Journal of Obsessive-Compulsive and Related Disorders最新文献_第9页

Cognitive bias modification for thought-action fusion: A placebo-controlled randomized experimental trial 思维-行动融合的认知偏差修正:一项安慰剂对照的随机实验试验

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-04-01 DOI: 10.1016/j.jocrd.2023.100787

Stephan Siwiec, Sarah Bodhy, Salahadin Lotfi, Han-Joo Lee

引用次数: 0

Using item response theory to investigate potential gender bias in hoarding symptoms 利用项目反应理论研究囤积症状中潜在的性别偏见

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-04-01 DOI: 10.1016/j.jocrd.2023.100788

K.R. Timpano , Z.T. Goodman , M.L. Kushner , S.E. Hudiburgh , C.I. Rodriguez , J.R. Grisham

{"title":"Using item response theory to investigate potential gender bias in hoarding symptoms","authors":"K.R. Timpano , Z.T. Goodman , M.L. Kushner , S.E. Hudiburgh , C.I. Rodriguez , J.R. Grisham","doi":"10.1016/j.jocrd.2023.100788","DOIUrl":"10.1016/j.jocrd.2023.100788","url":null,"abstract":"<div><p><span>Gender and/or sex differences<span> in the prevalence of hoarding disorder have been well documented, yet there remains a striking lack of understanding as to potential reasons. Critically no study to date has examined whether gender differences may stem from underlying biases in hoarding assessment instruments. The current study used item response theory to evaluate the Saving Inventory-Revised (SI-R; Frost et al., 1994), to determine if there might be differential item functioning (DIF) between men and women across the three core features of hoarding. We first examined responses in a sample of individuals with clinically significant hoarding symptoms (N = 255), and then replicated our findings in a non-selected community sample (N = 719). There was evidence of modest DIF, which affected only a handful of items in each SI-R subscale. In the clinical sample, women scored significantly higher on the clutter and acquisition latent continuum, whereas there was no </span></span>gender difference for difficulties discarding. In contrast, there were no gender differences in any of the subscales for the community sample. Findings indicate that while there are likely gender differences in the manifestation and associated features of hoarding, those gender differences are not the result of measurement artifacts in the SI-R.</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":"49668281","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

Facing uncertainty: A comparison of hierarchical and variable exposure interventions for contamination fear 面对不确定性:分级和可变暴露干预污染恐惧的比较

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2022.100777

Kelly A. Knowles, Sarah C. Jessup, Bunmi O. Olatunji

{"title":"Facing uncertainty: A comparison of hierarchical and variable exposure interventions for contamination fear","authors":"Kelly A. Knowles, Sarah C. Jessup, Bunmi O. Olatunji","doi":"10.1016/j.jocrd.2022.100777","DOIUrl":"10.1016/j.jocrd.2022.100777","url":null,"abstract":"<div><p>Consistent with the inhibitory retrieval approach, one proposed modification to improve the effectiveness of exposure-based interventions is to maximize variability by not proceeding linearly up an exposure hierarchy. Accordingly, the present study compares hierarchical and variable exposure interventions for contamination-fearful individuals and examines the role of uncertainty to predict intervention outcomes. Participants (<em>N</em> = 73) were randomly assigned to complete a single-session exposure intervention using a standard hierarchy or a variable exposure intervention in which hierarchy items were randomly presented. Participants completed a behavioral approach task (BAT) at baseline and two follow-up visits over a two-week period. Both interventions resulted in a significant decrease in anxiety and disgust as well as more BAT steps completed but did not differ from one another. However, individuals in the variable exposure condition reported <em>less</em> variability in uncertainty during exposure compared to those in the standard condition, <em>d</em> = .78. Furthermore, lower levels of variability in uncertainty predicted greater reductions in anxiety and disgust post-intervention. Consistent with previous studies, variable exposure did not convey additional benefit over standard, hierarchical exposure. The experience of uncertainty during exposure is an important yet understudied process that warrants additional investigation.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9794192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9471029","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

Reassurance and its alternatives: Overview and cognitive behavioural conceptualisation 保证及其替代品:概述和认知行为概念化

