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":"38 ","pages":"Article 100828"},"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":"38 ","pages":"Article 100823"},"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}
Yiqing Fan , Jane L. Eisen , Steven A. Rasmussen , Christina L. Boisseau
{"title":"The relationship between obsessive-compulsive disorder symptom subtypes and social adjustment","authors":"Yiqing Fan , Jane L. Eisen , Steven A. Rasmussen , Christina L. Boisseau","doi":"10.1016/j.jocrd.2023.100826","DOIUrl":"10.1016/j.jocrd.2023.100826","url":null,"abstract":"<div><h3>Background</h3><p>Although it has been widely established that poor social functioning is a characteristic of obsessive-compulsive disorder (OCD), little research has examined the relationship between OCD symptom subtypes and domains of social functioning. Thus, the present study sought to examine the specific ways in which impairment in social adjustment occurs in each symptom subtype of OCD.</p></div><div><h3>Methods</h3><p>A total of 325 adult participants with a primary diagnosis of OCD were included in the study. Hierarchical linear regressions were used to compare the extent to which OCD symptom subtypes predicted social adjustment domains after controlling for OCD and depression severity.</p></div><div><h3>Results</h3><p>Hoarding was shown to be significantly associated with work functioning. Whereas both contamination and symmetry subtypes were significantly associated with social functioning, only the contamination subtype was associated with functioning within the family unit. The symptom subtypes of doubt and taboo thoughts were not significantly associated with any domains of social adjustment.</p></div><div><h3>Conclusion</h3><p>Consistent with previous research, our results suggest a differential impact of OCD symptom subtypes on social adjustment. They offer important implications for the specific domains to target in treatment for different symptom subtypes.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"38 ","pages":"Article 100826"},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10399149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9962101","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}
Danielle Dennis , Eleanor McGlinchey , Michael G. Wheaton
{"title":"The perceived long-term impact of COVID-19 on OCD symptomology","authors":"Danielle Dennis , Eleanor McGlinchey , Michael G. Wheaton","doi":"10.1016/j.jocrd.2023.100812","DOIUrl":"10.1016/j.jocrd.2023.100812","url":null,"abstract":"<div><p><span>A pandemic outbreak can lead to excessive, maladaptive levels of anxiety, particularly among individuals who already suffer from obsessive-compulsive disorder (OCD). The Coronavirus Disease 2019 (COVID-19) provided a novel opportunity to examine the possibility that individuals with OCD, compared to those without OCD, might experience greater distress from this common stressor. The present study examined the lasting effects of COVID-19 in the year after the outbreak. Additionally, there is limited research regarding the stability of OCD dimensions; therefore, this study examined whether the COVID-19 pandemic impacted the stability of OCD dimensions. One hundred and forty-three adults who reported they had been diagnosed with OCD and ninety-eight adults without OCD, completed an online survey assessing the impact the COVID-19 pandemic had on symptoms of OCD in the year after the initial outbreak. The OCD group showed greater concern about the pandemic and greater concern about future pandemics compared to the comparison group. In addition, COVID-19 related distress differentially related to </span>OCD symptoms dimensions, showing the strongest association with the contamination dimension. Lastly, results showed that many individuals reported that their OCD dimension shifted to obsessions about COVID-19 from their pre-existing OCD dimension.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"38 ","pages":"Article 100812"},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10239286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9653184","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}
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":"38 ","pages":"Article 100811"},"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":"38 ","pages":"Article 100810"},"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}
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":"Obsessive-compulsive disorder in youth and young adults with depression: Clinical characteristics of comorbid presentations","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.2023.100820","DOIUrl":"10.1016/j.jocrd.2023.100820","url":null,"abstract":"<div><p>Obsessive-compulsive disorder (OCD), anxiety disorders, and depressive disorders are highly comorbid, and each contribute to significant functional impairment for affected youth. Comorbid anxiety disorders in depressed youth have been associated with greater depressive symptom severity and impairment, but the impact of comorbid OCD in this population remains unclear. Accordingly, the present study examined the differential clinical characteristics of youth with depression and comorbid OCD relative to age/gender matched depressed youth with no such comorbidity and to those with depression and a comorbid (non-OCD) anxiety disorder. A sample of 797 youth and young adults ages 8–20 years who met diagnostic criteria for depression alone, depression with co-occurring OCD or any anxiety disorder were included in the present study. Rates of comorbid anxiety and OCD were very high (60.5% and 15.5%, respectively). Relative to youth with only depression, depressed youth with comorbid OCD or anxiety had greater severity of depression, suicidality, and overall impairment in social, physical, and emotional functioning. These results highlight the contribution of OCD or anxiety comorbidity in more complex clinical presentations for depressed youth.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"38 ","pages":"Article 100820"},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10373162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9916602","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}
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":"37 ","pages":"Article 100802"},"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":"37 ","pages":"Article 100803"},"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}
David D.J. Cooper, Gordana Popovic, Jessica R. Grisham
{"title":"A novel experimental investigation of online imagery rescripting for obsessive-compulsive prospective imagery","authors":"David D.J. Cooper, Gordana Popovic, Jessica R. Grisham","doi":"10.1016/j.jocrd.2023.100799","DOIUrl":"10.1016/j.jocrd.2023.100799","url":null,"abstract":"<div><p>Emerging evidence suggests that rescripting intrusive mental imagery may reduce OCD symptoms. We tested whether a similar process could be adapted to an online experimental format. Amazon mTurk workers high in OCD traits (<em>n</em> = 198) were asked to identify OCD-related imagery of the future. They were then randomised to one of three audio-guided imagery conditions: rescripting, exposure, or a distracting control. We found that self-appraisals improved across all three conditions. Participants in the rescripting condition also reported greater reductions in aversive emotions, the vividness of their imagery, and their urge to neutralise the imagery, compared to those in the exposure condition. Results from the control condition were consistent with distraction. These experimental findings suggest that imagery rescripting in a standardised audio-guided format may facilitate emotional processing. Suggestions to improve on methodological limitations are discussed.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"37 ","pages":"Article 100799"},"PeriodicalIF":1.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46506790","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}