The relationship between religiosity, spirituality, and obsessive-compulsive disorder

Clinical Sample ◽

Limited Range ◽

Obsessive Compulsive ◽

Moral Thought ◽

Compulsive Disorder ◽

Wide Range ◽

Religiosity And Spirituality ◽

The Relationship ◽

Religious Crisis

Some OCD researchers have suggested that highly religious individuals may be predisposed toward developing obsessive-compulsive disorder (OCD), but results regarding the relationship between religiosity and OCD symptoms are mixed. Notable weaknesses in the literature include the frequent use of measures with unknown psychometric properties that do not differentiate between various facets of religiosity (e.g., fundamentalism, spirituality, etc.), study of a limited range of religious affiliations, and predominant use of undergraduate student samples. Other research has demonstrated positive benefits of religiosity/spirituality for mental health. The current study attempted to clarify the relationship between OCD symptoms/cognitions and religiosity/spirituality using multidimensional measures of religiosity/spirituality. Seven hundred and forty-six nonclinical (students and community members) and 24 clinical participants (with a principal diagnosis of OCD) from a wide range of religious affiliations completed questionnaires assessing religiosity/spirituality and OCD symptoms/cognitions. In both samples, Obsessive-compulsive (OC) symptoms were either not significantly related or significantly, negatively related to religiosity and spirituality, but religious crisis was significantly, positively related to OC symptoms. In the nonclinical group, none of the facets of spirituality moderated the relationships between religiosity and fundamentalism or moral TAF. All facets of spirituality significantly moderated the relationship between religiosity and scrupulosity (all ps < .02), but additional variance explained was trivial (all ΔR2 < .004). In the clinical sample, only the universality facet of spirituality (i.e., the belief that the universe is ordered and all of humanity is connected) significantly moderated the relationship between religiosity and fundamentalism (t = -5.60, p < .001, 95% CI = -.53 to -.24, ΔR2 = .17) and between religiosity and moral thought-action fusion (moral TAF; t = -2.14, p = .04, 95% CI = -.38 to -.005, ΔR2 = .184). High religiosity was only associated with high fundamentalism or moral TAF when universality was low. None of the facets of spirituality significantly moderated the relationship between religiosity and scrupulosity (all ps = ns, all ΔR2 < .001). Religiosity and spirituality appear to be unrelated or negatively related to OC symptoms. However, religious individuals with OCD who experience religious crisis may benefit from psychoeducation/consultation with religious professionals to address these difficulties.

The Price of Love: An Investigation into the Relationship between Romantic Love and the Expression of Obsessive-Compulsive Disorder

CNS Spectrums ◽

10.1017/s1092852921000444 ◽

2021 ◽

pp. 1-33

Author(s):

James McLauchlan ◽

Emma M. Thompson ◽

Ygor A. Ferrão ◽

Euripedes C. Miguel ◽

Lucy Albertella ◽

...

Keyword(s):

Romantic Love ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Symmetry Dimension in Obsessive–Compulsive Disorder: Prevalence, Severity and Clinical Correlates

Journal of Clinical Medicine ◽

10.3390/jcm10020274 ◽

2021 ◽

Vol 10 (2) ◽

pp. 274

Author(s):

Aline P. Vellozo ◽

Leonardo F. Fontenelle ◽

Ricardo C. Torresan ◽

Roseli G. Shavitt ◽

Ygor A. Ferrão ◽

...

Keyword(s):

Logistic Regression ◽

Clinical Sample ◽

Cross Sectional Study ◽

Obsessive Compulsive ◽

Chi Square ◽

Cross Sectional ◽

Compulsive Disorder ◽

Clinical Correlates ◽

Axis I

Background: Obsessive–compulsive disorder (OCD) is a very heterogeneous condition that frequently includes symptoms of the “symmetry dimension” (i.e., obsessions and/or compulsions of symmetry, ordering, repetition, and counting), along with aggressive, sexual/religious, contamination/cleaning, and hoarding dimensions. Methods: This cross-sectional study aimed to investigate the prevalence, severity, and demographic and clinical correlates of the symmetry dimension among 1001 outpatients from the Brazilian Research Consortium on Obsessive–Compulsive Spectrum Disorders. The main assessment instruments used were the Dimensional Yale–Brown Obsessive–Compulsive Scale, the Yale–Brown Obsessive–Compulsive Scale, the USP-Sensory Phenomena Scale, the Beck Depression and Anxiety Inventories, the Brown Assessment of Beliefs Scale, and the Structured Clinical Interview for DSM-IV Axis I Disorders. Chi-square tests, Fisher’s exact tests, Student’s t-tests, and Mann–Whitney tests were used in the bivariate analyses to compare patients with and without symptoms of the symmetry dimension. Odds ratios (ORs) with confidence intervals and Cohen’s D were also calculated as effect size measures. Finally, a logistic regression was performed to control for confounders. Results: The symmetry dimension was highly prevalent (86.8%) in this large clinical sample and, in the logistic regression, it remained associated with earlier onset of obsessive–compulsive symptoms, insidious onset of compulsions, more severe depressive symptoms, and presence of sensory phenomena. Conclusions: A deeper knowledge about specific OCD dimensions is essential for a better understanding and management of this complex and multifaceted disorder.

