Journal of Obsessive-Compulsive and Related Disorders最新文献_第8页

The efficacy and feasibility of a fully automated, web-based acceptance-enhanced behavioral treatment for trichotillomania in adults: A randomized waitlist-controlled trial 一种完全自动化的、基于网络的接受增强行为治疗成人拔毛癖的有效性和可行性:一项随机候补对照试验

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-04-01 DOI: 10.1016/j.jocrd.2023.100800

Leila K. Capel, Julie M. Petersen, McKenzie R. Becker, Michael E. Levin, Michael P. Twohig

{"title":"The efficacy and feasibility of a fully automated, web-based acceptance-enhanced behavioral treatment for trichotillomania in adults: A randomized waitlist-controlled trial","authors":"Leila K. Capel, Julie M. Petersen, McKenzie R. Becker, Michael E. Levin, Michael P. Twohig","doi":"10.1016/j.jocrd.2023.100800","DOIUrl":"10.1016/j.jocrd.2023.100800","url":null,"abstract":"<div><p><span>Treatment access for those with </span>trichotillomania<span><span> is limited by several issues including professionals’ lack of knowledge of the disorder, proximity to providers, and financial constraints. Acceptance-enhanced behavioral therapy (AEBT) has been implemented in groups and using telehealth to reach a larger population. However, these methods still require </span>therapist time and incur notable costs. This study aimed to address the gap in trichotillomania treatment accessibility by examining the feasibility and efficacy of a self-guided, web-based AEBT treatment for adults with trichotillomania across the United States. Participants completed an eight-module asynchronous program over eight weeks. The effects of the website were tested with 81 adults with trichotillomania randomized into a treatment and waitlist condition. Results demonstrated statistically stronger decreases in the treatment condition over the waitlist condition across outcomes including trichotillomania symptoms severity, trichotillomania-related psychological flexibility, well-being, total distress, depression, and stress. Treatment effects were maintained at one month follow-up. Anxiety did not significantly decrease between conditions, but a significant decrease was found across time. Of participants in the treatment condition, 52.8% (vs 15% for waitlist) met treatment responder status from pre-to post-treatment and 30.5% (vs 10% for waitlist) met responder status from pre-treatment to follow-up. Implications of these preliminary findings 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":"47565103","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: 4

Are student cohorts with psychopathology representative of general clinical populations? The case for OCD 有精神病理的学生群体是否代表一般临床人群?强迫症的案例

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-04-01 DOI: 10.1016/j.jocrd.2023.100807

Amitai Abramovitch , Anthony Robinson , Matthew J. Buckley , Demet Çek , Laura de Putter , Kiara R. Timpano

{"title":"Are student cohorts with psychopathology representative of general clinical populations? The case for OCD","authors":"Amitai Abramovitch , Anthony Robinson , Matthew J. Buckley , Demet Çek , Laura de Putter , Kiara R. Timpano","doi":"10.1016/j.jocrd.2023.100807","DOIUrl":"10.1016/j.jocrd.2023.100807","url":null,"abstract":"<div><p>A longstanding assumption suggests that college student cohorts are not representative of clinical cohorts as students are perceived as ‘high functioning’ which may limit generalizability. Yet little research has compared the profile of DSM disorders among students to those reported in community or treatment-seeking samples, particularly in the context of obsessive-compulsive disorder (OCD). To address this gap in the literature, we compared the profile of DSM OCD in college students, to treatment-seeking and community OCD samples, and student subsamples with other DSM disorders, or with no diagnosis. 529 students from two US and one Belgian university were screened using semi-structured interviews and completed self-report questionnaires. 36 students met DSM criteria for OCD. Comparison with non-OCD diagnoses (n = 183), and non-clinical student controls (n = 311) yielded expected differences on symptomatic OCD measures and comorbidity profiles. Comparisons with published OCD samples yielded a similar profile. Therefore, OCD in students is similar to OCD in clinical samples, with minor differences. We conclude that when appropriately screened, students are a viable population for the study of OCD. This may enhance research into OCD, allowing researchers without access to clinical cohorts to contribute to the field.</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":"48213844","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: 1

Psychometric evaluation of the German version of the Yale-Brown Obsessive- Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS) 德国版Yale-Brown身体变形障碍强迫症量表（BDD-YBOCS）的心理测量评估

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-04-01 DOI: 10.1016/j.jocrd.2023.100790

Ines Kollei , Viktoria Ritter , Johanna Schüller , Alexandra Martin , Anja Grocholewski , Nina Heinrichs , Andrea S. Hartmann , Ulrike Buhlmann

