Journal of Obsessive-Compulsive and Related Disorders最新文献_第7页

Stigmatizing attitudes and endorsement of coercive interventions for hoarding 对囤积的污名化态度和强制干预的认可

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2025-01-01 Epub Date: 2024-12-09 DOI: 10.1016/j.jocrd.2024.100933

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}

引用次数: 0

An effectiveness study of intensive outpatient treatment for OCD 强迫症强化门诊治疗的有效性研究

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2025-01-01 Epub Date: 2024-12-06 DOI: 10.1016/j.jocrd.2024.100931

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}

引用次数: 0

Phenomenology of incompleteness and harm avoidance in obsessive-compulsive disorder: An experience sampling study 强迫症的不完全性现象学与伤害回避：经验抽样研究

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2025-01-01 Epub Date: 2025-01-13 DOI: 10.1016/j.jocrd.2025.100935

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}

引用次数: 0

Factor structure and measurement invariance of the Penn Inventory of Scrupulosity-Revised (PIOS-R) across Christian, Jewish, and Muslim groups 基督教、犹太教和穆斯林群体的Penn审慎性量表（PIOS-R）的因素结构和测量不变性

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2025-01-01 Epub Date: 2024-12-04 DOI: 10.1016/j.jocrd.2024.100930

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}

引用次数: 0

Psychometric properties of the Yale-Brown obsessive-compulsive scale, second edition, self-report (Y-BOCS-II-SR) 耶鲁-布朗强迫症量表（第二版）自我报告的心理测量特征

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2025-01-01 Epub Date: 2024-12-15 DOI: 10.1016/j.jocrd.2024.100932

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}

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 : 2024-10-01 Epub 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 : 2024-10-01 Epub 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":"2024-10-01","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

“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 : 2024-10-01 Epub 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":"2024-10-01","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

Corrigendum to “High levels of loneliness in people with hoarding disorder” [Journal of Obsessive Compulsive and Related Disorders (2023), Volume 37,Article Number 100806] “囤积症患者的高度孤独感”的勘误表[《强迫症及相关疾病杂志》（2023），第37卷，文章号100806]

IF 1.9 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2024-10-01 Epub Date: 2024-11-26 DOI: 10.1016/j.jocrd.2024.100917

Keong Yap , Kiara R. Timpano , Simone Isemann , Jeanette Svehla , Jessica R. Grisham

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 : 2024-10-01 Epub 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":"2024-10-01","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