TY - JOUR
T1 - An empirical investigation of incompleteness in a large clinical sample of obsessive compulsive disorder
AU - Sibrava, Nicholas J.
AU - Boisseau, Christina Lynn
AU - Eisen, Jane L.
AU - Mancebo, Maria C.
AU - Rasmussen, Steven A.
N1 - Funding Information:
This research was supported by a grant awarded to Dr. Rasmussen from the National Institutes of Health, Bethesda, MD ( R01-MH-060218 ). The authors report no financial or other relationship relevant to the subject of this article. Portions of this manuscript were presented at the 2013 Annual Meeting of the American Psychiatric Association, San Francisco, CA. The authors wish to thank Meredith Senter, Sc.B, for her assistance in the preparation of data for this study, as well as the anonymous reviewers for their very helpful comments on a previous version of the manuscript.
PY - 2016
Y1 - 2016
N2 - Obsessive Compulsive Disorder (OCD) is a disorder with heterogeneous clinical presentations. To advance our understanding of this heterogeneity we investigated the prevalence and clinical features associated with incompleteness (INC), a putative underlying core feature of OCD. We predicted INC would be prominent in individuals with OCD and associated with greater severity and impairment. We examined the impact of INC in 307 adults with primary OCD. Participants with clinically significant INC (22.8% of the sample) had significantly greater OCD severity, greater rates of comorbidity, poorer ratings of functioning, lower quality of life, and higher rates of unemployment and disability. Participants with clinically significant INC were also more likely to be diagnosed with OCPD and to endorse symmetry/exactness obsessions and ordering/arranging compulsions than those who reported low INC. Our findings provide evidence that INC is associated with greater severity, comorbidity, and impairment, highlighting the need for improved assessment and treatment of INC in OCD.
AB - Obsessive Compulsive Disorder (OCD) is a disorder with heterogeneous clinical presentations. To advance our understanding of this heterogeneity we investigated the prevalence and clinical features associated with incompleteness (INC), a putative underlying core feature of OCD. We predicted INC would be prominent in individuals with OCD and associated with greater severity and impairment. We examined the impact of INC in 307 adults with primary OCD. Participants with clinically significant INC (22.8% of the sample) had significantly greater OCD severity, greater rates of comorbidity, poorer ratings of functioning, lower quality of life, and higher rates of unemployment and disability. Participants with clinically significant INC were also more likely to be diagnosed with OCPD and to endorse symmetry/exactness obsessions and ordering/arranging compulsions than those who reported low INC. Our findings provide evidence that INC is associated with greater severity, comorbidity, and impairment, highlighting the need for improved assessment and treatment of INC in OCD.
KW - Core features
KW - Harm avoidance
KW - Incompleteness
KW - Not just right experiences
KW - Obsessive compulsive disorder
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U2 - 10.1016/j.janxdis.2016.05.005
DO - 10.1016/j.janxdis.2016.05.005
M3 - Article
C2 - 27268401
AN - SCOPUS:84979656104
VL - 42
SP - 45
EP - 51
JO - Journal of Anxiety Disorders
JF - Journal of Anxiety Disorders
SN - 0887-6185
ER -