{"title":"Special issue on digital interventions in obsessive-compulsive and related disorders: Editorial and research agenda","authors":"Fanny Alexandra Dietel, Ulrike Buhlmann","doi":"10.1016/j.jocrd.2023.100847","DOIUrl":"https://doi.org/10.1016/j.jocrd.2023.100847","url":null,"abstract":"<div><p>Obsessive-compulsive and related disorders (OCRDs) are prevalent, debilitating, and chronic conditions that often go unrecognized and insufficiently treated, e.g., due to pronounced personal and logistic treatment barriers. Digital mental health interventions (DMHIs), including ecological assessment tools, provide promising pathways in enhancing the diagnosis, treatment, and prevention of OCRDs. However, evaluating DHMIs may also pose distinct challenges that require an iterative approach reaching from theory-informed, evidence-based, user-centered development to standardized and naturalistic investigation. This special issue presents a range of studies illustrating the current potential and limitations of DHMIs in OCRDs, further proposing a research agenda and future directions to advance effective digital care in the field.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134654017","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}
Gail Steketee (Emerita Professor and Dean), Maja Nedeljkovic (Professor), Richard Moulding (Associate Professor)
{"title":"Celebrating the work of Randy O. Frost and Michael Kyrios","authors":"Gail Steketee (Emerita Professor and Dean), Maja Nedeljkovic (Professor), Richard Moulding (Associate Professor)","doi":"10.1016/j.jocrd.2023.100825","DOIUrl":"10.1016/j.jocrd.2023.100825","url":null,"abstract":"","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46390799","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}
Heidi J. Ojalehto , Caitlin M. Pinciotti , Samantha N. Hellberg , Nicholas S. Myers , Chase M. DuBois , Carly S. Rodriguez , Jonathan S. Abramowitz
{"title":"Obsessive-compulsive symptom profiles vary by index trauma type in a trauma-exposed community sample","authors":"Heidi J. Ojalehto , Caitlin M. Pinciotti , Samantha N. Hellberg , Nicholas S. Myers , Chase M. DuBois , Carly S. Rodriguez , Jonathan S. Abramowitz","doi":"10.1016/j.jocrd.2023.100827","DOIUrl":"10.1016/j.jocrd.2023.100827","url":null,"abstract":"<div><p><span><span>Trauma exposure has been associated with the development or worsening of obsessive-compulsive (OC) symptoms and predicts poorer response to treatment for </span>OCD. Although several studies have examined the relationship between OC symptoms and trauma, extant research is limited by a dearth of studies considering both OC symptom dimensions and trauma type, and by a static conceptualization of OC symptoms. Because most individuals experience OC symptoms across dimensions, profiles of OC symptoms would better reflect the dynamic presentation of OC symptoms following trauma exposure. Accordingly, the aim of the present study was to replicate and extend prior work by examining both between-group and within-group how the presentation of OC symptom dimensions varies across several trauma types in a large sample of adults with a history of trauma exposure (</span><em>N</em><span> = 329). Participants were grouped based on the nature of their index trauma and a profile analysis was performed. Significant between-group differences provided evidence that certain types of traumatic events have unique associations with particular OC symptom dimensions. Moreover, unique profiles of OC symptoms characterize survivors of different trauma types, a conceptualization that provides nuance for how survivors present in the real world. Study limitations and implications are discussed.</span></p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48067615","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":"Predictors and moderators of treatment response in cognitive behavioural therapy for body dysmorphic disorder: A systematic review","authors":"E. Hogg , P. Adamopoulos , G. Krebs","doi":"10.1016/j.jocrd.2023.100822","DOIUrl":"https://doi.org/10.1016/j.jocrd.2023.100822","url":null,"abstract":"<div><p><span><span><span><span>Although Cognitive Behavioural Therapy (CBT) is an effective </span>treatment for </span>Body Dysmorphic Disorder<span> (BDD), substantial variability exists in patient responses. The aim of this </span></span>systematic review was to synthesise the emerging literature on predictors and moderators of treatment response in CBT for BDD. EMBASE, MEDLINE®, and PsycINFO databases were systematically searched for studies reporting predictor and/or moderator analyses in samples of individuals with diagnosed BDD who received CBT specifically for this disorder. Methodological quality of included studies was assessed using the methodological index for non-randomised studies (MINORS). The search identified eleven studies, examining 56 predictor variables. Nine variables (e.g. insight, depression, BDD severity) emerged as significant predictors in some but not all studies. No variables were found to </span><em>consistently</em> predict outcome at post-treatment or follow-up. Only one study reported moderator analyses and found no significant effects. In summary, although certain variables, such as insight, depression, and BDD severity, may predict response to CBT for BDD, findings have been inconsistent and common methodological flaws (e.g. inadequate statistical power) reduce the strength of evidence. Further, methodologically-robust research is needed to identify predictors and moderators of responses to CBT for BDD, in order to inform optimisation of CBT and support clinical decision-making.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50173115","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}
