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

Geospatial distribution of obsessive-compulsive disorder specialists: Understanding access as a function of distance, insurance status, and neighborhood socioeconomic status 强迫症专家的地理空间分布：将访问理解为距离、保险状况和社区社会经济状况的函数

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-07-01 DOI: 10.1016/j.jocrd.2023.100829

Abiodun O. Oluyomi , Sophie C. Schneider , Catherine Christian , Juan M. Alvarez , Orri Smárason , Wayne K. Goodman , Eric A. Storch

{"title":"Geospatial distribution of obsessive-compulsive disorder specialists: Understanding access as a function of distance, insurance status, and neighborhood socioeconomic status","authors":"Abiodun O. Oluyomi , Sophie C. Schneider , Catherine Christian , Juan M. Alvarez , Orri Smárason , Wayne K. Goodman , Eric A. Storch","doi":"10.1016/j.jocrd.2023.100829","DOIUrl":"10.1016/j.jocrd.2023.100829","url":null,"abstract":"<div><p>Obsessive-compulsive disorder is an impairing psychiatric condition<span> affecting 1–2% of adults and youth. Cognitive-behavioral therapy with exposure and response prevention (CBT) is an efficacious intervention but requires specialty training and access is often limited. While certain factors are associated with treatment access, one key barrier that has not been explored is the geographic availability of OCD treatment providers. Using integrated geographically-referenced data, we examined the geographic distribution of OCD CBT specialty providers across the state of Texas, with particular attention to the relationship to neighborhood socioeconomic disadvantage, insurance status, and rural versus urban status. We found that specialist providers are almost exclusively located inside the highly urbanized parts of the state, primarily in more affluent areas, and often only accept self-pay. The characteristics of the areas located the furthest away from specialty OCD care include a high proportion of persons identifying as Hispanic; a high proportion of non-English speakers, households with income below poverty; households with no vehicles; and persons with no health insurance. Average household income decreased as distances from specialist providers increased. Broadly, findings confirm that OCD CBT specialty providers are clustered in large socially advantaged areas and that economic disadvantage remains a significant barrier to care. As inadequate or inappropriate treatment of OCD is likely to result in sustained and impairing symptoms, this is of great concern.</span></p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"38 ","pages":"Article 100829"},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10158367","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

Untroubled pullers: An examination of nonclinical hair-pulling 无障碍拔毛器：非临床拔毛检查

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-07-01 DOI: 10.1016/j.jocrd.2023.100821

Meghan K. Flannery , Martha J. Falkenstein , Megan Boyd , David A.F. Haaga

{"title":"Untroubled pullers: An examination of nonclinical hair-pulling","authors":"Meghan K. Flannery , Martha J. Falkenstein , Megan Boyd , David A.F. Haaga","doi":"10.1016/j.jocrd.2023.100821","DOIUrl":"10.1016/j.jocrd.2023.100821","url":null,"abstract":"<div><p>Nonclinical hair-pulling is much more prevalent than hair pulling associated with a diagnosis of trichotillomania<span> (TTM). However, little is known about nonclinical pulling. The purpose of this exploratory research was to begin characterizing a subset of nonclinical hair pullers we refer to as “untroubled pullers,” people who engage in recurrent, noncosmetic hair-pulling without associated distress or impairment. In a secondary analysis of two studies conducted online, untroubled pullers reported significantly lower symptom severity than did those diagnosed with TTM. The Big Five personality dimensions did not differentiate the groups in Study 1, but untroubled pullers endorsed significantly less disability, focused and automatic pulling, social anxiety, perceived risk in intimacy, and perfectionism in Study 2. These findings remained significant after controlling for symptom severity. Age and race resulted in mixed findings between the two studies, but no differences arose in other demographics. These findings suggest that symptom severity may not sufficiently explain differences in associated distress and impairment. Future studies are needed on how other constructs related to distress and impairment interact with hair-pulling behavior to provide insight into when pulling is associated with clinically significant distress or impairment.</span></p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"38 ","pages":"Article 100821"},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10358351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9856034","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