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2023.100783

Brynjar Halldorsson , Paul M. Salkovskis

引用次数: 1

A pilot study of adapted social cognition and intervention training (SCIT) for hoarding disorder 囤积症适应社会认知与干预训练的初步研究

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2022.100776

Wenting Chen , Skye McDonald , Travis Wearne , Isaac Sabel , Emma V. Long , Jessica R. Grisham

{"title":"A pilot study of adapted social cognition and intervention training (SCIT) for hoarding disorder","authors":"Wenting Chen , Skye McDonald , Travis Wearne , Isaac Sabel , Emma V. Long , Jessica R. Grisham","doi":"10.1016/j.jocrd.2022.100776","DOIUrl":"10.1016/j.jocrd.2022.100776","url":null,"abstract":"<div><h3>Background</h3><p><span>Emerging research has suggested that hoarding may be associated with reduced social cognition<span>, specifically reduced theory of mind and hostility biases, which may contribute to the social difficulties observed in this population. The primary aim of this study was to evaluate the feasibility and acceptability of Social Cognition and Interaction Training (SCIT) in a sample of individuals with </span></span>Hoarding Disorder<span> (HD) and assess its potential as an adjunct to CBT. We secondarily examined changes in loneliness and hoarding symptoms.</span></p></div><div><h3>Methods</h3><p>Twelve individuals, with a primary diagnosis of HD, completed a 12-week SCIT program and one booster session. Participants were assessed at pre-treatment, mid-treatment, post-treatment, and one-month follow-up on measures of theory of mind, attributional style, hoarding symptom severity, and loneliness.</p></div><div><h3>Results</h3><p>From pre-to post-treatment, participants had an improvement in theory of mind for sarcastic remarks and a reduction in hostility bias, hoarding symptoms, and loneliness. Retention was also good as all participants completed treatment.</p></div><div><h3>Conclusion</h3><p>These preliminary results suggest that SCIT is a promising treatment to improving social cognition for hoarding disorder and may improve interpersonal difficulties such as loneliness. We propose that SCIT may represent a potential adjunct targeting social factors to improve the efficacy of CBT.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47402405","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

Toward a biopsychosocial model of hoarding disorder 囤积障碍的生物心理社会模型

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2022.100775

David F. Tolin

{"title":"Toward a biopsychosocial model of hoarding disorder","authors":"David F. Tolin","doi":"10.1016/j.jocrd.2022.100775","DOIUrl":"10.1016/j.jocrd.2022.100775","url":null,"abstract":"<div><p><span><span>The present paper aims to elaborate on the original cognitive-behavioral model of hoarding disorder<span> (HD; Frost & Hartl, 1996) by incorporating the results of recent research on biological and psychological contributors to HD. According to the proposed model, HD is characterized by several vulnerability factors that are thought to increase the likelihood that HD will develop, including genetic predisposition, abnormalities of brain structure, </span></span>environmental factors<span> such as traumatic life experiences, neuroticism, and impairments of cognitive function. Superimposed on these vulnerability factors is a biphasic abnormality of central and </span></span>peripheral nervous system<span> activity; at rest, or when doing completing symptom-irrelevant tasks, individuals with HD show blunted activity in brain regions that make up the salience network<span>, including anterior cingulate cortex<span><span> and insula. This blunted reactivity is further demonstrated through diminished error-related negativity (ERN) and decreased physiological arousal during error trials. However, when individuals with HD make decisions about possessions, they show relative </span>hyperactivation of the salience network (and other brain regions), with accompanying indecisiveness, negative affect, exaggerated ERN, increased physiological arousal, and activation of maladaptive beliefs about, and attachment to, possessions. These factors lead to acquiring and saving behaviors, which are subsequently reinforced through emotion modification.</span></span></span></p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45852014","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

Credibility and expectancy of smartphone-based cognitive behavioral therapy among adults with body dysmorphic disorder 基于智能手机的认知行为疗法在成人身体畸形障碍患者中的可信度和期望值

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2023.100781

Emily E. Bernstein , Hilary Weingarden , Jennifer L. Greenberg , Jasmine Williams , Susanne S. Hoeppner , Ivar Snorrason , Katharine A. Phillips , Oliver Harrison , Sabine Wilhelm