{"title":"Psychometric evaluation of the German version of the Yale-Brown Obsessive- Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS)","authors":"Ines Kollei , Viktoria Ritter , Johanna Schüller , Alexandra Martin , Anja Grocholewski , Nina Heinrichs , Andrea S. Hartmann , Ulrike Buhlmann","doi":"10.1016/j.jocrd.2023.100790","DOIUrl":"10.1016/j.jocrd.2023.100790","url":null,"abstract":"<div><p><span>The Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder<span> (BDD-YBOCS) is a clinician-administered interview to assess symptom severity in individuals with a BDD diagnosis. It has been translated into German and disseminated into research and practice. However, the psychometric properties of the German version have not been thoroughly evaluated. Therefore, we investigated its psychometric properties, factor structure and provided normative data. Our study included a large pooled sample comprising 350 outpatients with a BDD diagnosis (mean age = 30.35 years, </span></span><em>SD</em><span><span> = 10.15; gender: 70.6% female, 28.9% male, 0.6% unspecified). Psychometric data supported a good internal consistency of the BDD-YBOCS total score (α = 0.81, ω = 0.86) and an excellent interrater-reliability (ICC = 0.96). The BDD-YBOCS correlated moderately with other measures of BDD symptom severity. </span>Confirmatory factor analysis favored a two-factor structure representing obsessions versus compulsions over a one-factor structure, with the quality of the proposed two-factor structure still being poor. Normative data indicated that BDD-YBOCS scores between 21 and 34 can be considered as typical range in an outpatient sample with a wide range of BDD symptom severity. In conclusion, the German BDD-YBOCS is a brief and psychometrically supported clinician-rated instrument for the measurement of BDD severity.</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":"42363013","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: 3

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-04-01 DOI: 10.1016/j.jocrd.2023.100804

Jakob Fink-Lamotte , Annabell Kursim , Cornelia Exner

{"title":"Changing OCD-related feelings of disgust and contamination by cognitive restructuring and imagery modification (CRIM): Test and discussion of an online-application","authors":"Jakob Fink-Lamotte , Annabell Kursim , Cornelia Exner","doi":"10.1016/j.jocrd.2023.100804","DOIUrl":"10.1016/j.jocrd.2023.100804","url":null,"abstract":"<div><p>Contamination fears and disgust are maintaining factors for a range of mental illnesses. To date, there are relatively few evidence-based therapeutic strategies for directly modifying disgust although several studies have demonstrated that both cognitive and imagery strategies can be helpful in changing pathological disgust. Cognitive restructuring and imagery modification (CRIM) is a promising contamination and disgust-specific strategy that has been successfully used in the area of trauma-related disorders. An online study was conducted to investigate whether 102 participants with different levels of obsessive-compulsive symptoms would benefit from using CRIM for reducing disgust and contamination fear compared to a control intervention. Although the results showed no superiority of CRIM over the control intervention, this pre-post study design provides a good basis for a thorough discussion of the methodological difficulties in studying online interventions, especially those with a focus on obsessive-compulsive disorder (OCD). In addition, the implications for examining the effectiveness of strategies such as CRIM in an online environment are outlined.</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":"47417964","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: 1

Cognitive Bias Modification of Interpretation training for youth with OCD: Who benefits? Examining the role of OCD severity, interpretation bias, and autism symptoms 青少年OCD口译训练的认知偏见修正:谁受益?检查强迫症严重程度、解释偏差和自闭症症状的作用

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-04-01 DOI: 10.1016/j.jocrd.2023.100809

Elske Salemink , Annelieke Hagen , Else de Haan , Lidewij Wolters

{"title":"Cognitive Bias Modification of Interpretation training for youth with OCD: Who benefits? Examining the role of OCD severity, interpretation bias, and autism symptoms","authors":"Elske Salemink , Annelieke Hagen , Else de Haan , Lidewij Wolters","doi":"10.1016/j.jocrd.2023.100809","DOIUrl":"10.1016/j.jocrd.2023.100809","url":null,"abstract":"<div><p>Cognitive Bias Modification–Interpretation (CBM-I) training has been put forward as a promising new intervention for youth with psychopathology. A recent Randomised Controlled Trial (RCT) showed that an online CBM-I training designed to reduce dysfunctional interpretations in youth with Obsessive Compulsive Disorder (OCD) had therapeutic benefits on OCD symptoms. In addition, there are practical benefits as the online and automated nature of the training allows for 24/7 accessibility, is cheap and an easy to implement intervention. There is, however, significant variability in CBM-I training effects on symptoms. By conducting secondary analyses of the online CBM-I RCT, we aimed to examine whether baseline OCD severity, interpretation bias, and degree of autism symptoms are related to training effectiveness. In the RCT, 36 children with OCD (8–18 years) followed 12-sessions CBM-I training. Bayesian analyses showed no evidence for any of the three predictors being associated with CBM-I effects on OCD symptoms. These results offer no answer to the question for whom CBM-I training works best. However, there is also no evidence that CBM-I might work less well for these subgroups. Future research with larger samples is necessary to test the robustness of these findings.</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":"42035942","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: 1

