Evidence map›Paper›PMID 25012187›Full record

GuidelineJournal of psychiatric research2014

Phenomenology of OCD: lessons from a large multicenter study and implications for ICD-11.

Roseli G Shavitt, Maria Alice de Mathis, Fábio Oki, Ygor A Ferrao, Leonardo F Fontenelle, Albina R Torres, Juliana B Diniz, Daniel L C Costa, Maria Conceição do Rosário, Marcelo Q Hoexter and 2 more

Abstract readGuidelineMulticenter Study
In one paragraph

Guideline in Journal of psychiatric research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  20. Dimensions of interoception in obsessive-compulsive disorder.Journal of obsessive-compulsive and related disorders · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Roseli G ShavittDepartment of Psychiatry, University of Sao Paulo Medical School, Brazil. Electronic address: roseligshavitt@gmail.com.
Maria Alice de MathisDepartment of Psychiatry, University of Sao Paulo Medical School, Brazil.
Fábio OkiInstitute of Mathematics and Statistics, University of Sao Paulo, Brazil.
Ygor A FerraoDepartment of Psychiatry/Internal Medicine, Federal University of Health Sciences, Porto Alegre, Brazil.
Leonardo F FontenelleAnxiety and Depression Program, Institute of Psychiatry, Federal University of Rio de Janeiro & Institute D'Or of Research and Education, Rio de Janeiro, Brazil.
Albina R TorresDepartment of Neurology, Psychology and Psychiatry, State University of Sao Paulo, Botucatu, Brazil.
Juliana B DinizDepartment of Psychiatry, University of Sao Paulo Medical School, Brazil.
Daniel L C CostaDepartment of Psychiatry, University of Sao Paulo Medical School, Brazil.
Maria Conceição do RosárioFederal University of Sao Paulo, Brazil; Yale University, New Haven, USA.
Marcelo Q HoexterDepartment of Psychiatry, University of Sao Paulo Medical School, Brazil.
Euripedes C MiguelDepartment of Psychiatry, University of Sao Paulo Medical School, Brazil.
H Blair SimpsonCollege of Physicians and Surgeons at Columbia University, USA; Anxiety Disorders Clinic and the Center for OCD and Related Disorders at the New York State Psychiatric Institute, USA.

Funding

Enhancing Patient-Oriented Research and Training in OCDK24MH091555 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SIMPSON, HELEN BLAIR · 2010 to 2014
$742k
NIMH NIH HHS K24MH09155NIMH NIH HHS K24 MH091555
6 · The paper itself

Abstract

This study aimed to investigate the phenomenology of obsessive-compulsive disorder (OCD), addressing specific questions about the nature of obsessions and compulsions, and to contribute to the World Health Organization's (WHO) revision of OCD diagnostic guidelines. Data from 1001 patients from the Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders were used. Patients were evaluated by trained clinicians using validated instruments, including the Dimensional Yale-Brown Obsessive-Compulsive Scale, the University of Sao Paulo Sensory Phenomena Scale, and the Brown Assessment of Beliefs Scale. The aims were to compare the types of sensory phenomena (SP, subjective experiences that precede or accompany compulsions) in OCD patients with and without tic disorders and to determine the frequency of mental compulsions, the co-occurrence of obsessions and compulsions, and the range of insight. SP were common in the whole sample, but patients with tic disorders were more likely to have physical sensations and urges only. Mental compulsions occurred in the majority of OCD patients. It was extremely rare for OCD patients to have obsessions without compulsions. A wide range of insight into OCD beliefs was observed, with a small subset presenting no insight. The data generated from this large sample will help practicing clinicians appreciate the full range of OCD symptoms and confirm prior studies in smaller samples the degree to which insight varies. These findings also support specific revisions to the WHO's diagnostic guidelines for OCD, such as describing sensory phenomena, mental compulsions and level of insight, so that the world-wide recognition of this disabling disorder is increased.

Indexed as

AdolescentAdultAgedAged, 80 and overBrazilChildCompulsive BehaviorFemaleHumansMaleMiddle AgedObsessive BehaviorObsessive-Compulsive DisorderPersonality AssessmentPsychiatric Status Rating ScalesYoung AdultInsightMental compulsionsObsessive–compulsive disorderPhenomenologySensory phenomena

Identifiers

PMID25012187
PMCPMC7326117

What OpenQuestion holds

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Registered trials

None linked

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.