapy with exposure and response prevention (FCBT) or family-based psychoeducation with relaxation training (FPRT). A cohort of 59 age- and sex-matched adolescents without psychiatric disorders was included to establish temporal stability of emotion regulation and a normative reference level on the DERS.</div></div><div><h3>Results</h3><div>Adolescents in the FCBT group demonstrated post-intervention improvements in emotion regulation, whereas those in the FPRT group did not. Change in OCD symptom severity was neither moderated nor mediated by emotion regulation difficulties in either the FCBT or FPRT group. Sensitivity analyses on treatment completers yielded similar results.</div></div><div><h3>Conclusions</h3><div>The findings confirm emotion regulation difficulties as modifiable targets for psychotherapy in pediatric OCD and suggest that FCBT is effective in improving emotion regulation abilities, while FPRT is not.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"50 ","pages":"Article 101037"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148776682","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":"Postpartum OCD: Recognition and clinical discomfort among perinatal health care providers","authors":"Casey Schofield,&nbsp;Isabelle Siegel,&nbsp;Gabriella Ponzini,&nbsp;Sasha Kushner","doi":"10.1016/j.jocrd.2026.101028","DOIUrl":"10.1016/j.jocrd.2026.101028","url":null,"abstract":"<div><div>This study experimentally tested whether diagnostic accuracy, risk assessment, and clinical comfort varied as a function of postpartum mental health disorder among perinatal care professionals (e.g., OBGYNs, OBGYN residents, and other perinatal health care providers). Participants were recruited through social media, clinician networks, and Qualtrics, for a final sample of 93 participants. The study presented perinatal professionals with a vignette characterizing one of the four postpartum clinical profiles (i.e., harm-related OCD, contamination-related OCD, postpartum depression, and urinary incontinence). Participants were then asked to provide their clinical impression, followed by measures assessing their perception of clinical risk and their comfort with the patient. The harm-related OCD vignette yielded particularly low diagnostic accuracy, high risk assessment, and low clinical comfort. These experimental findings highlight the substantial gaps in clinician understanding and recognition of perinatal OCD, and the need for improved education and awareness among perinatal providers.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"50 ","pages":"Article 101028"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148527310","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":"Clinical presentation of comorbid obsessive-compulsive disorder and posttraumatic stress disorder in Latin American individuals","authors":"Caitlin M. Pinciotti ,&nbsp;Erica K. Buckland ,&nbsp;Vissente Tapia-Cuevas ,&nbsp;Maritza J. Romero ,&nbsp;Diana Obando ,&nbsp;Melanie Longhurst ,&nbsp;Natalia A. Pereira Morales ,&nbsp;Jacey L. Anderberg ,&nbsp;Renee M. Frederick ,&nbsp;Vanessa Zavala Cruz ,&nbsp;Dayan Berrones ,&nbsp;Josselyn S. Muñoz ,&nbsp;Hannah C. Moore ,&nbsp;Carolina Cappi ,&nbsp;Ogechi C. Onyeka ,&nbsp;Andrew D. Wiese","doi":"10.1016/j.jocrd.2026.101011","DOIUrl":"10.1016/j.jocrd.2026.101011","url":null,"abstract":"<div><div>Comorbid obsessive-compulsive disorder (OCD) and posttraumatic stress disorder (PTSD) is associated with more a severe overall clinical presentation compared to OCD without PTSD. However, existing research has largely focused on White, non-Hispanic/Latino populations, limiting generalizability of this complex comorbidity to diverse ethnic groups. Using data collected from the multisite Latin American Trans-ancestry INitiative for OCD genomics (LATINO) study, this study sought to replicate and extend previous findings regarding the clinical presentation associated with comorbid OCD and PTSD (OCD + PTSD). Differences in OCD severity, OCD symptom dimensions, OCD-related insight, avoidance, pathological doubt, and quality of life were compared across 1995 Latin American adults (<em>M</em> age = 31.54) with OCD alone (31.6%), OCD with other comorbidities (54.6%), and OCD + PTSD (13.8%), and psychiatric comorbidities were compared between participants with OCD + PTSD and OCD with other comorbidities. Replicating and extending prior research, individuals with OCD + PTSD had more severe clinical presentations across all domains, with the largest effect size found for quality of life. Consistent with previous research, these findings indicate that the presence of PTSD is associated with worse OCD clinical severity among Latin Americans, underscoring the necessity for comprehensive assessment strategies and integrated treatment approaches.