{"title":"Credibility and expectancy of smartphone-based cognitive behavioral therapy among adults with body dysmorphic disorder","authors":"Emily E. Bernstein , Hilary Weingarden , Jennifer L. Greenberg , Jasmine Williams , Susanne S. Hoeppner , Ivar Snorrason , Katharine A. Phillips , Oliver Harrison , Sabine Wilhelm","doi":"10.1016/j.jocrd.2023.100781","DOIUrl":"10.1016/j.jocrd.2023.100781","url":null,"abstract":"<div><h3>Background</h3><p><span>Few patients receive cognitive behavioral therapy, the gold-standard for </span>body dysmorphic disorder (CBT-BDD). Smartphones can make evidence-based interventions, like CBT-BDD, more accessible and scalable. A key question is: how do patients view it? Low credibility and expectancy would likely translate to low uptake and engagement outside of research settings, diminishing the impact. Thus, it is important to understand patients’ beliefs about digital CBT-BDD.</p></div><div><h3>Methods</h3><p>We compared credibility and expectancy in a coach-guided app-based CBT-BDD trial (N = 75) to a previous in-person CBT-BDD trial (N = 55). We further examined the relationship of perceptions of digital CBT-BDD to baseline clinical and demographic factors and dropout.</p></div><div><h3>Results</h3><p>Credibility did not differ between the in-person (<em>M</em> = 19.3) and digital (<em>M</em> = 18.3) trials, <em>p</em> = .24. Expectancy for improvement was moderately higher for in-person (<em>M</em> = 58.4) than digital (<em>M</em><span> = 48.3) treatment, </span><em>p</em> = .005. In the digital trial, no demographic variables were associated with credibility or expectancy. Better BDD-related insight and past non-CBT BDD therapy were associated with greater expectancy. Credibility was associated with lower likelihood of dropout.</p></div><div><h3>Discussion</h3><p>Digital CBT-BDD was regarded as similarly credible to in-person CBT-BDD but with lower expectancy. Tailored expectancy-enhancing strategies could strengthen this novel approach, particularly among those with poorer insight and without prior BDD treatment.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45979944","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

Challenges of insight assessment in pediatric obsessive-compulsive disorder: Initial results and clinical considerations from a measure development study 儿童强迫症洞察力评估的挑战：一项测量发展研究的初步结果和临床考虑

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2022.100774

Robert R. Selles , John R. Best , Cynthia Lu , Noam Soreni , Lara J. Farrell , Sharna Mathieu , S. Evelyn Stewart

{"title":"Challenges of insight assessment in pediatric obsessive-compulsive disorder: Initial results and clinical considerations from a measure development study","authors":"Robert R. Selles , John R. Best , Cynthia Lu , Noam Soreni , Lara J. Farrell , Sharna Mathieu , S. Evelyn Stewart","doi":"10.1016/j.jocrd.2022.100774","DOIUrl":"10.1016/j.jocrd.2022.100774","url":null,"abstract":"<div><h3>Background</h3><p>Assessing insight among OCD-affected youth has been limited by the absence of a multi-item measure for this population. The present study outlines the development of the <em>Measure of Insight for Obsessive-Compulsive Disorder</em> (MI-OCD), presents initial findings, and explores conceptual challenges.</p></div><div><h3>Methods</h3><p>Along with the <em>Children's Yale-Brown Obsessive-Compulsive Scale</em> (CY-BOCS), the 7-item MI-OCD was administered to 178 OCD-affected youth aged 7–19 (mean age = 13.5, SD = 2.8; 55% female) presenting for assessment across three OCD-specialty clinics. Items 4–7 were only completed by those with an identified feared outcome (61%).</p></div><div><h3>Results</h3><p>MI-OCD items were positively correlated with the CY-BOCS’ insight question, but were not related to age or avoidance. Correlations and factor analysis indicated items coalesced around concepts of symptoms as unwanted (1–3) and symptoms as useful/valid (4–7), although factor fit and internal consistency was sub-optimal. Most youth perceived their symptoms as unwanted (positively correlated with severity), while the extent to which youth perceived symptoms as useful was more varied (not associated with severity).</p></div><div><h3>Discussion</h3><p>Insight remains a challenging construct to assess in youth given various developmental, psychological, and environmental confounds. The MI-OCD may be useful in the context of evaluating and addressing individual barriers to treatment engagement over time.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45210009","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

