The Centrality of Doubting and Checking in the Network Structure of Obsessive-Compulsive Symptom Dimensions in Youth

被引：34

作者：

Cervin, Matti ^{[1
,2
]}

Perrin, Sean ^{[1
]}

Olsson, Elin ^{[2
]}

Aspvall, Kristina ^{[3
,4
]}

Geller, Daniel A. ^{[5
,6
]}

Wilhelm, Sabine ^{[5
,6
]}

McGuire, Joseph ^{[7
]}

Lazaro, Luisa ^{[8
]}

Martinez-Gonzalez, Agustin E. ^{[9
]}

Barcaccia, Barbara ^{[10
]}

Pozza, Andrea ^{[11
]}

Goodman, Wayne K. ^{[12
]}

Murphy, Tanya K. ^{[13
]}

Secer, Ismail ^{[14
]}

Piqueras, Jose A. ^{[15
]}

Rodriguez-Jimenez, Tiscar ^{[16
]}

Godoy, Antonio ^{[17
]}

Rosa-Alcazar, Ana, I ^{[18
]}

Rosa-Alcazar, Angel ^{[19
]}

Ruiz-Garcia, Beatriz M. ^{[18
]}

Storch, Eric A. ^{[12
]}

Mataix-Cols, David ^{[3
,4
]}

机构：

[1] Lund Univ, Lund, Sweden

[2] Skane Child & Adolescent Psychiat, Lund, Sweden

[3] Karolinska Inst, Stockholm, Sweden

[4] Stockholm Hlth Care Serv, Stockholm, Sweden

[5] Massachusetts Gen Hosp, Boston, MA 02114 USA

[6] Harvard Med Sch, Boston, MA 02115 USA

[7] Johns Hopkins Univ, Sch Med, Baltimore, MD USA

[8] Univ Barcelona, Hosp Clin, CIBERSAM, IDIBAPS, Barcelona, Spain

[9] Univ Alicante, Alicante, Spain

[10] Sapienza Univ Rome, Rome, Italy

[11] Univ Florence, Florence, Italy

[12] Baylor Coll Med, Houston, TX 77030 USA

[13] Univ S Florida, Tampa, FL 33620 USA

[14] Ataturk Univ, Erzurum, Turkey

[15] Univ Miguel Hernandez Elche, Alicante, Spain

[16] Catholic Univ San Antonio, Murcia, Spain

[17] Univ Malaga, Malaga, Spain

[18] Univ Murcia, Murcia, Spain

[19] Catholic Univ Murcia, Murcia, Spain

来源：

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY | 2020年 / 59卷 / 07期

关键词：

obsessive-compulsive disorder; network analysis; dimensions; Obsessive-Compulsive Inventory; INVENTORY-CHILD VERSION; BEHAVIOR-THERAPY; OCI-CV; DISORDER; ADOLESCENTS; DEPRESSION; RELIABILITY; VALIDITY; VALIDATION; INTERVIEW;

D O I：

10.1016/j.jaac.2019.06.018

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Objective: Obsessive-compulsive disorder (OCD) is a heterogeneous condition with well-established symptom dimensions across the lifespan. The objective of the present study was to use network analysis to investigate the internal structure of these dimensions in unelected schoolchildren and in children with OCD. Method: We estimated the network structure of OCD symptom dimensions in 6,991 schoolchildren and 704 children diagnosed with OCD from 18 sites across 6 countries. All participants completed the Obsessive-Compulsive Inventory-Child Version. Results: In both the school-based and clinic-based samples, the OCD dimensions formed an interconnected network with doubting/checking emerging as a highly central node, that is, having strong connections to other symptom dimensions in the network. The centrality of the doubting/ checking dimension was consistent across countries, sexes, age groups, clinical status, and tic disorder comorbidity. Network differences were observed for age and sex in the school-based but not the clinic-based samples. Conclusion: The centrality of doubting/checking in the network structure of childhood OCD adds to classic and recent conceptualizations of the disorder in which the important role of doubt in disorder severity and maintenance is highlighted. The present results suggest that doubting/checking is a potentially important target for further research into the etiology and treatment of childhood OCD.

引用

页码：880 / 889

页数：10

共 50 条

[1]

American Psychiatric Association, 2013, DIAGNOSTIC STAT MANU, V5, DOI 10.1176/appi.books.9780890425596

[2]

[Anonymous], 2014, EGIT BILIM, V39, P176

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