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"49 ","pages":"Article 101011"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147710517","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":"Training the next generation of pediatric OCD therapists: Descriptors and outcomes of the IOCDF pediatric behavior therapy training institute","authors":"Ryan J. Jacoby ,&nbsp;Heyli T. Arcese ,&nbsp;Susanne S. Hoeppner ,&nbsp;Noah C. Berman ,&nbsp;Rachel Quist ,&nbsp;Eric A. Storch ,&nbsp;C. Alec Pollard ,&nbsp;Sabine Wilhelm","doi":"10.1016/j.jocrd.2026.101017","DOIUrl":"10.1016/j.jocrd.2026.101017","url":null,"abstract":"<div><div>Cognitive behavioral therapy with exposure and response prevention (ERP) is widely regarded as the first-line psychological treatment for pediatric obsessive-compulsive disorder (OCD), yet barriers to implementation remain, and many clinicians report discomfort or lack of knowledge in delivering ERP. This naturalistic longitudinal study examined demographics, clinical practice characteristics, and self-reported perceived learning of clinicians enrolled in the International OCD Foundation's Pediatric Behavior Therapy Training Institute (BTTI), an intensive training program for pediatric ERP for OCD. Clinicians (<em>N</em> = 159) who attended one of six in-person pediatric BTTI trainings from 1/2016-11/2019 completed pre-and post-training assessments and at 6-month follow-up. Main analyses used multiple imputation for missing data. As hypothesized, results showed significant improvements from pre-to post-training in clinician-reported comfort in assessing/treating pediatric OCD with a large effect size (<em>p</em> &lt; .001; <em>ES</em> = 0.95), which remained significant at follow-up. We were unable to detect significant changes in positive beliefs about exposure (<em>ES</em> = 0.12), proportions of patients with OCD in clinicians' caseloads (<em>ES</em> = 0.33), or percentage of session time devoted to ERP (<em>ES</em> = 0.02); although some models were significant in sensitivity analyses. At follow-up, most clinicians (72%) reported using all skills learned in the program, although some barriers persisted, such as challenges conducting exposures outside of the office. Findings support the effectiveness of the pediatric OCD BTTI in increasing clinicians' self-reported comfort in assessing and treating OCD in children/adolescents but provide limited evidence of objective changes in ERP implementation. Future efforts should incorporate objective fidelity measures, measure patient outcomes, address barriers to skills use, and increase accessibility to ERP training.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"49 ","pages":"Article 101017"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147995375","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":"Corrigendum to “Unique effects of perceived vulnerability to disease on safety behavior use: Specificity in analogue samples” [Journal of Obsessive-Compulsive and Related Disorders 49 (2026), 101010]","authors":"Jessica Szu-Chi Cheng,&nbsp;Savannah M. Walske,&nbsp;Kavi S. Jakes,&nbsp;Bunmi O. Olatunji","doi":"10.1016/j.jocrd.2026.101012","DOIUrl":"10.1016/j.jocrd.2026.101012","url":null,"abstract":"","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"49 ","pages":"Article 101012"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148183953","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":"Superstitious behaviors and beliefs in obsessive–compulsive disorder: An experimental investigation using the Illusory Contingency Task","authors":"Jakob Scheunemann,&nbsp;Franziska Miegel,&nbsp;Steffen Moritz,&nbsp;Amir H. Yassari,&nbsp;Lena Jelinek","doi":"10.1016/j.jocrd.2026.101013","DOIUrl":"10.1016/j.jocrd.2026.101013","url":null,"abstract":"<div><div>Obsessive–compulsive disorder (OCD) is marked by the paradoxical coexistence of patients' ritualized actions and the patients' awareness of their lack of causal efficacy. The Illusory Contingency Task provides an experimental analogue for this ambivalence by inducing superstitious behaviors and beliefs under controlled conditions. We administered the Illusory Contingency Task to 75 participants (26 patients with OCD, 24 with anxiety disorders, and 25 healthy controls). In the task, participants moved a cartoon mouse on a 3 × 3 grid toward a piece of cheese, with success determined by a hidden time-based contingency (trial duration ≥4 s). We analyzed behavioral indices and participants’ explicit convictions based on illusory rules determining success. Contrary to our preregistered hypotheses, patients with OCD did not form stronger superstitious beliefs than controls. However, they achieved fewer successful trials than patients with anxiety disorders. Post hoc analyses indicated that this reduced success was associated with lower exploratory behavior. These findings suggest that patients with OCD have difficulty adapting problem-solving strategies under illusory contingencies and highlight the potential of the Illusory Contingency Task as a paradigm for studying the exploration–exploitation trade-off in OCD.