Dysmorphic appearance concern among Chinese adolescents and emerging adults 中国青少年和初成人畸形外貌的关注

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2022.100778

Shuangshuang Liu , Jinghua Ma , Zhitao Fan , Chaoran Yu , Kui Wang , Heather L. Littleton

{"title":"Dysmorphic appearance concern among Chinese adolescents and emerging adults","authors":"Shuangshuang Liu , Jinghua Ma , Zhitao Fan , Chaoran Yu , Kui Wang , Heather L. Littleton","doi":"10.1016/j.jocrd.2022.100778","DOIUrl":"10.1016/j.jocrd.2022.100778","url":null,"abstract":"<div><h3>Objective</h3><p>The primary aim of this study was to examine age-related patterns of dysmorphic appearance concern from adolescence through adulthood.</p></div><div><h3>Method</h3><p>In the current study, 4,919 (3,165 women, 1,754 men) Chinese adolescents and adults (ages 15–24) were recruited to complete the Body Image Concern Inventory (BICI) to assess dysmorphic appearance concern.</p></div><div><h3>Results</h3><p>A quadratic relationship between age and dysmorphic appearance concern was observed for each sex, with dysmorphic appearance concern peaking at 20 years old. Women generally had higher levels of dysmorphic appearance concern than men, but the gender difference<span><span> was mainly driven by more safety behaviors among women. Women residing in an urban area scored higher on the BICI than their counterparts living in a rural area. Psychological distress accounted for 14.7% and 17.0% of the variance in dysmorphic appearance concern among men and women, respectively, over and above the influence of age and </span>BMI.</span></p></div><div><h3>Discussion</h3><p>Findings of the study suggest dysmorphic appearance concern is common among male and female adolescents and emerging adults in China. Prevention programs focused on addressing dysmorphic appearance concern should be provided to young adolescents to reduce the negative impacts of this symptomology.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46507250","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 effectiveness of metacognitive therapy in comparison to exposure and response prevention for obsessive-compulsive disorder: A randomized controlled trial 元认知疗法与暴露和反应预防治疗强迫症的有效性比较:一项随机对照试验

IF 1.8 4区医学

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-01-01 DOI: 10.1016/j.jocrd.2023.100780

Kim Melchior , Colin van der Heiden , Mathijs Deen , Birgit Mayer , Ingmar H.A. Franken

{"title":"The effectiveness of metacognitive therapy in comparison to exposure and response prevention for obsessive-compulsive disorder: A randomized controlled trial","authors":"Kim Melchior , Colin van der Heiden , Mathijs Deen , Birgit Mayer , Ingmar H.A. Franken","doi":"10.1016/j.jocrd.2023.100780","DOIUrl":"10.1016/j.jocrd.2023.100780","url":null,"abstract":"<div><h3>Background</h3><p><span>The recommended psychological treatment of choice for obsessive-compulsive disorder (OCD) is exposure with response prevention (ERP). Although this treatment is quite effective, recovery rates are modest and attrition rate is relatively high. Also, ERP treatment requires amounts of </span>therapist<span> time. A possible way to improve OCD treatment is by taking into account key cognitive processes involved in the development and maintenance of the disorder. The metacognitive model is such an account and pilot findings suggest that the associated metacognitive therapy (MCT) might be an effective treatment for OCD.</span></p></div><div><h3>Methods</h3><p>In the present study, a randomized controlled trial (RCT) is used to assess the effectiveness of MCT in comparison to ERP in an outpatient clinical sample of patients with OCD.</p></div><div><h3>Results</h3><p>Both MCT and ERP produced significant pre-treatment to post-treatment decreases in obsessive-compulsive, comorbid psychological symptoms and metacognitive beliefs, both with moderate to large within-group effect sizes and high proportions of significant clinical change. Drop-out rates were low and treatment gains were maintained at six-month follow-up. There were no differences in efficacy observed between MCT and ERP treatments.</p></div><div><h3>Conclusions</h3><p>MCT proves to be a promising treatment of OCD.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49188073","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