An empirical investigation of incompleteness in a large clinical sample of obsessive compulsive disorder

Nicholas J. Sibrava; Christina Lynn Boisseau; Jane L. Eisen; Maria C. Mancebo; Steven A. Rasmussen

doi:10.1016/j.janxdis.2016.05.005

An empirical investigation of incompleteness in a large clinical sample of obsessive compulsive disorder

Nicholas J. Sibrava^*, Christina Lynn Boisseau, Jane L. Eisen, Maria C. Mancebo, Steven A. Rasmussen

^*Corresponding author for this work

Psychiatry and Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

45 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	45-51
Number of pages	7
Journal	Journal of Anxiety Disorders
Volume	42
DOIs	https://doi.org/10.1016/j.janxdis.2016.05.005
State	Published - 2016

Funding

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.

Keywords

Core features
Harm avoidance
Incompleteness
Not just right experiences
Obsessive compulsive disorder

ASJC Scopus subject areas

Clinical Psychology
Psychiatry and Mental health

Access to Document

10.1016/j.janxdis.2016.05.005

Cite this

@article{84a37bc151ee4add85c7a46fd599bb93,

title = "An empirical investigation of incompleteness in a large clinical sample of obsessive compulsive disorder",

abstract = "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.",

keywords = "Core features, Harm avoidance, Incompleteness, Not just right experiences, Obsessive compulsive disorder",

author = "Sibrava, \{Nicholas J.\} and Boisseau, \{Christina Lynn\} and Eisen, \{Jane L.\} and Mancebo, \{Maria C.\} and Rasmussen, \{Steven A.\}",

note = "Publisher Copyright: {\textcopyright} 2016 Elsevier Ltd",

year = "2016",

doi = "10.1016/j.janxdis.2016.05.005",

language = "English (US)",

volume = "42",

pages = "45--51",

journal = "Journal of Anxiety Disorders",

issn = "0887-6185",

publisher = "Elsevier Ltd",

}

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.

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

UR - https://www.scopus.com/pages/publications/84979656104

UR - https://www.scopus.com/inward/citedby.url?scp=84979656104&partnerID=8YFLogxK

U2 - 10.1016/j.janxdis.2016.05.005

DO - 10.1016/j.janxdis.2016.05.005

M3 - Article

C2 - 27268401

AN - SCOPUS:84979656104

SN - 0887-6185

VL - 42

SP - 45

EP - 51

JO - Journal of Anxiety Disorders

JF - Journal of Anxiety Disorders

ER -

An empirical investigation of incompleteness in a large clinical sample of obsessive compulsive disorder

Abstract

Funding

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this