Disgust proneness predicts obsessive-compulsive disorder symptom severity in a clinical sample of youth: Distinctions from negative affect

Journal of Affective Disorders ◽

10.1016/j.jad.2017.02.017 ◽

2017 ◽

Vol 213 ◽

pp. 118-125 ◽

Cited By ~ 4

Author(s):

Bunmi O. Olatunji ◽

Chad Ebesutani ◽

Jingu Kim ◽

Bradley C. Riemann ◽

David M. Jacobi

Keyword(s):

Negative Affect ◽

Symptom Severity ◽

Clinical Sample ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Obsessive Compulsive Disorder Symptom ◽

Disorder Symptom ◽

Disgust Proneness

Directionality of change in obsessive compulsive disorder (OCD) and suicidal ideation over six years in a naturalistic clinical sample✰

Journal of Affective Disorders ◽

10.1016/j.jad.2018.11.006 ◽

2019 ◽

Vol 245 ◽

pp. 841-847 ◽

Cited By ~ 4

Author(s):

Lily A. Brown ◽

Emily Wakschal ◽

Stefanie Russman-Block ◽

Christina L. Boisseau ◽

Maria C. Mancebo ◽

...

Keyword(s):

Suicidal Ideation ◽

Clinical Sample ◽

Obsessive Compulsive ◽

Compulsive Disorder

The Mediating Role of Alexithymia in the Relationship of Coping Strategies and Personality Traits With Obsessive-Compulsive Disorder

Quarterly of Horizon of Medical Sciences ◽

10.32598/hms.27.1.3355.1 ◽

2021 ◽

Vol 27 (1) ◽

pp. 62-81

Author(s):

Masoud Bagheri ◽

◽

Kazem Nematollah Zadeh Mahani ◽

Maryam Pour Amrollahi ◽

◽

...

Keyword(s):

Personality Traits ◽

Coping Strategies ◽

Psychological Health ◽

Obsessive Compulsive ◽

Positive Correlation ◽

Compulsive Disorder ◽

Mediating Role ◽

Aims: Obsessive-Compulsive Disorder (OCD) is one of the severe psychological health problems imposing considerable social and economic costs on society. OCD debilitating symptoms can disrupt interpersonal relations, job performance, and life quality. The purpose of this study is to investigate the mediating role of alexithymia in the relationship between coping strategies and personality traits with OCD. Methods & Materials: This is a descriptive correlational study. The study population consists of all people with OCD referred to psychiatric clinics in Kerman City, Iran, during 2018-2019. Of this population, 200 patients were selected using a convenience sampling method. Research instruments included the ways of coping questionnaire, NEO five-factor personality inventory, Toronto alexithymia scale, and Maudsley obsessive-compulsive test. The obtained data were analyzed using the Pearson correlation test and simultaneous and hierarchical regression in SPSS v. 23. Findings: Personality traits had a negative significant correlation with alexithymia (r=0.523, P<0.000) and OCD (r=0.253, P<0.000). Alexithymia had a significant positive correlation with OCD (r=0.272, P<0.000). There was no correlation between problem-focused coping and alexithymia (r=-0.045, P<0.531). There was a positive correlation between emotion-focused coping and OCD (r=0.198, P<0.000). The fit indices indicated a good fit of the proposed model (P<0.005). Conclusion: Alexithymia, as a mediator of the relationship between coping styles and personality traits with OCD, plays an essential role in improving the psychological health of people with OCD.

Correlational research on facial and clinical characteristics of adolescents with obsessive-compulsive disorder

10.21203/rs.3.rs-362348/v1 ◽

2021 ◽

Author(s):

Yanrong Wang ◽

Shaohua Chang ◽

Xiaomin Ma ◽

Jiying Li ◽

Ruixia Zhang ◽

...

Keyword(s):

Clinical Characteristics ◽

Healthy Controls ◽

Obsessive Compulsive ◽

Lower Lip ◽

Compulsive Disorder ◽

Correlational Research ◽

Nasolabial Angle ◽

The Difference ◽

Abstract We examined the relationship between facial morphological features and clinical characteristics of adolescents with obsessive-compulsive disorder (OCD). The enrolled study sample comprised 40 adolescents diagnosed with OCD using the Obsessive Compulsive Inventory Child Version (OCI-CV) and 38 healthy controls (HCs). Facial photos, 21 facial diameters, and nine facial angles were collected using image software. In males, lower lip red height was significantly lower in OCD patients than in HCs (P < 0.05); no significant differences were observed in other facial indicators (all P > 0.05). In females, the nasolabial angle was smaller in OCD patients than in HCs (P < 0.05); no significant differences were observed in other facial indicators (all P > 0.05). The difference in lower lip red height between the OCD group and HC group was positively correlated with mental neutralization symptoms (r = 0.401, P < 0.05). Our findings highlight the relationship between facial and clinical characteristics in OCD patients.

