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
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