Journal of Obsessive-Compulsive and Related Disorders最新文献_第3页

The scrupulosity obsessions and compulsions scale: A measurement of scrupulosity within an OCD framework 忌惮强迫症量表：在强迫症框架内测量忌惮心理

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2024-10-01 DOI: 10.1016/j.jocrd.2024.100918

David A.L. Johnson , Nicholas C. Borgogna , Paul B. Ingram , Craig Warlick , Samuel D. Spencer , Callie E. Mims , Kiana L. Bunnell , Jared A. Nielsen

{"title":"The scrupulosity obsessions and compulsions scale: A measurement of scrupulosity within an OCD framework","authors":"David A.L. Johnson , Nicholas C. Borgogna , Paul B. Ingram , Craig Warlick , Samuel D. Spencer , Callie E. Mims , Kiana L. Bunnell , Jared A. Nielsen","doi":"10.1016/j.jocrd.2024.100918","DOIUrl":"10.1016/j.jocrd.2024.100918","url":null,"abstract":"<div><div>Scrupulosity is a psychological construct defined by intrusive thoughts and compulsive behaviors centered on religion or morality. Scrupulosity, in its severe form, may manifest as obsessive-compulsive disorder, and is related to negative outcomes. There are relatively few scales measuring scrupulosity; those that exist have serious limitations. This study addresses these limitations by creating and psychometrically validating the new Scrupulosity Obsessions and Compulsions Scale (SOCS). To determine final items, an exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted using university (<em>n</em> = 1345) and community (<em>n</em> = 496) samples and scale forms were assessed for concurrent, convergent, discriminant, and incremental validity. The initial EFA resulted in 10 items, consisting of one factor of compulsion items and one factor of obsession items. These 10 items accounted for 59.87% of the common variance, and a bifactor model demonstrated acceptable fit (χ<sup>2</sup>(25) = 113.495, <em>p</em> < .001, CFI = .978, TLI = .960, RMSEA = .051 (90% CI [.042, .061]), and SRMR = .027). The SOCS demonstrated evidence of concurrent, convergent, discriminant, and incremental validity with relation to scrupulosity, OCD, anxiety, religiosity, and male role norms. Both subscales met reliability standards <em>α</em> = .85 and <em>α</em> = .83. The SOCS provides a concise method to measure scrupulosity's nature.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"43 ","pages":"Article 100918"},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705843","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

Measuring incompleteness and not just right experiences: A psychometric evaluation of two commonly used questionnaires in OCD and anxiety disorders samples 测量不完整性，而不仅仅是正确体验：对强迫症和焦虑症样本中两种常用问卷的心理计量学评估

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2024-10-01 DOI: 10.1016/j.jocrd.2024.100916

Christina Puccinelli , Karen Rowa , Laura J. Summerfeldt , Randi E. McCabe

{"title":"Measuring incompleteness and not just right experiences: A psychometric evaluation of two commonly used questionnaires in OCD and anxiety disorders samples","authors":"Christina Puccinelli , Karen Rowa , Laura J. Summerfeldt , Randi E. McCabe","doi":"10.1016/j.jocrd.2024.100916","DOIUrl":"10.1016/j.jocrd.2024.100916","url":null,"abstract":"<div><div>Extending previous research, this study examined the psychometric properties of two commonly used self-report measures of incompleteness (INC) and not-just-right experiences (NJREs), the Obsessive-Compulsive Trait Core Dimensions Questionnaire (OC-TCDQ; Summerfeldt et al., 2014) and the Not Just Right Experiences Questionnaire - Revised (NJRE-QR; Coles et al., 2003) in large samples of individuals with OCD and anxiety disorders. Factor analyses indicated adequate support for a two-factor solution for the OC-TCDQ and a one-factor solution for the NJRE-QR. Both measures demonstrated excellent internal consistency and good-to-excellent test-retest reliability. We found good convergent validity between the measures of interest and with an OCD symptom severity measure. Discriminant validity was evidenced by a significantly stronger correlation between INC and NJRE severity than the relatively modest correlations with theoretically distinct constructs (i.e., harm avoidance and general distress). Individuals with OCD had a similar number of NJREs as individuals with anxiety disorders but reported significantly greater NJRE distress and levels of INC. Finally, both measures were sensitive to change across group cognitive-behavioural therapy for OCD. These findings provide support for the reliability and validity of the OC-TCDQ and NJRE-QR to measure INC (trait) and NJRE (state) constructs that assist in understanding the phenomenology of OCD.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"43 ","pages":"Article 100916"},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142662476","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