David B. Riddle , Andrew Guzick , Abu Minhajuddin , Orri Smárason , Gabrielle M. Armstrong , Holli Slater , Taryn L. Mayes , Lynnel C. Goodman , Denise L. Baughn , Sarah L. Martin , Sarah M. Wakefield , Joseph Blader , Ryan Brown , Silvina Tonarelli , Wayne K. Goodman , Madhukar H. Trivedi , Eric A. Storch
{"title":"Corrigendum to “Obsessive-compulsive disorder in youth and young adults with depression: Clinical characteristics of comorbid presentations” [Journal of Obsessive-Compulsive and Related Disorders 38 (2023) 100820]","authors":"David B. Riddle , Andrew Guzick , Abu Minhajuddin , Orri Smárason , Gabrielle M. Armstrong , Holli Slater , Taryn L. Mayes , Lynnel C. Goodman , Denise L. Baughn , Sarah L. Martin , Sarah M. Wakefield , Joseph Blader , Ryan Brown , Silvina Tonarelli , Wayne K. Goodman , Madhukar H. Trivedi , Eric A. Storch","doi":"10.1016/j.jocrd.2023.100828","DOIUrl":"10.1016/j.jocrd.2023.100828","url":null,"abstract":"","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47284454","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}
Richard Moulding , Maja Nedeljkovic , Sunil Bhar , Jeromy Anglim , Stephanie Fernandez , Michael Kyrios
{"title":"With a little help from my friends: Changes in symptoms, cognitions and self-ambivalence after a group based cognitive-behavioral treatment for obsessive-compulsive disorder","authors":"Richard Moulding , Maja Nedeljkovic , Sunil Bhar , Jeromy Anglim , Stephanie Fernandez , Michael Kyrios","doi":"10.1016/j.jocrd.2023.100823","DOIUrl":"10.1016/j.jocrd.2023.100823","url":null,"abstract":"<div><p><span><span>Obsessive Compulsive Disorder<span> (OCD) is a debilitating illness affecting 2% of the population. Psychological treatments consisting of exposure and response prevention (ERP) and cognitive behavioral based methods are efficacious for most individuals with OCD and have been found to yield long-term positive outcomes. Most research on such outcomes have focused on individual treatment and the outcomes associated with group-based treatments are less well established. Further, the mechanisms that account for outcomes of individual and group based treatments for OCD remain unclear. </span></span>Cognitive theories<span> suggest that changes in cognitive structures including self-related beliefs may account for treatment related changes, yet limited research has empirically examined such suggestions. This study examined the outcomes of a low-intensity 10-session group CBT program for OCD in real-world effectiveness. The final sample consisted of 78 participants (</span></span><em>M = 34.9</em> years, 50% Males), who answered symptom and cognition measures following each session. Overall, using hierarchical linear modelling, it was found that the program was effective in reducing symptoms (modelled fall of 7.64 on the YBOCS). In addition, both OCD-relevant beliefs and self-ambivalence also reduced significantly, and both significantly related to symptom level. Implications are discussed.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44448087","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}
Linda M. Mehrmann , Hunger Antje , Alexander L. Gerlach
{"title":"Efficacy of an internet-based self-help program treating skin picking disorder with a multiple baseline design: A pilot study","authors":"Linda M. Mehrmann , Hunger Antje , Alexander L. Gerlach","doi":"10.1016/j.jocrd.2023.100811","DOIUrl":"10.1016/j.jocrd.2023.100811","url":null,"abstract":"<div><h3>Background</h3><p>People affected by skin picking<span> disorder (SPD) feel a strong urge to manipulate their skin and feel incapable of stopping. First studies on cognitive-behavioral treatments found moderate to large effects on the reduction of symptomatology. We developed an easy to access cognitive-behavioral self-help program and tested its efficacy on SPD.</span></p></div><div><h3>Method</h3><p>The program includes modules on self-awareness, psychoeducation<span>, strategies to control picking and relapse-prevention. In a multiple baseline-design 43 women diagnosed with SPD accessed the online program. Symptomatology was assessed via skin picking scales before, throughout, and after the completion of the intervention. We analyzed the data using a repeated measurement ANOVA and planned contrasts.</span></p></div><div><h3>Results</h3><p>We found significant large effects for skin picking symptom reduction throughout a 6-month follow-up (0.325 ≤ <em>η</em><sub><em>p</em></sub><sup>2</sup> ≤ 0.430) for completers (<em>n</em> = 25). In planned contrasts the significant reduction of symptoms (after baseline self-monitoring) to 6-month follow-up was large (0.281 ≤ <em>η</em><sub><em>p</em></sub><sup>2</sup> ≤ 0.375).</p></div><div><h3>Conclusions</h3><p>With the internet-based self-help program <em>Knibbelstopp</em><span> we implemented an efficacious self-help tool for SPD, which requires further investigation regarding generalizability of this effect. Our self-help program is accessible online and may help to improve the health care situation for German speaking individuals with SPD.</span></p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43563680","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}
Stella Schmotz , Sarah Weidinger , Valentin Markov , Danielle Penney , Steffen Moritz
