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    Obsessive-Compulsive and Related Disorders

    Explore the latest in obsessive-compulsive and related disorders, including recent advances in OCD diagnosis and treatment in children and adults.

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    • Obsessive-Compulsive Disorder and Its Cross-Generational Familial Association With Anxiety Disorders in a National Swedish Extended Adoption Study
      JAMA Psychiatry
      Research
      February 1, 2023

      This population register–based study examines data for offspring born in Sweden from 1960 to 1995 to evaluate the sources of parent-offspring transmission of OCD and its familial cross-generational association with more typical anxiety disorders.

      Anxiety Disorders Psychiatry and Behavioral Health Genomics and Precision Health Genetics and Genomics Pediatrics
      Full Text | pdf link PDF
    • Association of Clinical and Demographic Characteristics With Response to Electroconvulsive Therapy in Mania
      JAMA Network Open
      Research
      June 23, 2022

      This cohort study examines the outcomes of electroconvulsive therapy and the association of clinical and demographic characteristics with response in patients with mania.

      Bipolar and Related Disorders Psychiatric Surgery and Procedures Psychiatry and Behavioral Health Anxiety Disorders
      Full Text | pdf link PDF open access
    • Association of Obsessive-Compulsive Disorder and Obsessive-Compulsive Symptoms With Substance Misuse in 2 Longitudinal Cohorts in Sweden
      JAMA Network Open
      Research
      June 6, 2022

      This cohort study assesses the association of obsessive-compulsive disorder and obsessive-compulsive symptoms with substance misuse in a general population sample and a twin sample in Sweden.

      Substance Use and Addiction Medicine Psychiatry and Behavioral Health
      Full Text | pdf link PDF open access
    • Focusing on Accessibility of Evidence-Based Treatments for Obsessive-Compulsive Disorder
      JAMA Network Open
      Opinion
      March 14, 2022
      Psychotherapy Mobile Health and Telemedicine Psychiatry and Behavioral Health
      Full Text | pdf link PDF open access
    • Effect of Internet-Based vs Face-to-Face Cognitive Behavioral Therapy for Adults With Obsessive-Compulsive Disorder: A Randomized Clinical Trial
      JAMA Network Open
      Research
      March 14, 2022

      This randomized clinical trial investigates whether unguided and therapist-guided internet-based cognitive behavioral therapy (CBT) are noninferior to face-to-face CBT for adults with obsessive-compulsive disorder.

      Psychiatry and Behavioral Health Mobile Health and Telemedicine Psychotherapy
      Full Text | pdf link PDF open access
    • Maintenance of Wellness in Patients With Obsessive-Compulsive Disorder Who Discontinue Medication After Exposure/Response Prevention Augmentation: A Randomized Clinical Trial
      JAMA Psychiatry
      Research
      March 1, 2022

      This randomized clinical trial investigates maintenance of wellness in patients with obsessive-compulsive disorder who achieve wellness after treatment with serotonin reuptake inhibitors and exposure/response prevention therapy and then discontinue their serotonin reuptake inhibitor.

      Psychiatry and Behavioral Health
      Full Text | pdf link PDF free
    • Association of Environmental Uncertainty With Altered Decision-making and Learning Mechanisms in Youths With Obsessive-Compulsive Disorder
      JAMA Network Open
      Research
      November 29, 2021

      This cross-sectional analysis investigates the association of environmental uncertainty with altered decision-making and learning mechanisms by assessing executive functioning with a probabilistic reversal learning task and the Wisconsin Card Sorting Task and by using computational modeling in youths 12 to 19 years of age with obsessive-compulsive disorder.

      Adolescent Medicine Pediatrics Psychiatry and Behavioral Health
      Full Text | pdf link PDF open access
    • Cost-effectiveness of Internet-Delivered vs In-Person Cognitive Behavioral Therapy for Children and Adolescents With Obsessive-Compulsive Disorder
      JAMA Network Open
      Research
      July 30, 2021

      This economic evaluation assesses the cost-effectiveness of guided internet-delivered cognitive behavioral therapy implemented within a stepped-care model compared with in-person cognitive behavioral therapy for young people with obsessive-compulsive disorder.

      Health Care Delivery Models Mobile Health and Telemedicine Psychiatry and Behavioral Health Psychotherapy Pediatrics
      Full Text | pdf link PDF open access
    • Effect of an Internet-Delivered Stepped-Care Program vs In-Person Cognitive Behavioral Therapy on Obsessive-Compulsive Disorder Symptoms in Children and Adolescents: A Randomized Clinical Trial
      JAMA
      Research
      May 11, 2021

      This noninferiority trial compares the effects of an internet-delivered cognitive behavioral therapy (CBT) program followed by traditional in-person CBT if necessary vs in-person CBT alone on symptoms of obsessive compulsive disorder (OCD) in children and adolescents.

