Evidence map›Paper›PMID 39964418›Full record

ArticleThe American journal of orthopsychiatry2026

Clinical presentations and treatment outcomes between bi+, gay/lesbian, and heterosexual adults with obsessive-compulsive disorder.

Andreas Bezahler, Brian A Feinstein, Martha J Falkenstein, Jennie M Kuckertz

Abstract read
In one paragraph

Article in The American journal of orthopsychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

4 authors.

Andreas BezahlerDepartment of Psychology, Fordham University.ORCID 0000-0002-6830-9966
Brian A FeinsteinDepartment of Psychology, Rosalind Franklin University of Medicine and Science.
Martha J FalkensteinObsessive Compulsive Disorder Institute, McLean Hospital.ORCID 0000-0001-5074-3409
Jennie M KuckertzObsessive Compulsive Disorder Institute, McLean Hospital.

Funding

Leveraging Machine Learning Approaches to Understand Mechanisms of Exposure Therapy in Real-World SettingsR01MH135899 · NIMH · SAN DIEGO STATE UNIVERSITY · PI Jennie M Kuckertz · 2024 to 2026
$2.3M
Interpretation Bias as a Mechanism of Treatment Response in OCD - Administrative SupplementK23MH126193 · NIMH · MCLEAN HOSPITAL · PI Martha J Falkenstein · 2021 to 2026
$1.0M
Understanding and reducing HIV risk behavior and substance use among self-identified bisexual adolescent menK08DA045575 · NIDA · ROSALIND FRANKLIN UNIV OF MEDICINE & SCI · PI FEINSTEIN, BRIAN · 2018 to 2022
$837k
NIDA NIH HHSNIDA NIH HHS K08 DA045575NIMH NIH HHSNIMH NIH HHS K23 MH126193NIMH NIH HHS R01 MH135899
6 · The paper itself

Abstract

Sexual minority people are at increased risk of psychopathology, including obsessive-compulsive disorder (OCD), compared with heterosexual people. Prior research has found that sexual minority people are more likely to be diagnosed with or treated for OCD compared with their heterosexual peers, and sexual minority people represent a substantial portion of those in OCD treatment. As such, it is critical to examine potential sexual orientation differences in clinical presentation and treatment outcomes among people with OCD. Among 437 patients in treatment for OCD, we examined OCD severity and related constructs (depression, worry, and quality of life) over treatment as a function of sexual orientation (bi+, gay/lesbian, and heterosexual). At admission, there were no significant differences in clinical presentation between bi+, gay/lesbian, and heterosexual people. Treatment resulted in significantly reduced symptoms across all groups. However, depression was more severe across treatment for bi+ versus heterosexual people, improvements in quality of life were quicker for heterosexual and bi+ versus gay/lesbian people, and bi+ people reported quicker improvements in OCD versus heterosexual people. Clinical implications are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Indexed as

HeterosexualityObsessive-Compulsive DisorderSexual and Gender MinoritiesAdultDepressionFemaleHumansMaleMiddle AgedQuality of LifeTreatment Outcome

Identifiers

PMID39964418
PMCPMC12353010

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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.