The Centrality of Doubting and Checking in the Network Structure of Obsessive-Compulsive Symptom Dimensions in Youth
Autor: | Barbara Barcaccia, David Mataix-Cols, Elin Olsson, Kristina Aspvall, Ángel Rosa-Alcázar, José A. Piqueras, Tíscar Rodríguez-Jiménez, Daniel A. Geller, Eric A. Storch, Matti Cervin, Antonio Godoy, Wayne K. Goodman, Sabine Wilhelm, Luisa Lázaro, Ana I. Rosa-Alcázar, Sean Perrin, Joseph F. McGuire, Agustín Ernesto Martínez-González, Andrea Pozza, İsmail Seçer, Tanya K. Murphy, Beatriz M. Ruiz-García |
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Přispěvatelé: | Universidad de Alicante. Departamento de Psicología Evolutiva y Didáctica, Grupo de Investigación Integral en el Neurodesarrollo Típico y Atípico (GINTA), Cervin, Matti, Perrin, Sean, Olsson, Elin, Aspvall, Kristina, Geller, Daniel A., Wilhelm, Sabine, Mcguire, Joseph, Lázaro, Luisa, Martínez-González, Agustin E., Barcaccia, Barbara, Pozza, Andrea, Goodman, Wayne K., Murphy, Tanya K., Seçer, İsmail, Piqueras, José A., Rodríguez-Jiménez, Tiscar, Godoy, Antonio, Rosa-Alcázar, Ana I., Rosa-Alcázar, Ángel, Ruiz-García, Beatriz M., Storch, Eric A., Mataix-Cols, David |
Rok vydání: | 2020 |
Předmět: |
Obsessive-Compulsive Disorder
Tic disorder Adolescent Emotions Obsessive-Compulsive Inventory Network structure Dimensions Comorbidity Age and sex Severity of Illness Index behavioral disciplines and activities Psicología Evolutiva y de la Educación Obsessive compulsive Central node mental disorders Obsessive-compulsive disorder Developmental and Educational Psychology medicine Humans 0501 psychology and cognitive sciences Child network analysis Obsessive-compulsive disorder network analysis dimensions Obsessive Compulsive Inventory 05 social sciences medicine.disease Psychiatry and Mental health obsessive-compulsive disorder network analysis dimensions Obsessive Compulsive Inventory Obsessive Compulsive Inventory Tic Disorders Etiology Network analysis dimensions Centrality Psychology 050104 developmental & child psychology Clinical psychology |
Zdroj: | RUA. Repositorio Institucional de la Universidad de Alicante Universidad de Alicante (UA) |
ISSN: | 0890-8567 |
DOI: | 10.1016/j.jaac.2019.06.018 |
Popis: | Objective: Obsessive-compulsive disorder (OCD) is a heterogeneous condition with well-established symptom dimensions across the lifespan. The objective of the present study was to use network analysis to investigate the internal structure of these dimensions in unselected schoolchildren and in children with OCD. Method: We estimated the network structure of OCD symptom dimensions in 6,991 schoolchildren and 704 children diagnosed with OCD from 18 sites across 6 countries. All participants completed the Obsessive-Compulsive Inventory−Child Version. Results: In both the school-based and clinic-based samples, the OCD dimensions formed an interconnected network with doubting/checking emerging as a highly central node, that is, having strong connections to other symptom dimensions in the network. The centrality of the doubting/checking dimension was consistent across countries, sexes, age groups, clinical status, and tic disorder comorbidity. Network differences were observed for age and sex in the school-based but not the clinic-based samples. Conclusion: The centrality of doubting/checking in the network structure of childhood OCD adds to classic and recent conceptualizations of the disorder in which the important role of doubt in disorder severity and maintenance is highlighted. The present results suggest that doubting/checking is a potentially important target for further research into the etiology and treatment of childhood OCD. Mr. Cervin has received funding from L.J. Boëthius Foundation, Lindhaga Foundation, Jerring Foundation, and Region Skåne that made possible the preparation of the present manuscript. Original data was collected in part by support from grants from the National Institute of Mental Health (NIMH) to Drs. Storch (1R01MH093381) and Geller (5R01MH093402). |
Databáze: | OpenAIRE |
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