Oskar Kocol , Isaac Sabel , Kiara R. Timpano , Jessica R. Grisham
{"title":"The significance of growing up in a hoarded home: Using natural language processing to examine the experiences of adult children of hoarding parents on Reddit","authors":"Oskar Kocol , Isaac Sabel , Kiara R. Timpano , Jessica R. Grisham","doi":"10.1016/j.jocrd.2025.100938","DOIUrl":"10.1016/j.jocrd.2025.100938","url":null,"abstract":"<div><div>Emerging research suggests individuals who grew up in a hoarded home may face ongoing challenges in life. Yet little is known about the unique struggles and support needs of this vulnerable group. This study aimed to address this gap by analyzing content from a large international community of adult children of hoarding parents (COHP) on Reddit using a two-pronged natural language processing approach. Findings from an open-coding thematic analysis revealed a high prevalence of “vent” and “question” post types on the COHP forums, and a comparison with another subforum indicated that COHP may face some challenges that exceed the normative difficulties that come with caring for elderly parents. Topic modeling suggested that the experiences of COHP could be summarized into eleven main themes, which we labeled 1) unresolved past, 2) present ramifications, 3) hygiene and hazards, 4) own hoarding tendencies, 5) relationship conflict, 6) small victories, 7) crisis-related support, 8) emotional triggers, 9) psychoeducation about hoarding, 10) young adults escaping the cycle, and 11) managing gifts and belongings. Overall, our findings confirm the significant psychological and practical challenges faced by COHP, and lay the groundwork for future research, interventions, and advocacy efforts tailored to this overlooked population.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"44 ","pages":"Article 100938"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395530","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}
Persephone Larkin , Simon B. Sheppard , Christiana Bratiotis , Sheila R. Woody
{"title":"Stigmatizing attitudes and endorsement of coercive interventions for hoarding","authors":"Persephone Larkin , Simon B. Sheppard , Christiana Bratiotis , Sheila R. Woody","doi":"10.1016/j.jocrd.2024.100933","DOIUrl":"10.1016/j.jocrd.2024.100933","url":null,"abstract":"<div><div>Hoarding disorder is a stigmatized condition, but little research has examined the attitudes of professional service providers who encounter hoarding in homes they enter as part of their work. These providers have essential roles in identifying and intervening with hoarding, but the degree to which they hold stigmatizing attitudes has not been studied. Using an online questionnaire, the present study sought to compare hoarding service providers with non-professionals along several dimensions of hoarding stigma: blame, desire for social distance, stereotypes about incompetence, and the endorsement of coercive treatment methods were examined. Overall, members of the professional sample endorsed less blame and desire for social distance from hoarding clients. However, the samples did not differ in beliefs about the incompetence of hoarding clients or endorsement of coercive methods in hoarding interventions. Stigmatizing attitudes about mental illness in general consistently predicted hoarding stigma in both samples. Providers who expressed more professional confidence in working with hoarding endorsed less blaming attitudes and less desire for social distance, but providers who work in more enforcement-oriented roles endorsed desire for more social distance from hoarding clients. This study provides a first glimpse at hoarding-related stigma among professional service providers, and further insight into the general public's perception of hoarding relative to other mental illnesses. Findings about the predictors of hoarding stigma provide potential directions for anti-stigma interventions.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"44 ","pages":"Article 100933"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159041","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}
Emily K. Juel , Kate Rogers , Sandra Hadlock , Nicholas S. Myers , Joseph B. Friedman , Maya E. Tadross , Jonathan S. Abramowitz
{"title":"An effectiveness study of intensive outpatient treatment for OCD","authors":"Emily K. Juel , Kate Rogers , Sandra Hadlock , Nicholas S. Myers , Joseph B. Friedman , Maya E. Tadross , Jonathan S. Abramowitz","doi":"10.1016/j.jocrd.2024.100931","DOIUrl":"10.1016/j.jocrd.2024.100931","url":null,"abstract":"<div><div>While obsessive-compulsive disorder (OCD) is often responsive to treatments like serotonin reuptake inhibitors (SRIs) and cognitive-behavioral therapy (CBT) with exposure and response prevention (ERP), many patients remain unresponsive or relapse after discontinuation. Intensive outpatient programs (IOPs) offer a solution for those needing more support than standard outpatient care, but not requiring the extensive supervision of residential treatment. The present effectiveness study evaluated the outcome of an IOP delivered to a large sample of adults and children with OCD in-person and via telehealth. Results indicated substantial symptom reduction (over 50%) in both formats. Greater baseline severity predicted greater improvement, but no other variables moderated the effects of treatment. These findings demonstrate the effectiveness of IOPs in providing substantial symptom relief for individuals with OCD in both in-person and telehealth formats. Implications for bridging the science-practice gap are discussed.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"44 ","pages":"Article 100931"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159572","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 Puccinelli , Karen Rowa , Andrew M. Scott , Laura J. Summerfeldt , Randi E. McCabe