Group metacognitive therapy for pediatric obsessive-compulsive disorder: A pilot study 治疗小儿强迫症的团体元认知疗法：试点研究

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2024-09-19 DOI: 10.1016/j.jocrd.2024.100912

Marie Louise Reinholdt-Dunne , Marie Tolstrup , Kira Svenstrup , Odin Hjemdal , Henrik Nordahl

{"title":"Group metacognitive therapy for pediatric obsessive-compulsive disorder: A pilot study","authors":"Marie Louise Reinholdt-Dunne , Marie Tolstrup , Kira Svenstrup , Odin Hjemdal , Henrik Nordahl","doi":"10.1016/j.jocrd.2024.100912","DOIUrl":"10.1016/j.jocrd.2024.100912","url":null,"abstract":"<div><div>Cognitive-behavioral therapy including exposure and response prevention is the first-line treatment of pediatric OCD showing response- and remission rates around 70% and 53%. Thus, there is room for improvements. Metacognitive therapy (MCT) for OCD might be cost-effective and focuses on modifying metacognitive beliefs about the significance and dangerousness of intrusive thoughts/feelings, and about the need to perform rituals. MCT is effective in adults but needs to be evaluated in youths. In the current study, eleven adolescents divided in three groups received eight MCT group sessions of 75 min duration (and two 60 min workshop for parents) delivered by an MCT-therapist and an assistant. The within-group effect size (hedges g) from pre-to post-treatment on the CY-BOCS was 1.90, and the response and remission rates were 82% and 55%, respectively. Effect sizes for secondary outcomes were also large. Therapist time (one certified MCT-therapist and a clinical psychology student working together) used per patient to achieve these results were 2.18 therapy sessions of 75-min duration in addition to 33 min therapist time per patient of workshops for the parents. Follow-up assessments were not available, and the results should be interpreted with caution. However, they are encouraging and suggest that MCT for pediatric OCD should be evaluated further.</div></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"43 ","pages":"Article 100912"},"PeriodicalIF":1.9,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142319070","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

The scientific status of safety behaviors in body dysmorphic disorder 身体畸形障碍患者安全行为的科学现状

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2024-09-17 DOI: 10.1016/j.jocrd.2024.100911

Tapan A. Patel , Berta J. Summers , Jesse R. Cougle

引用次数: 0

Patterns of hair pulling in trichotillomania: An ecological momentary assessment study 拔毛症患者的拔毛模式：生态学瞬间评估研究

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2024-09-11 DOI: 10.1016/j.jocrd.2024.100910

Christina Gallinat , Markus Moessner , Maximilian Wilhelm , Nancy J. Keuthen , Stephanie Bauer

{"title":"Patterns of hair pulling in trichotillomania: An ecological momentary assessment study","authors":"Christina Gallinat , Markus Moessner , Maximilian Wilhelm , Nancy J. Keuthen , Stephanie Bauer","doi":"10.1016/j.jocrd.2024.100910","DOIUrl":"10.1016/j.jocrd.2024.100910","url":null,"abstract":"<div><p>Trichotillomania (TTM) research lacks an ecologically valid phenomenological description despite increasing research efforts. Previous studies primarily rely on retrospective cross-sectional data, emphasizing the need for longitudinal high-frequency assessments to capture the variability of hair pulling.</p><p>The objective of this study was to describe hair pulling patterns and episode characteristics by means of ecological momentary assessment (EMA), and to compare those parameters between focused and automatic episodes.</p><p>Study procedures included an online screening, a diagnostic interview via telephone, a comprehensive self-report questionnaire and a 10-day EMA-protocol (7 EMAs/day).</p><p>Data from 61 individuals who met diagnostic criteria for TTM (age: <em>M</em> = 29.3, <em>SD</em> = 7.47; 92% female) were analyzed (3948 EMAs; 1217 episodes). Participants reported a mean number of 2.00 (<em>SD</em> = 2.31; range: 0–4.9) episodes per day. One third did not report any days without episodes. Hair pulling showed a relatively even distribution throughout the day. Most prominent triggers were tension and visual/tactile cues. The latter were more relevant in focused episodes, whereas “habit/routine” scored higher in automatic episodes.</p><p>The results suggest that hair pulling occurs not sporadic but is rather present in daily life. Using real-time data from a clinical sample, the study enhances our comprehension of the phenomenology of TTM which may ultimately advance TTM research.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"43 ","pages":"Article 100910"},"PeriodicalIF":1.9,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142232315","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