Obsessive–compulsive disorder: subclassification based on co-morbidity

Psychological Medicine ◽

10.1017/s0033291708004753 ◽

2008 ◽

Vol 39 (9) ◽

pp. 1491-1501 ◽

Cited By ~ 60

Author(s):

G. Nestadt ◽

C. Z. Di ◽

M. A. Riddle ◽

M. A. Grados ◽

B. D. Greenberg ◽

...

Keyword(s):

Anxiety Disorder ◽

Clinical Characteristics ◽

Latent Class ◽

Age At Onset ◽

Separation Anxiety Disorder ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Co Morbidity ◽

BackgroundObsessive–compulsive disorder (OCD) is probably an etiologically heterogeneous condition. Many patients manifest other psychiatric syndromes. This study investigated the relationship between OCD and co-morbid conditions to identify subtypes.MethodSeven hundred and six individuals with OCD were assessed in the OCD Collaborative Genetics Study (OCGS). Multi-level latent class analysis was conducted based on the presence of eight co-morbid psychiatric conditions [generalized anxiety disorder (GAD), major depression, panic disorder (PD), separation anxiety disorder (SAD), tics, mania, somatization disorders (Som) and grooming disorders (GrD)]. The relationship of the derived classes to specific clinical characteristics was investigated.ResultsTwo and three classes of OCD syndromes emerge from the analyses. The two-class solution describes lesser and greater co-morbidity classes and the more descriptive three-class solution is characterized by: (1) an OCD simplex class, in which major depressive disorder (MDD) is the most frequent additional disorder; (2) an OCD co-morbid tic-related class, in which tics are prominent and affective syndromes are considerably rarer; and (3) an OCD co-morbid affective-related class in which PD and affective syndromes are highly represented. The OCD co-morbid tic-related class is predominantly male and characterized by high conscientiousness. The OCD co-morbid affective-related class is predominantly female, has a young age at onset, obsessive–compulsive personality disorder (OCPD) features, high scores on the ‘taboo’ factor of OCD symptoms, and low conscientiousness.ConclusionsOCD can be classified into three classes based on co-morbidity. Membership within a class is differentially associated with other clinical characteristics. These classes, if replicated, should have important implications for research and clinical endeavors.

Neuroimaging Research and Neurocircuitry Models of Obsessive-Compulsive Disorder: Proceedings of the Third IOCDC

CNS Spectrums ◽

10.1017/s1092852900007392 ◽

1999 ◽

Vol 4 (S3) ◽

pp. 25-34 ◽

Cited By ~ 2

Author(s):

Scott L. Rauch ◽

Chawki Benkelfat ◽

Stephen R. Dager ◽

Benjamin D. Greenberg ◽

Talma Hendler ◽

...

Keyword(s):

Therapeutic Potential ◽

Resonance Spectroscopy ◽

Obsessive Compulsive ◽

Ongoing Research ◽

Compulsive Disorder ◽

The Third ◽

Wide Range ◽

Cognitive Challenge ◽

Data Analytic

AbstractA summary of the Third International Obsessive Compulsive Disorder Conference proceedings on neuroimaging research and neurocircuitry models of obsessive-compulsive disorder (OCD) is presented. This survey of recent and ongoing research indicates that a wide range of modern techniques and experimental strategies are being employed in a complementary fashion to enhance our understanding of OCD. Imaging studies in animal models of OCD are helping to elaborate relevant normal anatomy and neuro-chemistry. Functional imaging methods are being employed in conjunction with behavioral, pharmacologic, and cognitive challenge paradigms. Magnetic resonance spectroscopy as well as radiotracer methods are being utilized to measure neurochemical and neuropharmacologic indices in OCD. Transcranial magnetic stimulation has emerged as a tool for probing neurocircuitry that may also have therapeutic potential. Experimental designs and data-analytic methods are evolving to help elucidate the pathophysiology of OCD and related disorders, delineate neurobiologically meaningful subtypes of OCD, and identify potential predictors of treatment response. Collectively, these efforts promise important advances as we approach the new millennium.

Variable Insight in OCD

10.1093/med/9780190228163.003.0013 ◽

2017 ◽

Author(s):

Rebecca J. Hamblin ◽

Jennifer Moonjung Park ◽

Monica S. Wu ◽

Eric A. Storch

Keyword(s):

Assessment Tools ◽

Schizophrenia Spectrum Disorders ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Schizophrenia Spectrum ◽

Spectrum Disorders ◽

Definition Of ◽

The Relationship ◽

Insight Into

Individuals with obsessive-compulsive disorder (OCD) often have good insight into the irrational nature of their obsessions and the excessive character of their compulsions, but insight exists along a continuum and is markedly poor in some patients. This chapter reviews the assessment and phenomenological correlates of variable insight in OCD in both pediatric and adult populations. It reviews the definition of insight and its relationship to the evolution of diagnostic criteria for obsessive-compulsive disorder, as well as the major assessment tools used to measure and quantify insight for clinical and research purposes. The relationships between insight and clinical characteristics of OCD, including symptom severity, comorbidity, and treatment response are reviewed, followed by a review of neurobiological correlates of insight and the relationship between poor insight and schizophrenia spectrum disorders.