The Centrality of Doubting and Checking in the Network Structure of Obsessive-Compulsive Symptom Dimensions in Youth

Cervin, Matti; Perrin, Sean; Olsson, Elin; Aspvall, Kristina; Geller, Daniel; Wilhelm, Sabine; McGuire, Joseph F.; Lázaro, Luisa; Martínez-González, Agustín Ernesto; Barcaccia, Barbara; Pozza, Andrea; Goodman, Wayne K.; Murphy, Tanya K.; Seçer, İsmail; Piqueras, José Antonio; Rodríguez-Jiménez, Tiscar; Godoy, Antonio; Alcázar, Ana Isabel Rosa; Rosa‐Alcázar, Ángel; Ruiz-García, Beatriz; Storch, Eric A.; Mataix‐Cols, David

doi:10.1016/j.jaac.2019.06.018

Cited by 28 publications

(19 citation statements)

References 48 publications

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“…Other results showed that higher anxious features related to higher obsessing features support the relation between anxiety and OC features in community samples, particularly mental aspects of OCD, i.e., mental compulsions [66]. This result may be viewed consistent with the notion that mental compulsions are overlapped with generalized anxiety and worry in youth [67].…”

Section: Discussionsupporting

confidence: 66%

Obsessive beliefs and subtypes of obsessive-compulsive symptoms amongst immigrant children and early adolescents

Pozza¹,

Coluccia²,

Casale³

et al. 2021

Preprint

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Background. Vulnerability factors for obsessive-compulsive (OC) features in immigrant youth are under-studied. The migration process can have a highly stressful impact on the psychological wellbeing of the individual and it may represent a precipitating factor for different forms of psychopathology. Little is known about the occurrence of OC traits. Unlike other European countries, immigration to Italy is a recent phenomenon. In community children/early adolescents, this study compared OC general symptoms/subtypes and vulnerability cognitive factors amongst Italian natives, first- and second-generation immigrants, and examined whether such vulnerability factors moderate the relation between immigrant status and OC symptoms/subtypes, beyond socio-demographic/clinical variables. Methods. Two hundred sixty-eight children/early adolescents (99 natives, 82 and 87 first- and second-generation immigrants respectively) completed the Obsessive Belief Questionnaire-Child Version, Obsessive Compulsive Inventory-Child Version, Spence’s Children Anxiety Scale, Children’s Depression Inventory.Results. As compared with the other groups, first-generation immigrants had the highest levels of perfectionism and threat overestimation. Both first- and second-generation immigrants had higher doubting – checking traits than natives. First-generation immigrants with higher threat overestimation showed lower obsessing traits. Conclusions. Community screening programs for OC features should consider immigrant youth as a vulnerable group and, potentially, the target of an early intervention.

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Section: Discussionsupporting

confidence: 66%

Obsessive beliefs and subtypes of obsessive-compulsive symptoms amongst immigrant children and early adolescents

Pozza¹,

Coluccia²,

Casale³

et al. 2021

Preprint

Self Cite

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“…Substantial research connects IU with obsessive-compulsive disorder (OCD), generalized anxiety disorder (GAD), and social anxiety disorder (SAD) due to its relationship with worrying and catastrophizing. Doubt and IU are seen as core features of OCD (Gillett et al, 2018;Cervin et al, 2020). Gillett and colleagues (2018) claimed that compulsions such as checking behaviors could be seen as attempts to reduce uncertainty or ambiguity.…”

Section: Pathways From Iu To Various Forms Of Child Psychopathologymentioning

confidence: 99%

Intolerance of Uncertainty and Health-Related Anxiety in Youth amid the COVID-19 Pandemic: Understanding and Weathering the Continuing Storm

Korte

Friedberg

Wilgenbusch

et al. 2021

J Clin Psychol Med Settings

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The COVID-19 pandemic is a public health crisis that continues to impact individuals worldwide. While children may be less susceptible to severe medical complications, they are nonetheless vulnerable to stress and anxiety associated with the pandemic. However, current understanding of psychological functioning and potential strategies to mitigate distress amid a pandemic is naturally limited. Consequently, this article is an attempt to fill that gap. Existing literature on pandemics, health-related anxieties, intolerance of uncertainty, and psychopathological sequelae is summarized within the context of the COVID-19 outbreak. Conclusions from the empirical data and emerging theoretical models are reviewed and synthesized. Finally, several potentially engaging and effective examples of developmentally appropriate interventions targeting intolerance of uncertainty and health-related anxieties in pediatric patients during the peri-and post-pandemic periods are described.

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“…The checklist is followed by a clinician-led interview assessing symptom severity across six theoretically derived dimensions (aggressive, religious/ sexual, symmetry, contamination, hoarding, and miscellaneous symptoms) and of overall OCD severity. The DY-BOCS has sound psychometric properties and good construct validity in youth [see summary in Cervin et al (2019aCervin et al ( , 2019b] and adult samples (Pertusa, Fernandez de la Cruz, Alonso, Menchon, & Mataix-Cols, 2012;Rosario-Campos et al 2006), but the factor structure of its symptom checklist has never been investigated (Rosario-Campos et al, 2006).…”

Section: Dy-bocsmentioning

confidence: 99%

Towards a definitive symptom structure of obsessive−compulsive disorder: a factor and network analysis of 87 distinct symptoms in 1366 individuals

et al. 2021

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Background The symptoms of obsessive−compulsive disorder (OCD) are highly heterogeneous and it is unclear what is the optimal way to conceptualize this heterogeneity. This study aimed to establish a comprehensive symptom structure model of OCD across the lifespan using factor and network analytic techniques. Methods A large multinational cohort of well-characterized children, adolescents, and adults diagnosed with OCD (N = 1366) participated in the study. All completed the Dimensional Yale-Brown Obsessive−Compulsive Scale, which contains an expanded checklist of 87 distinct OCD symptoms. Exploratory and confirmatory factor analysis were used to outline empirically supported symptom dimensions, and interconnections among the resulting dimensions were established using network analysis. Associations between dimensions and sociodemographic and clinical variables were explored using structural equation modeling (SEM). Results Thirteen first-order symptom dimensions emerged that could be parsimoniously reduced to eight broad dimensions, which were valid across the lifespan: Disturbing Thoughts, Incompleteness, Contamination, Hoarding, Transformation, Body Focus, Superstition, and Loss/Separation. A general OCD factor could be included in the final factor model without a significant decline in model fit according to most fit indices. Network analysis showed that Incompleteness and Disturbing Thoughts were most central (i.e. had most unique interconnections with other dimensions). SEM showed that the eight broad dimensions were differentially related to sociodemographic and clinical variables. Conclusions Future research will need to establish if this expanded hierarchical and multidimensional model can help improve our understanding of the etiology, neurobiology and treatment of OCD.

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The Centrality of Doubting and Checking in the Network Structure of Obsessive-Compulsive Symptom Dimensions in Youth

Cited by 28 publications

References 48 publications

Obsessive beliefs and subtypes of obsessive-compulsive symptoms amongst immigrant children and early adolescents

Obsessive beliefs and subtypes of obsessive-compulsive symptoms amongst immigrant children and early adolescents

Intolerance of Uncertainty and Health-Related Anxiety in Youth amid the COVID-19 Pandemic: Understanding and Weathering the Continuing Storm

Towards a definitive symptom structure of obsessive−compulsive disorder: a factor and network analysis of 87 distinct symptoms in 1366 individuals

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