SynthesisJournal of anxiety disorders2014
The impact of symptom dimensions on outcome for exposure and ritual prevention therapy in obsessive-compulsive disorder.
Synthesis in Journal of anxiety disorders, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 71 citations in OpenAlex.
- Initial evaluation of a therapist-supported online cognitive therapy self-help for patients with taboo obsessions.The British journal of clinical psychology · 2022Trial
- Biomarkers of Obsessive-Compulsive Disorder Subtypes: A Literature Review.International journal of molecular sciences · 2025Review
- Is Acceptance and Commitment Therapy Effective for Any Obsessive-Compulsive Symptom Dimensions?Psychiatry investigation · 2023Article
- SAPAP3, SPRED2, and obsessive-compulsive disorder: the search for fundamental phenotypes.Frontiers in molecular neuroscience · 2023Article
- Diagnostic Differential Between Pedophilic-OCD and Pedophilic Disorder: An Illustration with Two Vignettes.Archives of sexual behavior · 2022Article
- The prefrontal cortex and OCD.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022Review
- Expanding the reach of evidence-based mental health interventions to private practice: Qualitative assessment using a policy ecology framework.Frontiers in health services · 2022Article
- The associations of obsessive-compulsive symptom dimensions and general severity with suicidal ideation in patients with obsessive-compulsive disorder: The role of specific stress responses to COVID-19.Clinical psychology & psychotherapy · 2021Article
- Exposure and Response Prevention in the Treatment of Obsessive-Compulsive Disorder: Current Perspectives.Psychology research and behavior management · 2019Review
- Symptom dimensions in obsessive-compulsive disorder as predictors of neurobiology and treatment response.Current treatment options in psychiatry · 2018Article
- Demographic and health-related correlates of obsessive-compulsive symptoms among African Americans.Journal of obsessive-compulsive and related disorders · 2017Article
- Structure and clinical correlates of obsessive-compulsive symptoms in a large sample of children and adolescents: a factor analytic study across five nations.European child & adolescent psychiatry · 2017Article
- Distinguishing Fear Versus Distress Symptomatology in Pediatric OCD.Child psychiatry and human development · 2017Article
- Parental bonding and hoarding in obsessive-compulsive disorder.Comprehensive psychiatry · 2017Article
- Effects of gender and executive function on visuospatial working memory in adult obsessive-compulsive disorder.European archives of psychiatry and clinical neuroscience · 2015Article
- REDUCED DISGUST PROPENSITY IS ASSOCIATED WITH IMPROVEMENT IN CONTAMINATION/WASHING SYMPTOMS IN OBSESSIVE-COMPULSIVE DISORDER.Journal of obsessive-compulsive and related disorders · 2015Article
- Obsessive belief and emotional appraisal correlates of symptom dimensions and impairment in obsessive-compulsive disorder.Indian journal of psychiatryArticle
- Neurobiological correlates of CBT response in OCD through the analysis of resting state networks.International journal of clinical and health psychology : IJCHPArticle
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveObsessive-compulsive disorder (OCD) is a severe condition with varied symptom presentations. The behavioral treatment with the most empirical support is exposure and ritual prevention (EX/RP). This study examined the impact of symptom dimensions on EX/RP outcomes in OCD patients.
methodThe Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) was used to determine primary symptoms for each participant. An exploratory factor analysis (EFA) of 238 patients identified five dimensions: contamination/cleaning, doubts about harm/checking, hoarding, symmetry/ordering, and unacceptable/taboo thoughts (including religious/moral and somatic obsessions among others). A linear regression was conducted on those who had received EX/RP (n=87) to examine whether scores on the five symptom dimensions predicted post-treatment Y-BOCS scores, accounting for pre-treatment Y-BOCS scores.
resultsThe average reduction in Y-BOCS score was 43.0%, however the regression indicated that unacceptable/taboo thoughts (β=.27, p=.02) and hoarding dimensions (β=.23, p=.04) were associated with significantly poorer EX/RP treatment outcomes. Specifically, patients endorsing religious/moral obsessions, somatic concerns, and hoarding obsessions showed significantly smaller reductions in Y-BOCS severity scores.
conclusionsEX/RP was effective for all symptom dimensions, however it was less effective for unacceptable/taboo thoughts and hoarding than for other dimensions. Clinical implications and directions for research are discussed.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.