Sleep Disturbance in Obsessive-Compulsive Disorder: Preliminary Evidence for a Mechanistic Relationship

Cox, Rebecca C.; Jessup, Sarah C.; Olatunji, Bunmi O.

doi:10.1007/s40675-018-0109-4

Cited by 11 publications

(4 citation statements)

References 33 publications

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“…At pre-treatment, 81.3% reported indication of insomnia according to BIS cut-off scores. This reflects a high rate of insomnia in the current group of patients and further add to the growing body of research indicating insomnia as a problem area for people with OCD (7,37,38). This finding is also in accordance with our previous finding of 70% insomnia in OCD (12,13,20).…”

Section: Discussionsupporting

confidence: 91%

“…Insomnia is in general linked to psychopathology, higher symptom severity, and lower levels of emotional functioning and quality of life ( 5 , 6 ). For OCD there has been found both subjective and objective alterations in sleep patterns ( 7 ). Research suggests reduced total sleep time and sleep efficiency in OCD ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

“…Despite clinical experience indicating that patients with OCD frequently report sleep disturbances (12)(13)(14), few studies have investigated whether self-reported insomnia improves after OCD treatment (15). There is therefore a need for more studies that investigate the role of insomnia in OCD treatment outcome among adult samples (7).…”

Section: Introductionmentioning

confidence: 99%

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Does Concentrated Exposure Treatment for Obsessive-Compulsive Disorder Improve Insomnia Symptoms? Results From a Randomized Controlled Trial

et al. 2021

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Insomnia is a substantial problem in patients with obsessive-compulsive disorder (OCD). There is, however, a lack of studies investigating changes in concurrent symptoms of insomnia in OCD after concentrated treatment. A recent randomized controlled trial randomized participants to the Bergen 4-day treatment (B4DT, n = 16), or 12 weeks of unguided self-help (SH, n = 16), or waitlist (WL, n = 16). Patients from the SH- and WL-group who wanted further treatment after the 12 weeks were then offered the B4DT (total of 42 patients treated with the B4DT). There were no significant differences in symptoms of insomnia between the conditions at post-treatment, but a significant moderate improvement at 3-month follow-up for patients who received the B4DT. Insomnia was not associated with OCD-treatment outcome, and change in symptoms of insomnia was mainly related to changes in depressive symptoms. The main conclusion is that concentrated exposure treatment is effective irrespective of comorbid insomnia, and that insomnia problems are moderately reduced following treatment.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Does Concentrated Exposure Treatment for Obsessive-Compulsive Disorder Improve Insomnia Symptoms? Results From a Randomized Controlled Trial

et al. 2021

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“…So, it can have a potential role in treatment outcomes. For OCD, there have been found both subjective and objective alterations in sleep patterns (34). Research suggests reduced sleep time and sleep efficiency in OCD (35).…”

Section: Discussionmentioning

confidence: 99%

Network Analysis for Predicting Treatment Response in Patients with Obsessive-Compulsive Disorder

Davoudi,

Pourshahbaz,

Dolatshahi

et al. 2023

Iran J Psychiatry Behav Sci

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Background: High resistance-to-treatment rates in obsessive-compulsive disorder (OCD) and various treatments remain significant obstacles to psychiatric disorder treatments. Objectives: The current study used network analysis to predict treatment response by psychiatric symptoms in the contamination/cleaning and danger/checking OCD subtypes. Methods: We evaluated 136 patients (mean age: 30.50 ± 5.25) who finished a 12-week selective serotonin reuptake inhibitor (SSRI) course. We used the convenience sampling method. All patients completed structured clinical interviews for the diagnostic and statistical manual of mental disorders, fifth edition research version (SCID-5-RV) at baseline and post-test. After treatment completion, the patients were categorized as responders and resistant according to their OCD severity scores (at the post-test). We used a network approach to determine the network structure of patients before and after the treatment. Network analysis was used by "the R programming language" to compare patterns of psychiatric symptoms. Additionally, we contrasted treatment-responsive patients' network structure with treatment-resistant OCD patients in each subtype. Results: In baseline, dysthymia, insomnia, binge eating, agoraphobia, and panic were the most central (important) nodes in the danger/checking subtype. However, hoarding, ADHD, insomnia, depression, and panic were the most central nodes in the contamination/cleaning group at baseline. Also, global strength and symptom connectivity were higher in the contamination/cleaning subtype than in the danger/check subtype (P < 0.05). In the contamination/cleaning subtype, "insomnia" was the most significant predictor for categorizing patients as resistant at the post-test. For contamination/cleaning, panic and binge eating played similar roles in treatment outcomes. Conclusions: Psychiatric symptoms can predict treatment responses in OCD subtypes. So, it is necessary to consider psychiatric comorbidities regarding OCD subtypes.

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Sleep in obsessive-compulsive and related disorders: a selective review and synthesis

Cox

Parmar

Olatunji

2020

Current Opinion in Psychology

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Sleep Disturbance in Obsessive-Compulsive Disorder: Preliminary Evidence for a Mechanistic Relationship

Cited by 11 publications

References 33 publications

Does Concentrated Exposure Treatment for Obsessive-Compulsive Disorder Improve Insomnia Symptoms? Results From a Randomized Controlled Trial

Does Concentrated Exposure Treatment for Obsessive-Compulsive Disorder Improve Insomnia Symptoms? Results From a Randomized Controlled Trial

Network Analysis for Predicting Treatment Response in Patients with Obsessive-Compulsive Disorder

Sleep in obsessive-compulsive and related disorders: a selective review and synthesis

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