Development and evaluation of an acceptance-facilitating intervention for an internet-based cognitive behavioral self-esteem training for adults with body dysmorphic symptoms 基于网络的成人身体畸形症状认知行为自尊训练的接受促进干预的发展与评价

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-04-01 DOI: 10.1016/j.jocrd.2023.100798

Katharina Bosbach, Katrin Schoenenberg, Alexandra Martin

{"title":"Development and evaluation of an acceptance-facilitating intervention for an internet-based cognitive behavioral self-esteem training for adults with body dysmorphic symptoms","authors":"Katharina Bosbach, Katrin Schoenenberg, Alexandra Martin","doi":"10.1016/j.jocrd.2023.100798","DOIUrl":"10.1016/j.jocrd.2023.100798","url":null,"abstract":"<div><h3>Background</h3><p><span>Various barriers contribute to low treatment rates in </span>Body Dysmorphic Disorder (BDD). While internet-based intervention is considered a low-threshold option and shows efficacy, studies report acceptance deficits. We first tested predictors of the Unified Theory of Acceptance and Use of Technology for acceptance and secondly evaluated an acceptance-facilitating intervention for an internet-based self-esteem training addressed to individuals with BDD symptoms.</p></div><div><h3>Method</h3><p>We randomly assigned 110 participants with distinct BDD symptoms to a 6-min animated whiteboard video (<em>n</em> = 50) or a waiting control group (<em>n</em> = 60) before offering them internet-based training.</p></div><div><h3>Results</h3><p>Acceptance was good before the intervention (87% with moderate/high scores). Performance expectancy, social influence and slightly effort expectancy predicted baseline acceptance (<em>R</em><sup><em>2</em></sup> = 0.70). The acceptance-facilitating intervention led to greater improvements of performance expectancy and facilitating conditions compared to the control group. Higher self-reported acceptance was associated with training uptake and higher adherence.</p></div><div><h3>Discussion</h3><p>In particular, performance expectancy, but also social influence seemed to be valid predictors of acceptance of web-based BDD treatment. The results suggest that a specifically designed, brief video improves acceptance-facilitating factors. Subject to review, the potential benefit of an acceptance-facilitating intervention may be to enhance treatment rates in BDD.</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":"48082981","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: 2

Hoarding disorder: Questions and controversies 囤积障碍:问题和争议

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-04-01 DOI: 10.1016/j.jocrd.2023.100808

Peter van Roessel , Paula Andrea Muñoz Rodríguez , Randy O. Frost , Carolyn I. Rodríguez

引用次数: 0

High levels of loneliness in people with hoarding disorder 囤积症患者的高度孤独感

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-04-01 DOI: 10.1016/j.jocrd.2023.100806

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

{"title":"High levels of loneliness in people with hoarding disorder","authors":"Keong Yap , Kiara R. Timpano , Simone Isemann , Jeanette Svehla , Jessica R. Grisham","doi":"10.1016/j.jocrd.2023.100806","DOIUrl":"10.1016/j.jocrd.2023.100806","url":null,"abstract":"<div><p><span>Attachment theory suggests that hoarding is an attempt at compensating for unmet relatedness needs. We therefore expect high loneliness levels in hoarding disorder (HD). While previous studies have shown a positive association between hoarding and loneliness in non-clinical samples, few studies have examined loneliness levels in clinical HD samples. In Study 1, we examined loneliness in a treatment-seeking HD sample (n = 39). Results showed that 87.2% of HD sufferers reported high loneliness levels, which was significantly higher than loneliness rates in community samples. Loneliness was positively associated with hoarding severity even after controlling for depression. In Study 2, we examined loneliness in MTurk workers with clinical levels of hoarding (high hoarding [HH] group; </span><em>n</em> = 305) compared to MTurk workers with low hoarding symptoms (LH group; <em>n</em><span> = 775). Results showed high loneliness levels in 77.7% of participants in the HH group compared to 36.8% in the LH group. Differences remained significant for HH vs LH groups matched on depression. The positive association between loneliness and hoarding was also significant even after controlling for age, gender, marital status, and depression. Our results underscore the importance of assessing and addressing loneliness in the HD treatment.</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":"46932322","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