{"title":"Self-help for body-focused repetitive behaviors: A randomized controlled trial","authors":"Stella Schmotz , Sarah Weidinger , Valentin Markov , Danielle Penney , Steffen Moritz","doi":"10.1016/j.jocrd.2023.100810","DOIUrl":"10.1016/j.jocrd.2023.100810","url":null,"abstract":"<div><p><span>Body-focused repetitive behaviors (BFRBs) are frequent but under-treated </span>psychological disorders<span>. The present study examined efficacy of three behavioral self-help techniques to reduce BFRBs: habit reversal training (HRT), decoupling (DC), and decoupling in sensu (DC-is). A total of 391 participants with BFRBs were randomly assigned to either HRT, DC, DC-is, or to a waitlist control group (WLC). After six weeks, a post assessment was conducted. The Generic Body-Focused Repetitive Behavior Scale-36 (GBS-36) served as the primary outcome. There were significant main effects for improvement in BFRB and depressive symptomatology<span> over time, regardless of group assignment. For all GBS-36 scales, treatment groups showed greater improvement than WLC. DC and DC-is consistently showed greater improvements compared to WLC. According to moderator analyses individuals with more severe symptoms in the HRT and DC-is conditions benefited to a greater extent compared to WLC in terms of BFRB symptomatology. Also, individuals in DC condition with more severe depressive symptomatology showed a better outcome compared to HRT and WLC. Moreover, individuals with trichotillomania benefited more from DC or DC-is than from HRT. Subjective ratings of the techniques were satisfactory and comparable across groups, with DC-is receiving slightly lower subjective ratings. Future research should address the effects of the techniques when combined with psychotherapy. Also, long-term effects should be evaluated.</span></span></p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45897707","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}
Ran Littman , Gal Leibovits , Coral Netzach Halfon , Maya Schonbach , Guy Doron
{"title":"Interpersonal transmission of ROCD symptoms and susceptibility to infidelity in romantic relationships","authors":"Ran Littman , Gal Leibovits , Coral Netzach Halfon , Maya Schonbach , Guy Doron","doi":"10.1016/j.jocrd.2023.100802","DOIUrl":"10.1016/j.jocrd.2023.100802","url":null,"abstract":"<div><p><span><span>Relationship obsessive–compulsive disorder (ROCD) is a disabling presentation of obsessive-compulsive disorder (OCD) centering on close interpersonal relationships. Previous studies focused on the personal consequences of </span>ROCD symptoms. Yet, studies investigating the consequences of ROCD symptoms on one's partner are scarce. In this study, we assessed whether exposure to romantic partners' elevated ROCD symptoms would heighten participants' ROCD symptoms and would increase participants' evaluation of their own and their partners' susceptibility to infidelity. Heterosexual couples (</span><em>N</em><sub>couples</sub> = 50; <em>M</em><sub>age</sub><span> = 25.8) completed self-report questionnaires. One randomly selected partner of each romantic dyad was then randomly allocated to being exposed to information suggesting their partner has low (low-exposure) or high (high-exposure) levels of ROCD symptoms. Results indicated that participants in the high-exposure group showed higher ROCD symptoms than participants in the low-exposure group. Exposure to allegedly elevated levels of partners' ROCD symptoms also led participants to evaluate their own and their partners' susceptibility to infidelity as higher than participants in the low-exposure group, particularly among participants with pre-existing ROCD symptoms. These results illustrate a ‘contagious’ effect of unmediated exposure to partners' ROCD symptoms and its potentially unfavorable consequences. Clinical implications regarding partner involvement in the treatment of ROCD are discussed.</span></p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45330344","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}
Daniel B. Fassnacht , Kathina Ali , Michael Kyrios
{"title":"Extending the cognitive-behavioral model of Body Dysmorphic Disorder: The role of attachment anxiety and self-ambivalence","authors":"Daniel B. Fassnacht , Kathina Ali , Michael Kyrios","doi":"10.1016/j.jocrd.2023.100803","DOIUrl":"10.1016/j.jocrd.2023.100803","url":null,"abstract":"<div><p>This study aimed to extend the cognitive-behavioral model of Body Dysmorphic Disorder<span> (BDD) by exploring the role of insecure attachment and self-ambivalence on the relationship between two specific cognitive factors, namely appearance orientation (seeing the self as an aesthetic object) and appearance evaluation (negative appraisal of internal body image), on levels of BDD severity. A convenience sample of 304 Australian residents (72.4% females) completed online self-report measures; 53% reported clinical or subclinical levels of BDD. Attachment anxiety and self-ambivalence were both associated with BDD severity, as were both cognitive factors. The direct effect of attachment anxiety was no longer significant after controlling for self-ambivalence, appearance orientation and evaluation. However, significant specific indirect effects were found suggesting that individuals who report greater levels of insecure attachment and self-ambivalence exhibit greater appearance orientation and negative appearance evaluation which, in turn, results in higher levels of BDD. The indirect effect through self-ambivalence was strongest suggesting a central role of self in the relationship between attachment anxiety and BDD severity. The current research demonstrates the importance of attachment anxiety and self-ambivalence in the context of BDD and implicates their potential role in treatment; however, further clinical studies are needed.</span></p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45574915","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}