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"49 ","pages":"Article 101013"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147710518","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":"Controversies and considerations in treating OCD in individuals with an eating disorder","authors":"David Veale","doi":"10.1016/j.jocrd.2026.101014","DOIUrl":"10.1016/j.jocrd.2026.101014","url":null,"abstract":"","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"49 ","pages":"Article 101014"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148183954","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":"A comprehensive investigation of social cognition in body dysmorphic disorder","authors":"Katrina Holmes à Court ,&nbsp;Ella Byrne ,&nbsp;Ravi Iyer ,&nbsp;Wei Lin Toh ,&nbsp;Susan L. Rossell","doi":"10.1016/j.jocrd.2026.101015","DOIUrl":"10.1016/j.jocrd.2026.101015","url":null,"abstract":"<div><h3>Objective</h3><div>Impaired social cognition may contribute to the development and maintenance of body dysmorphic disorder (BDD), yet evidence is often inconsistent or limited to a single task or domain. This study aimed to characterise the social-cognitive profile of individuals with BDD across multiple domains (theory of mind (ToM), emotion recognition, pragmatic inference and empathy).</div></div><div><h3>Methods</h3><div>Participants were 61 individuals with BDD and 61 healthy controls. Social cognition was assessed using six tasks: the Hinting Task (inferential ToM), the Awareness of Social Inference Test–Short (TASIT-S; ToM), Reading the Mind in the Eyes Test (ToM), Bell–Lysaker Emotion Recognition Task, TASIT-S Part 1 and Penn Emotion Recognition Test (dynamic and static emotion recognition), TASIT-S ‘say’ (pragmatic inference) and the Questionnaire of Cognitive and Affective Empathy (empathy).</div></div><div><h3>Results</h3><div>The BDD group showed selective differences rather than global impairment. Group differences included: participants with BDD demonstrated enhanced TASIT-S ToM (<em>d</em> = 0.48, 95% <em>CI</em> [0.11, 0.85]), heightened (static) anger recognition (<em>d</em> = 0.67, 95% <em>CI</em> [0.29, 1.06]), superior pragmatic inference (<em>d</em> = 0.61, 95% <em>CI</em> [0.24, 0.98]) and elevated cognitive empathy (<em>d</em> = 0.49, 95% <em>CI</em> [0.09, 0.89]), driven by perspective taking, while Hinting was lower (<em>d</em> = −0.42, 95% <em>CI</em> [−0.78, −0.06]). No effects were associated with clinical variables.</div></div><div><h3>Conclusions</h3><div>Social cognition in BDD is not broadly impaired, instead showing a pattern of heightened sensitivity to threat cues and difficulties with higher-order inferential reasoning. If replicated, these findings may inform cognitive-behavioural approaches by identifying automatic threat responses and inferential social reasoning as potential therapeutic targets.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"49 ","pages":"Article 101015"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147995370","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":"Effects of modifying interpretation bias on repetitive negative thinking in individuals with elevated obsessive-compulsive symptoms","authors":"Elena Pasanisi ,&nbsp;Rachel White ,&nbsp;Chloe Bowles ,&nbsp;Karina Wahl ,&nbsp;Colette R. Hirsch","doi":"10.1016/j.jocrd.2026.101018","DOIUrl":"10.1016/j.jocrd.2026.101018","url":null,"abstract":"<div><div>Repetitive negative thinking (RNT, e.g., worry and rumination) is a maintaining factor in obsessive-compulsive disorder (OCD). Studies have shown that training people to make fewer negative interpretations of ambiguous scenarios (known as cognitive bias modification training for interpretations or ‘CBM-I’) reduces RNT among individuals with anxiety and depression. This is the first study to investigate the effect of imagery-enhanced CBMI-I on RNT among individuals with elevated obsessive-compulsive (OC) symptoms.</div><div>Individuals scoring above clinical cut-off for OCD were presented with a series of OCD-relevant ambiguous scenarios and either received imagery-enhanced CBM-I training, in which scenarios were resolved positively and participants generated vivid mental images of the positive outcome (N = 25), or an active control condition in which the same scenarios were presented without positive resolution (N = 25). They then completed a measure of interpretation bias and a proxy measure of RNT.</div><div>Individuals in the CBM-I condition generated significantly more positive interpretations following training than those in the control condition. However, this effect did not carry over to the measure of RNT.</div><div>Future research should consider matching CBM-I training to more idiosyncratic obsessional concerns, more intensive training or using alternative measures of RNT, to determine whether interpretation bias maintains RNT in OCD, or if other potential mechanisms are indeed involved.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"49 ","pages":"Article 101018"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147995372","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}