Failures of urge suppression in obsessive-compulsive disorder: Behavioral modeling using a blink suppression task 强迫症患者冲动抑制的失败：使用眨眼抑制任务的行为建模

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-07-01 DOI: 10.1016/j.jocrd.2023.100824

Laura B. Bragdon , Jacob A. Nota , Goi Khia Eng , Nicolette Recchia , Pearl Kravets , Katherine A. Collins , Emily R. Stern

{"title":"Failures of urge suppression in obsessive-compulsive disorder: Behavioral modeling using a blink suppression task","authors":"Laura B. Bragdon , Jacob A. Nota , Goi Khia Eng , Nicolette Recchia , Pearl Kravets , Katherine A. Collins , Emily R. Stern","doi":"10.1016/j.jocrd.2023.100824","DOIUrl":"10.1016/j.jocrd.2023.100824","url":null,"abstract":"<div><p>Many individuals with obsessive-compulsive disorder (OCD) report sensory-based urges (e.g. ‘not-just-right experiences’) in addition to, or instead of, concrete fear-based obsessions. These sensations may be comparable to normative “urges-for-action” (UFA), such as the urge to blink. While research has identified altered functioning of brain regions related to UFA in OCD, little is known about behavioral patterns of urge suppression in the disorder. Using an urge-to-blink task as a model for sensory-based urges, this study compared failures of urge suppression between OCD patients and controls by measuring eyeblinks during 60-s blocks of instructed blink suppression. Cox shared frailty<span> models estimated the hazard of first blinks during each 60-s block and recurrent blinks following each initial erroneous blink. OCD patients demonstrated a higher hazard of first and recurrent blinks compared to controls, suggesting greater difficulty resisting repetitive sensory-based urges. Within OCD, relationships between task outcomes and symptom severity were inconsistent. Findings provide support for a deficit in delaying initial urge-induced actions and terminating subsequent actions in OCD, which is not clearly related to clinical heterogeneity. Elucidating the nature of behavioral resistance to urges is relevant for informing conceptualizations of obsessive-compulsive psychopathology and optimizing treatment outcomes.</span></p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"38 ","pages":"Article 100824"},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10373599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9910331","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

Celebrating the work of Randy O. Frost and Michael Kyrios 庆祝兰迪·o·弗罗斯特和迈克尔·基里奥斯的作品

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-07-01 DOI: 10.1016/j.jocrd.2023.100825

Gail Steketee (Emerita Professor and Dean), Maja Nedeljkovic (Professor), Richard Moulding (Associate Professor)

引用次数: 0

Obsessive-compulsive symptom profiles vary by index trauma type in a trauma-exposed community sample 在创伤暴露的社区样本中，强迫症状的特征随指数创伤类型的不同而不同

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-07-01 DOI: 10.1016/j.jocrd.2023.100827

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":"38 ","pages":"Article 100827"},"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}

引用次数: 0

Predictors and moderators of treatment response in cognitive behavioural therapy for body dysmorphic disorder: A systematic review 身体变形障碍认知行为疗法治疗反应的预测因素和调节因素：一项系统综述

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-07-01 DOI: 10.1016/j.jocrd.2023.100822

E. Hogg , P. Adamopoulos , G. Krebs

{"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":"38 ","pages":"Article 100822"},"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}

引用次数: 0

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] 更正“青年和青年抑郁症患者的强迫症：共病表现的临床特征”[《强迫症和相关疾病杂志》38（2023）100820]

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-07-01 DOI: 10.1016/j.jocrd.2023.100828

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

引用次数: 0

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 在我朋友的一点帮助下:在对强迫症进行基于群体的认知行为治疗后，症状、认知和自我矛盾心理的变化

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-07-01 DOI: 10.1016/j.jocrd.2023.100823

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}

引用次数: 0

The relationship between obsessive-compulsive disorder symptom subtypes and social adjustment 强迫症症状亚型与社会适应的关系

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-07-01 DOI: 10.1016/j.jocrd.2023.100826

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}

引用次数: 0

The perceived long-term impact of COVID-19 on OCD symptomology 新冠肺炎对强迫症症状的长期影响

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-07-01 DOI: 10.1016/j.jocrd.2023.100812

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}

引用次数: 2