      Psychiatry and Behavioral Health Child and Adolescent Psychiatry Mobile Health and Telemedicine Pediatrics Adolescent Medicine
      Full Text | pdf link PDF free
    • Digital Interventions for Adults With Symptoms of Depression and Children and Adolescents With Symptoms of Obsessive-Compulsive Disorder
      JAMA
      Opinion
      May 11, 2021
      Depressive Disorders Psychiatry and Behavioral Health Psychotherapy Child and Adolescent Psychiatry Pediatrics
      Full Text | pdf link PDF
    • Effect of D-Cycloserine on the Effect of Concentrated Exposure and Response Prevention in Difficult-to-Treat Obsessive-Compulsive Disorder: A Randomized Clinical Trial
      JAMA Network Open
      Research
      August 13, 2020

      This randomized clinical trial evaluates whether D-cycloserine potentiates the effect of concentrated exposure and response prevention among patients with difficult-to-treat obsessive-compulsive disorder.

      Psychiatry and Behavioral Health Psychotherapy
      Full Text | pdf link PDF open access
    • Long-term Outcomes of Cognitive Behavioral Therapy for Anxiety-Related Disorders: A Systematic Review and Meta-analysis
      JAMA Psychiatry
      Research
      March 1, 2020

      This systematic review and meta-analysis of 69 randomized clinical trials assesses long-term outcomes after cognitive behavioral therapy for anxiety disorders, posttraumatic stress disorder, and obsessive-compulsive disorder.

      Anxiety Disorders Psychiatry and Behavioral Health Psychotherapy Trauma- and Stressor-Related Psychiatric Disorders
      Full Text | pdf link PDF free
    • When Improving Symptoms Is Not Enough—Is It Time for Next-Generation Interventions for Obsessive-Compulsive Disorder?
      JAMA Psychiatry
      Opinion
      January 1, 2020

      This Viewpoint describes possibilities for lifestyle-specific advancement in the treatment of people with obsessive-compulsive disorder.

      Psychiatry and Behavioral Health
      Full Text | pdf link PDF
    • Comparison of the Association Between Goal-Directed Planning and Self-reported Compulsivity vs Obsessive-Compulsive Disorder Diagnosis
      JAMA Psychiatry
      Research
      January 1, 2020

      This cross-sectional study assesses whether deficits in goal-directed planning are better identified by self-reported compulsivity or a diagnosis of obsessive-compulsive disorder.

      Anxiety Disorders Psychiatric Nosology Psychiatry and Behavioral Health
      Full Text | pdf link PDF open access
    • Stepped Care Internet-Delivered vs Face-to-Face Cognitive-Behavior Therapy for Pediatric Obsessive-Compulsive Disorder: A Trial Protocol for a Randomized Noninferiority Trial
      JAMA Network Open
      Research
      October 23, 2019

      This protocol describes a randomized clinical noninferiority trial to determine whether cognitive behavioral therapy delivered online as part of a stepped care model is noninferior to, and cost-effective compared with, face-to-face cognitive behavioral therapy for pediatric obsessive-compulsive disorder (OCD).

      Pediatrics Mobile Health and Telemedicine Psychiatry and Behavioral Health Psychotherapy Adolescent Medicine
      Full Text | pdf link PDF open access
    • Fluoxetine and Repetitive Behaviors in Children and Adolescents With Autism Spectrum Disorder
      JAMA
      Opinion
      October 22, 2019
      Pediatrics Psychiatry and Behavioral Health Child and Adolescent Psychiatry Autism Spectrum Disorders Adolescent Medicine
      Full Text | pdf link PDF
    • Effect of Fluoxetine on Obsessive-Compulsive Behaviors in Children and Adolescents With Autism Spectrum Disorders: A Randomized Clinical Trial
      JAMA
      Research
      October 22, 2019

      This randomized clinical trial compares the effects of fluoxetine vs placebo for obsessive-compulsive behaviors in children and adolescents with autism spectrum disorders.

      Psychiatry and Behavioral Health Child and Adolescent Psychiatry Pediatrics Autism Spectrum Disorders Adolescent Medicine
      Full Text | pdf link PDF free
    • Tips for Choosing a Deep Brain Stimulation Device
      JAMA Neurology
      Opinion
      July 1, 2019

      This Viewpoint discuss several tips and highlights the critical factors to help clinicians selecting the appropriate deep brain stimulation device for patients.

      Medical Devices and Equipment Movement Disorders Parkinson Disease Tremor Neurology
      Full Text | pdf link PDF
    • Identifying Efficacious Treatment Elements for Refractory Conditions, Such as Body Dysmorphic Disorder
      JAMA Psychiatry
      Opinion
      April 1, 2019
      Psychiatry and Behavioral Health Psychotherapy
      Full Text | pdf link PDF
    • Efficacy and Posttreatment Effects of Therapist-Delivered Cognitive Behavioral Therapy vs Supportive Psychotherapy for Adults With Body Dysmorphic Disorder: A Randomized Clinical Trial
      JAMA Psychiatry
      Research
      April 1, 2019

      This randomized clinical trial compares the symptom reduction and treatment gain durability between cognitive behavioral therapy or supportive psychotherapy for adults with body dysmorphic disorder.

      Psychiatry and Behavioral Health Psychotherapy
      Full Text | pdf link PDF free
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