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The centrality of doubting and checking in the network structure of obsessive-compulsive symptom dimensions in youth

Cervin, Matti LU ; Perrin, Sean LU orcid ; Olsson, Elin ; Apsvall, Kristina ; Geller, Daniel ; Wilhelm, Sabine ; McGuire, Joseph ; Lázaro, Luisa ; Martínez González, Agustín Ernesto and Barcaccia, Barbara , et al. (2020) In Journal of the American Academy of Child and Adolescent Psychiatry 59(7). p.880-889
Abstract
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 and central features of these dimensions in unselected schoolchildren and in youth with OCD.
Method. We estimated the network structure of OCD symptom dimensions in 6,991 schoolchildren and 704 youth diagnosed with OCD from 18 sites across six 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... (More)
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 and central features of these dimensions in unselected schoolchildren and in youth with OCD.
Method. We estimated the network structure of OCD symptom dimensions in 6,991 schoolchildren and 704 youth diagnosed with OCD from 18 sites across six 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, i.e. exerting strong influence over other symptom dimensions in the network. The centrality of the doubting/checking dimension was consistent across countries, genders, age groups, clinical status, and tic disorder comorbidity. Network differences were observed for age and gender 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. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Network Analysis, Obssessive Compulsive Disorder, Children and Adolescents
in
Journal of the American Academy of Child and Adolescent Psychiatry
volume
59
issue
7
pages
10 pages
publisher
Elsevier
external identifiers
  • scopus:85077150788
  • pmid:31421234
ISSN
0890-8567
DOI
10.1016/j.jaac.2019.06.018
language
English
LU publication?
yes
id
4a8fdd1c-f97a-48f5-a943-ecd877adebfe
date added to LUP
2019-06-19 22:25:46
date last changed
2024-02-15 11:25:05
@article{4a8fdd1c-f97a-48f5-a943-ecd877adebfe,
  abstract     = {{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 and central features of these dimensions in unselected schoolchildren and in youth with OCD.<br/>Method. We estimated the network structure of OCD symptom dimensions in 6,991 schoolchildren and 704 youth diagnosed with OCD from 18 sites across six countries. All participants completed the Obsessive Compulsive Inventory - Child Version.<br/>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, i.e. exerting strong influence over other symptom dimensions in the network. The centrality of the doubting/checking dimension was consistent across countries, genders, age groups, clinical status, and tic disorder comorbidity. Network differences were observed for age and gender in the school-based but not the clinic-based samples.<br/>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.}},
  author       = {{Cervin, Matti and Perrin, Sean and Olsson, Elin and Apsvall, Kristina and Geller, Daniel and Wilhelm, Sabine and McGuire, Joseph and Lázaro, Luisa and Martínez González, Agustín Ernesto and Barcaccia, Barbara and Pozza, Andrea and Goodman, Wayne and Murphy, Tanya and Seçer, İsmail and Piqueras, Jose and Rodríguez-Jiménez, Tíscar and Godoy, Antonio and Rosa-Alcázar, Ana and Rosa-Alcázar, Angel and Ruiz-García, Beatriz and Storch, Eric and Mataix-Coles, David}},
  issn         = {{0890-8567}},
  keywords     = {{Network Analysis; Obssessive Compulsive Disorder; Children and Adolescents}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{880--889}},
  publisher    = {{Elsevier}},
  series       = {{Journal of the American Academy of Child and Adolescent Psychiatry}},
  title        = {{The centrality of doubting and checking in the network structure of obsessive-compulsive symptom dimensions in youth}},
  url          = {{http://dx.doi.org/10.1016/j.jaac.2019.06.018}},
  doi          = {{10.1016/j.jaac.2019.06.018}},
  volume       = {{59}},
  year         = {{2020}},
}