Development and pilot testing of internet-delivered, family-based cognitive behavioral therapy for anxiety and obsessive-compulsive disorders in autistic youth 互联网提供的基于家庭的认知行为疗法对自闭症青年焦虑和强迫症的开发和试点测试

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-04-01 DOI: 10.1016/j.jocrd.2023.100789

Andrew G. Guzick , Sophie C. Schneider , Amanda B. Perozo Garcia , Minjee Kook , Rebecca L. Greenberg , David Riddle , Morgan McNeel , Servando Rodriguez-Barajas , Michelle Yang , Blake Upshaw , Eric A. Storch

{"title":"Development and pilot testing of internet-delivered, family-based cognitive behavioral therapy for anxiety and obsessive-compulsive disorders in autistic youth","authors":"Andrew G. Guzick , Sophie C. Schneider , Amanda B. Perozo Garcia , Minjee Kook , Rebecca L. Greenberg , David Riddle , Morgan McNeel , Servando Rodriguez-Barajas , Michelle Yang , Blake Upshaw , Eric A. Storch","doi":"10.1016/j.jocrd.2023.100789","DOIUrl":"10.1016/j.jocrd.2023.100789","url":null,"abstract":"<div><p><span>Cognitive behavioral therapy adapted for autistic youth with anxiety and/or </span>OCD<span><span> has a strong evidence base, but few have access. A 12-week family-based, Internet-delivered cognitive behavioral therapy (iCBT) program for 7-15 year-old autistic youth with anxiety and/or OCD was developed as a potential method to address this problem. Quantitative and qualitative feedback from stakeholders (parents, youth, clinicians) was gathered on an initial draft of content before conducting a pilot trial. This feedback suggested high quality, engagement, usability, and informativeness of the material. Suggestions were incorporated into the treatment program that was tested in a pilot trial. Eight families were randomized to the iCBT program with either 1) weekly email support or 2) weekly email support plus biweekly </span>telehealth check-ins, and seven of these families completed pre- and post-treatment assessments. An average reduction of 39% in anxiety severity scores was found, with six of the seven being classified as responders. Preliminary evidence suggests that family-based iCBT is an acceptable and promising treatment for autistic youth with anxiety and/or obsessive-compulsive disorders that should be further modified and tested in future work.</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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9997671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9168809","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: 1

Things that make you go Hmm: Myths and misconceptions within cognitive-behavioral treatment of obsessive-compulsive disorder 让你走的事情嗯：强迫症认知行为治疗中的神话和误解。

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-04-01 DOI: 10.1016/j.jocrd.2023.100805

Samuel D. Spencer , Jordan T. Stiede , Andrew D. Wiese , Andrew G. Guzick , Matti Cervin , Dean McKay , Eric A. Storch

{"title":"Things that make you go Hmm: Myths and misconceptions within cognitive-behavioral treatment of obsessive-compulsive disorder","authors":"Samuel D. Spencer , Jordan T. Stiede , Andrew D. Wiese , Andrew G. Guzick , Matti Cervin , Dean McKay , Eric A. Storch","doi":"10.1016/j.jocrd.2023.100805","DOIUrl":"10.1016/j.jocrd.2023.100805","url":null,"abstract":"<div><p><span>The past four decades have yielded a robust body of evidence supporting the efficacy and effectiveness of cognitive-behavioral therapy (CBT) as a gold-standard treatment for obsessive-compulsive disorder (OCD) across the lifespan. Exposure and response prevention (E/RP) has been identified as a key component of this approach. Despite robust research support for CBT with E/RP, several myths and misconceptions continue to proliferate in both research and practice settings. Such myths and misconceptions are concerning, as they lack empirical basis, may hinder widespread dissemination and implementation of CBT for OCD, and run contrary to the practice of evidence-based psychological medicine. Focusing on the importance of promoting evidence-based practice and generative </span>clinical science, the present review article synthesizes relevant research within the field of treatments for OCD to address the following myths/misconceptions: (a) uncertainty exists concerning the evidence base supporting CBT for OCD, (b) E/RP attrition and dropout rates are unacceptably high due to excessive risk and perceived patient intolerability, and (c) alternative treatments for OCD need to be expeditiously developed due to major limitations of E/RP. Recommendations for future research and clinical dissemination and implementation to further advance a generative clinical science of OCD treatment are discussed.</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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10168610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9540507","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