Assessing factors of adherence and efficacy: A randomized controlled trial of a fully automated self-help A-EBT website 评估依从性和有效性因素：全自动自助 A-EBT 网站随机对照试验

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2024-09-07 DOI: 10.1016/j.jocrd.2024.100908

Leila K. Capel, Emily M. Bowers, McKenzie R. Becker, Marisa P. Davis, Michael E. Levin, Michael P. Twohig

{"title":"Assessing factors of adherence and efficacy: A randomized controlled trial of a fully automated self-help A-EBT website","authors":"Leila K. Capel, Emily M. Bowers, McKenzie R. Becker, Marisa P. Davis, Michael E. Levin, Michael P. Twohig","doi":"10.1016/j.jocrd.2024.100908","DOIUrl":"10.1016/j.jocrd.2024.100908","url":null,"abstract":"<div><p>Treatment for trichotillomania is notably limited, preventing suffering individuals from having access to treatment. To address this need, researchers have developed and tested asynchronous online interventions for adults with trichotillomania. A factor that may impact the efficacy of these programs is the use of phone check-ins (or similar coaching support) to improve treatment adherence in website treatment delivery. In the current study we evaluated the role of check-ins on treatment adherence and efficacy of a website delivering acceptance and commitment therapy-enhanced behavior therapy (A-EBT). A sample of 101 adults with trichotillomania were randomly assigned to an A-EBT web-based intervention with or without phone check-in support. Adherence to the web-based program was not significantly improved by check-ins and treatment outcomes did not vary by condition (with or without check-ins). However, adherence to the program across conditions, did predict treatment outcomes. The program was found to be effective at decreasing trichotillomania symptom severity and improving trichotillomania specific psychological inflexibility over time across check-in conditions. Our findings suggest that check-ins did not improve adherence to or efficacy of the program, thus supporting recent literature suggesting that check-ins do not necessarily improve program adherence.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"43 ","pages":"Article 100908"},"PeriodicalIF":1.9,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164001","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

Efficacy and feasibility of web-based ACT-Enhanced behavioral treatment for skin picking in adults: A randomized waitlist-controlled trial 基于网络的 ACT 增强行为疗法治疗成人皮肤搔痒的有效性和可行性：随机候选对照试验

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2024-09-06 DOI: 10.1016/j.jocrd.2024.100909

Emily M. Bowers, Leila K. Capel, Mercedes G. Woolley, Aubry Barnes, Michael P. Twohig, Michael E. Levin

{"title":"Efficacy and feasibility of web-based ACT-Enhanced behavioral treatment for skin picking in adults: A randomized waitlist-controlled trial","authors":"Emily M. Bowers, Leila K. Capel, Mercedes G. Woolley, Aubry Barnes, Michael P. Twohig, Michael E. Levin","doi":"10.1016/j.jocrd.2024.100909","DOIUrl":"10.1016/j.jocrd.2024.100909","url":null,"abstract":"<div><p>Skin picking disorder is a chronic repetitive condition that impacts daily functioning and causes significant distress. Acceptance and commitment therapy (ACT) enhanced behavioral training (A-EBT) has shown promise in targeting skin picking symptoms but is not widely disseminated among providers. This study examines the efficacy and feasibility of an eight-week fully-automated online A-EBT program for skin picking disorder. Participants with skin picking disorder (<em>N</em> = 84) were randomized into either an online intervention (<em>n</em> = 43) or a waitlist control (<em>n</em> = 41). All participants completed self-report assessments at baseline, mid-, post-intervention, and 1-month follow-up. Analyses used multilevel linear modeling with the full intent-to-treat sample. Results demonstrated statistically stronger improvements from baseline to 1-month follow-up in the intervention condition compared to waitlist for skin picking symptoms (SMD = 0.90), skin picking-related psychological flexibility (SMD = −0.82), and well-being (SMD = −0.31), with no significant effects on distress. Treatment effects were maintained at one-month follow-up, with 29.0% of intervention participants meeting responder status, compared to 0.1% of waitlist participants. High usability and acceptability scores provide preliminary evidence of its feasibility as a fully automated intervention. These findings suggest an automated online A-EBT program may be an effective and scalable treatment for individuals with skin picking disorder.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"43 ","pages":"Article 100909"},"PeriodicalIF":1.9,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164091","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

Psychometric properties of common self-report measures for obsessive-compulsive disorder in sexual and gender minorities 性少数群体和性别少数群体强迫症常见自我报告测量的心理计量特性

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2024-08-31 DOI: 10.1016/j.jocrd.2024.100907

