Evidence map›Paper›PMID 42183483›Full record

ArticleSchizophrenia bulletin open2026

Do Obsessive-Compulsive Symptoms Increase the Risk of Developing Psychosis? A Systematic Review and Meta-analysis.

William Hinton, Marco Vivolo, Emma Jimenez, Joanne Hodgekins

Abstract read
In one paragraph

Article in Schizophrenia bulletin open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

William HintonDepartment of Clinical Psychology and Psychological Therapies, Norwich Medical School, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich Research Park, Norwich, Norfolk NR4 7TJ, United Kingdom.ORCID https://orcid.org/0009-0006-4426-1394
Marco VivoloDepartment of Clinical Psychology and Psychological Therapies, Norwich Medical School, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich Research Park, Norwich, Norfolk NR4 7TJ, United Kingdom.
Emma JimenezDepartment of Clinical Psychology and Psychological Therapies, Norwich Medical School, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich Research Park, Norwich, Norfolk NR4 7TJ, United Kingdom.
Joanne HodgekinsDepartment of Clinical Psychology and Psychological Therapies, Norwich Medical School, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich Research Park, Norwich, Norfolk NR4 7TJ, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Hypothesis: There is a phenomenological overlap of obsessive-compulsive symptoms (OCSs) and psychosis, leading to discussion about whether OCSs increase the risk of developing psychosis. Previous reviews have focused on clinical high-risk (CHR) cohorts, which may misestimate risk due to sampling biases. The current systematic review and meta-analyses aimed to determine the risk of OCSs on developing psychosis in individuals classified at CHR and at the population level. Study Design: A total of 2081 articles were screened, with 11 studies meeting the criteria for inclusion. Two separate meta-analyses were conducted for CHR cohorts and for register-based cohorts to estimate the risk ratio (RR) of OCSs for developing psychosis. Study Results: In CHR cohorts, the meta-analysis found no significant difference in the risk of developing psychosis between individuals with and without OCSs (RR = 0.99, 95% CI, 0.71-1.38, Conclusions: The limited number of studies and high heterogeneity in the population-level cohort limit any firm conclusions. However, the findings indicate that OCSs may increase the risk of developing psychosis in the register-based cohorts, but not in CHR cohorts. The discrepancy may reflect shared underlying vulnerabilities present in both OCSs and psychosis that are obscured by samples enriched for psychosis risk.

Indexed as

clinical high riskconversionlongitudinalOCDschizophreniatransition

Identifiers

PMID42183483
PMCPMC13191126

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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.