{"title":"Phenomenology of incompleteness and harm avoidance in obsessive-compulsive disorder: An experience sampling study","authors":"Christina Puccinelli , Karen Rowa , Andrew M. Scott , Laura J. Summerfeldt , Randi E. McCabe","doi":"10.1016/j.jocrd.2025.100935","DOIUrl":"10.1016/j.jocrd.2025.100935","url":null,"abstract":"<div><div>This study used experience sampling methodology to explore the phenomenology of the core motivations in obsessive-compulsive disorder (OCD), harm avoidance (HA) and incompleteness (INC), and their influence on the experience of OCD. Fifty participants with a primary OCD diagnosis completed four questionnaires daily for five days about a recent obsessive-compulsive experience and its underlying motivations. A cluster analysis revealed four motivation profiles: high HA/INC, moderate HA/INC, high HA/low INC, and high INC/low HA, with most individuals endorsing a blend of both motivations. On average participants’, HA and INC were stable across the study period. However, participants varied in how their scores changed over time, suggesting potential state-level fluctuations. Both motivations were associated with the interpretation of long-lasting distress related to a particular obsessive-compulsive experience, HA predicted increased beliefs of future harm, and INC was associated with reduced beliefs that the experience meant something negative about themselves. Behaviourally, HA was associated with avoidance, reassurance seeking, and thought suppression, whereas INC was associated with compulsions and reduced likelihood of doing nothing. HA and INC both contribute to how OCD is experienced, although they appear to do so through distinct cognitive and behavioural pathways, offering potential targets for tailored interventions.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"44 ","pages":"Article 100935"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159527","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}
Fiona C. Ball , Anna M. White , Johanna A. Younce , Kevin D. Wu
{"title":"Factor structure and measurement invariance of the Penn Inventory of Scrupulosity-Revised (PIOS-R) across Christian, Jewish, and Muslim groups","authors":"Fiona C. Ball , Anna M. White , Johanna A. Younce , Kevin D. Wu","doi":"10.1016/j.jocrd.2024.100930","DOIUrl":"10.1016/j.jocrd.2024.100930","url":null,"abstract":"<div><div>The revised Penn Inventory of Scrupulosity (PIOS-R) is widely used. Support for its factor structure is mixed across either a two-factor or a bifactor model. Normed on a primarily Christian sample, researchers use the PIOS-R to examine scrupulosity across religious groups. This study's primary aims were to clarify the PIOS-R's factor structure in a religiously diverse sample and determine whether the PIOS-R shows measurement invariance across religious groups. A secondary aim was to evaluate psychometric properties. U.S. participants (<em>N</em> = 718) who self-reported as Christian, Jewish, or Muslim were recruited using MTurk. Multiple group CFA indicated that a two-factor solution comprised of Fear of God (FOG) and Fear of Sin (FOS) provided the best-fitting model. Configural, metric, and scalar invariance held across religious groups. Internal consistency was strong for the full scale (<em>ω</em><sub>t</sub> = .96) and both FOS (<em>ω</em><sub>t</sub> = .95) and FOG (<em>ω</em><sub>t</sub> = .92) subscales. The PIOS-R was more strongly correlated with DOCS Scrupulosity (<em>r</em> = .71) than with DASS-21 Depression (<em>r</em> = .58), DASS-21 Anxiety (<em>r</em> = .66), or a measure of religiosity (SCSRFQ; <em>r</em> = .36), supporting relative discriminant validity. The PIOS-R appears appropriate for assessing scrupulosity within and among these religious groups.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"44 ","pages":"Article 100930"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159571","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}
Karen Rowa , Andrew Scott , Eric A. Storch , Wayne K. Goodman , Randi E. McCabe , Martin M. Antony
{"title":"Psychometric properties of the Yale-Brown obsessive-compulsive scale, second edition, self-report (Y-BOCS-II-SR)","authors":"Karen Rowa , Andrew Scott , Eric A. Storch , Wayne K. Goodman , Randi E. McCabe , Martin M. Antony","doi":"10.1016/j.jocrd.2024.100932","DOIUrl":"10.1016/j.jocrd.2024.100932","url":null,"abstract":"<div><div>The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) is the gold-standard tool for measuring obsessive compulsive symptom severity. An updated second edition was introduced to address limitations of the original instrument, with both clinician-administered and self-report versions. No published studies have examined the psychometric properties of the self-report version, which is the purpose of the current study. Individuals with a diagnosis of obsessive-compulsive disorder (OCD, <em>N</em> = 67) completed the clinician-administered and self-report Y-BOCS-II, as well as a number of other self-report measures assessing obsessive-compulsive symptoms, depression, and impairment from symptoms in a counterbalanced order. Results suggest an internally consistent measure (α = .90) that has strong convergent validity with measures of OCD symptoms including the clinician-rated Y-BOCS-II, but only moderate correlations with the Obsessive-Compulsive Inventory-Revised. The self-report version also demonstrated fair discriminant validity. A reliable change index of 8 was found for this measure, which was associated with a large effect size following cognitive-behavioral therapy for OCD. Limitations include a predominantly White and female sample. The self-report version of the Y-BOCS-II appears to be a psychometrically reasonable measure for use with individuals with OCD though its ability to discriminate OCD from other disorders characterized by anxiety or depression requires further study.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"44 ","pages":"Article 100932"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159570","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}
Keong Yap , Kiara R. Timpano , Simone Isemann , Jeanette Svehla , Jessica R. Grisham
{"title":"Corrigendum to “High levels of loneliness in people with hoarding disorder” [Journal of Obsessive Compulsive and Related Disorders (2023), Volume 37,Article Number 100806]","authors":"Keong Yap , Kiara R. Timpano , Simone Isemann , Jeanette Svehla , Jessica R. Grisham","doi":"10.1016/j.jocrd.2024.100917","DOIUrl":"10.1016/j.jocrd.2024.100917","url":null,"abstract":"","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"43 ","pages":"Article 100917"},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142757464","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":"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":"43 ","pages":"Article 100914"},"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":"43 ","pages":"Article 100915"},"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":"43 ","pages":"Article 100913"},"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}