Caitlin M. Pinciotti , Ace A. Castillo , Brian A. Feinstein , Lauren P. Wadsworth , Jonathan S. Abramowitz , Bradley C. Riemann , Wayne K. Goodman , Eric A. Storch

{"title":"Psychometric properties of common self-report measures for obsessive-compulsive disorder in sexual and gender minorities","authors":"Caitlin M. Pinciotti , Ace A. Castillo , Brian A. Feinstein , Lauren P. Wadsworth , Jonathan S. Abramowitz , Bradley C. Riemann , Wayne K. Goodman , Eric A. Storch","doi":"10.1016/j.jocrd.2024.100907","DOIUrl":"10.1016/j.jocrd.2024.100907","url":null,"abstract":"<div><p>Prevalence of obsessive-compulsive disorder (OCD) appears to be higher in sexual and gender minority (SGM) individuals compared to cisgender, heterosexual individuals. Although existing self-report measures for OCD (i.e., Yale Brown Obsessive Compulsive Scale Self-Report-II-Self Report [Y-BOCS-II-SR], Dimensional Obsessive Compulsive Scale [DOCS], and Obsessive Beliefs Questionnaire-Short Form [OBQ-SF]) have demonstrated strong psychometric properties in prior samples, these studies have not reported the proportion of SGM individuals in their samples. Thus, it remains unclear how these measures perform when used with SGM individuals. Accordingly, the psychometric properties of the Y-BOCS-II-SR, DOCS, and OBQ-SF were examined in a sample of 318 sexual minority (98.4%) and gender minority (33.8%) adults with self-reported OCD (<em>M</em>age = 27.5 years; 87.4% female sex at birth; 93.4% white). Replicating prior research, these measures demonstrated consistent response patterns and strong factor structures and loadings, internal consistency, and convergent validity. Overall, these measures appear to be psychometrically sound when used with SGM individuals, and the few psychometric weaknesses found in the present study parallel those found in other samples, suggesting that they are not specific to use with SGM individuals. Findings support that the Y-BOCS-II- SR, DOCS, and OBQ- SF can be accurately used and interpreted in samples that are comprised of SGM individuals.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"43 ","pages":"Article 100907"},"PeriodicalIF":1.9,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142172547","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

The link between hoarding symptoms and interpersonal difficulties during the COVID-19 pandemic COVID-19 大流行期间囤积症状与人际交往障碍之间的联系

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2024-08-27 DOI: 10.1016/j.jocrd.2024.100899

Hannah C. Broos , Madeline L. Kushner , Caitlin A. Stamatis , Kiara R. Timpano

{"title":"The link between hoarding symptoms and interpersonal difficulties during the COVID-19 pandemic","authors":"Hannah C. Broos , Madeline L. Kushner , Caitlin A. Stamatis , Kiara R. Timpano","doi":"10.1016/j.jocrd.2024.100899","DOIUrl":"10.1016/j.jocrd.2024.100899","url":null,"abstract":"<div><p>Hoarding is characterized by difficulties discarding, clutter, and excessive acquiring. Disruptions in interpersonal attachment and associated interpersonal difficulties have been implicated in the development and maintenance of hoarding; however, limited research has investigated the link between interpersonal functioning and hoarding. The current study examined the association between hoarding symptoms and multiple interpersonal factors in young adults during the COVID-19 pandemic. Participants (<em>N</em> = 137) completed an online survey in Spring 2020 which included measures of perceived social support, thwarted belongingness, depression, and hoarding symptoms, including difficulties discarding and acquiring. Participants also completed an ecological momentary assessment protocol where they provided daily ratings of connectedness. At a basic level, both difficulties discarding and acquiring symptoms were correlated with greater thwarted belongingness and lower social support. These associations remained significant even after controlling for depression, with the exception of the relationship between difficulty discarding and thwarted belongingness. Greater acquiring was also associated with greater variability in daily connectedness. This study is the first to demonstrate a unique relationship between hoarding symptoms and multiple interpersonal factors, controlling for depression. Our findings suggest that interpersonal functioning is a potential mechanism underlying hoarding. Clinically, addressing interpersonal difficulties may improve the efficacy of current treatments for hoarding disorder.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"43 ","pages":"Article 100899"},"PeriodicalIF":1.9,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142097892","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

“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 "我现在不怕和孩子独处了"：父母对在线自我指导认知干预的体验，用于治疗不想要的伤害孩子的侵入性想法

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2024-08-22 DOI: 10.1016/j.jocrd.2024.100897

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":"43 ","pages":"Article 100897"},"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}

引用次数: 0