Evidence map›Paper›PMID 27745541›Full record

ArticlePsychiatric services (Washington, D.C.)2017

Patient Preferences and Acceptability of Evidence-Based and Novel Treatments for Obsessive-Compulsive Disorder.

Sapana R Patel, Hanga Galfavy, Marcia B Kimeldorf, Lisa B Dixon, Helen Blair Simpson

Open access · bronzeAbstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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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

5 authors at 1 institution in 1 country.

Sapana R PatelDr. Patel, Dr. Dixon, and Dr. Simpson are with the Department of Psychiatry and Dr. Galfavy is with the Department of Biostatistics, all at Columbia University, New York City (e-mail: sp2309@columbia.edu ). Dr. Patel, Dr. Dixon, and Dr. Simpson are also with the New York State Psychiatric Institute, New York City. Dr. Kimeldorf is with the Department of Psychiatry, Harlem Hospital Center, New York City.
Hanga GalfavyDr. Patel, Dr. Dixon, and Dr. Simpson are with the Department of Psychiatry and Dr. Galfavy is with the Department of Biostatistics, all at Columbia University, New York City (e-mail: sp2309@columbia.edu ). Dr. Patel, Dr. Dixon, and Dr. Simpson are also with the New York State Psychiatric Institute, New York City. Dr. Kimeldorf is with the Department of Psychiatry, Harlem Hospital Center, New York City.
Marcia B KimeldorfDr. Patel, Dr. Dixon, and Dr. Simpson are with the Department of Psychiatry and Dr. Galfavy is with the Department of Biostatistics, all at Columbia University, New York City (e-mail: sp2309@columbia.edu ). Dr. Patel, Dr. Dixon, and Dr. Simpson are also with the New York State Psychiatric Institute, New York City. Dr. Kimeldorf is with the Department of Psychiatry, Harlem Hospital Center, New York City.
Lisa B DixonDr. Patel, Dr. Dixon, and Dr. Simpson are with the Department of Psychiatry and Dr. Galfavy is with the Department of Biostatistics, all at Columbia University, New York City (e-mail: sp2309@columbia.edu ). Dr. Patel, Dr. Dixon, and Dr. Simpson are also with the New York State Psychiatric Institute, New York City. Dr. Kimeldorf is with the Department of Psychiatry, Harlem Hospital Center, New York City.
Helen Blair SimpsonDr. Patel, Dr. Dixon, and Dr. Simpson are with the Department of Psychiatry and Dr. Galfavy is with the Department of Biostatistics, all at Columbia University, New York City (e-mail: sp2309@columbia.edu ). Dr. Patel, Dr. Dixon, and Dr. Simpson are also with the New York State Psychiatric Institute, New York City. Dr. Kimeldorf is with the Department of Psychiatry, Harlem Hospital Center, New York City.
City University of New York · US

Funding

Patient-Centered Care for Underserved Minorities in Primary CareK23MH082118 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI PATEL, SAPANA R. · 2008 to 2012
$924k
Novel Interventions for Adults with Obsessive-Compulsive DisorderK23MH092434 · NIMH · STANFORD UNIVERSITY · PI RODRIGUEZ, CAROLYN I · 2011 to 2015
$805k
Enhancing Patient-Oriented Research and Training in OCDK24MH091555 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SIMPSON, HELEN BLAIR · 2010 to 2014
$742k
NIMH NIH HHS K23 MH082118NIMH NIH HHS K23 MH092434NIMH NIH HHS K24 MH091555
6 · The paper itself

Abstract

objectiveThis study examined preferences for and acceptability of treatments for obsessive-compulsive disorder (OCD).

methodsThrough an online survey, adults who self-reported OCD chose their preferred evidence-based treatments, rated acceptability of novel treatments, and answered open-ended questions about their preferences. Analyses examined associations between demographic, clinical, and treatment variables and first-line and augmentation treatment preferences. Latent class analysis (LCA) explored whether distinct profiles among participants predicted preferences. Data from open-ended questions were analyzed by using qualitative methods.

resultsAmong 216 adults with at least moderate OCD symptoms, first-line preferences for exposure and response prevention (EX/RP) and serotonin reuptake inhibitor (SRI) medications were similar (55% and 45%). However, EX/RP was significantly preferred over antipsychotic medication as an augmentation treatment for SRIs (68% and 31%; p<.001). Regarding first-line preferences, no factors were associated with EX/RP preference, but participants who preferred SRIs were currently receiving OCD treatment (p=.011) or taking SRIs (p<.001) and reported a positive treatment experience overall (p=.043) and with medications (p<.001). Participants who preferred EX/RP as augmentation treatment were younger (p<.001) and female (p=.021) and taking benzodiazepines (p=.050). LCA analyses generated two distinct profiles, one of which preferred SRIs: those with a history of OCD diagnosis and treatment, higher income, and private insurance (p=.001). For novel treatments, acceptance and commitment therapy was the most acceptable and deep brain stimulation the least.

conclusionsPreferences for OCD treatments varied by individual characteristics. Future research should examine whether incorporating preferences into treatment planning has an impact on clinical care.

Indexed as

AdultEvidence-Based PracticeFemaleHumansMaleMiddle AgedObsessive-Compulsive DisorderPatient Acceptance of Health CarePatient PreferenceObsessive-compulsive disorderPatient perceptions

Identifiers

PMID27745541
PMCPMC6902422
OpenAlexW2537634902

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.