'Excessive and Unreasonable': The Relation Between Clinical Insight and Clinical Correlates and Treatment Outcomes in Obsessive-Compulsive Disorder Across the Life Course.

Joshua S Steinberg, Sarah H Morris, Sara R Jaffee

Abstract readReview

In one paragraph

Review in Child psychiatry and human development, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it

0cells of the map it votes in

3citing papers in PubMed

–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

3 citing papers in PubMed.

Systematic Review of rTMS and dTMS in Treatment-Resistant Obsessive-Compulsive Disorder: Target- and Phenotype-Specific Outcomes.The Psychiatric quarterly · 2026
Review
From Exposure to Insight: Lessons From Five Contemporary OCD Cases and Where Treatment Should Go Next.Journal of clinical psychology · 2026
Article
Meeting OCD face-to-face: Preliminary findings from an avatar-based dialogue intervention.Digital health
Article

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

3 authors.

Joshua S SteinbergDepartment of Psychology, Harvard University, William James Hall, 33 Kirkland Street, Cambridge, MA, 02138, USA. joshuasteinberg@g.harvard.edu.ORCID http://orcid.org/0000-0002-8920-3415

Sarah H MorrisAlpert Medical School, Brown University, Providence, RI, USA.

Sara R JaffeeDepartment of Psychology, University of Pennsylvania, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Individuals with mental disorders possess varying levels of clinical insight-the degree to which one understands that they are afflicted with a mental disorder and that their symptoms are manifestations of this psychopathology. Although clinical insight in OCD is thought to play an especially important role in determining various clinical characteristics and treatment outcomes, insight has not been sufficiently addressed developmentally, the importance of which this review will elucidate. Findings from this review suggest that clinical insight is typically associated with more complex cases and worse treatment outcomes across the life course, and also reveal nuances between pediatric and adult OCD cases with low insight. Implications of these findings, future research directions, and recommendations for the field are discussed.

Indexed as

Obsessive-Compulsive DisorderAdultChildHumansTreatment OutcomeAdultsChildrenClinical insightDevelopmental psychopathologyObsessive–compulsive disorderTreatment outcomes

Identifiers

PMID37268797

DOI10.1007/s10578-023-01548-3

What OpenQuestion holds

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Registered trials

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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.