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Volume 19, Issue 4

Diagnosis and Treatment of Obsessive-Compulsive and Related Disorders

October 2021

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From the Guest Editor

October 2021

Diagnosis and Treatment of Obsessive-Compulsive and Related Disorders

Michele T. Pato, M.D.

Page:383
Published Online:5 November 2021

https://doi.org/10.1176/appi.focus.20210027

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Clinical Synthesis

October 2021

What Have We Learned About the Genetics of Obsessive-Compulsive and Related Disorders in Recent Years?

Manuel Mattheisen, M.D.,
Michele T. Pato, M.D.,
Carlos N. Pato, M.D., Ph.D.,
James A. Knowles, M.D., Ph.D.

Pages:384–391
Published Online:5 November 2021

https://doi.org/10.1176/appi.focus.20210017

Abstract
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Obsessive-compulsive disorder (OCD) is a complex, multifactorial disorder with onset in either childhood or early adulthood. Lifetime prevalence has been estimated to be around 2%−3%. DSM-5 groups OCD together with closely related disorders—body ...

October 2021

Hoarding Disorder: Development in Conceptualization, Intervention, and Evaluation

Christiana Bratiotis, Ph.D.,
Jordana Muroff, Ph.D.,
Nancy X.Y. Lin, M.S.W.

Pages:392–404
Published Online:5 November 2021

https://doi.org/10.1176/appi.focus.20210016

Abstract
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Hoarding disorder is characterized by difficulty parting with possessions because of strong urges to save the items. Difficulty discarding often includes items others consider to be of little value and results in accumulation of a large number of ...

October 2021

Trichotillomania and Skin-Picking Disorder: An Update

Jon E. Grant, J.D., M.D., M.P.H., and
Samuel R. Chamberlain, M.D., Ph.D.

Pages:405–412
Published Online:5 November 2021

https://doi.org/10.1176/appi.focus.20210013

Abstract
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Trichotillomania (hair pulling disorder) and skin-picking (excoriation) disorder are common neuropsychiatric disorders (each with a point prevalence of around 2%) but are underrecognized by professionals. Affected individuals repeatedly pull out their own ...

October 2021

Body Dysmorphic Disorder: Clinical Overview and Relationship to Obsessive-Compulsive Disorder

Katharine A. Phillips, M.D., and
Megan M. Kelly, Ph.D.

Pages:413–419
Published Online:5 November 2021

https://doi.org/10.1176/appi.focus.20210012

Abstract
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Body dysmorphic disorder (BDD), characterized by a distressing or impairing preoccupation with nonexistent or slight defects in appearance, is associated with markedly poor quality of life and high rates of suicidality. Onset of BDD is usually in ...

October 2021

Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder: 2021 Update

Barbara Van Noppen, Ph.D., L.C.S.W.,
Sean Sassano-Higgins, M.D.,
Raghu Appasani, M.D.,
Felicity Sapp, Ph.D., R. Psych.

Pages:430–443
Published Online:5 November 2021

https://doi.org/10.1176/appi.focus.20210015

Abstract
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In this update of a previous review, the authors discuss cognitive-behavioral therapy (CBT) with exposure and response prevention for obsessive-compulsive disorder (OCD). This efficacious modality avoids side effects common to psychotropic medication and ...

Ask the Expert

October 2021

Impact of COVID-19 on People With Obsessive-Compulsive Disorder

Eric A. Storch, Ph.D.

Pages:444–445
Published Online:5 November 2021

https://doi.org/10.1176/appi.focus.20210019

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Ethics Commentary

October 2021

Compulsively Moral: OCD, Ethics, and the Law

Jarrod A. Marks, M.D., and
Jacob M. Appel, M.D., J.D.

Pages:446–450
Published Online:5 November 2021

https://doi.org/10.1176/appi.focus.20210026

First Page
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Communication Commentary

October 2021

Forming a Doctor-Patient Alliance During COVID-19 to Enhance Treatment Outcomes for Obsessive-Compulsive Disorder

Dorothy E. Stubbe, M.D.

Pages:451–454
Published Online:5 November 2021

https://doi.org/10.1176/appi.focus.20210018

First Page
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Influential Publications

October 2021

Diagnosis and Treatment of Obsessive-Compulsive and Related Disorders

Pages:455–456
Published Online:5 November 2021

https://doi.org/10.1176/appi.focus.19408

Full text
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October 2021

Pharmacological and Psychotherapeutic Interventions for Management of Obsessive-compulsive Disorder in Adults: A Systematic Review and Network Meta-analysis

Petros SkapinakisPh.D.,
Deborah M. Caldwell, Ph.D.
William HollingworthPh.D.,
Peter BrydenM.Sc.,
Naomi A. Fineberg,
Paul SalkovskisPh.D.,
Nicky J. WeltonPh.D.,
Helen BaxterPh.D.,
David KesslerMRCGP.,
Rachel ChurchillPh.D.,
Glyn Lewis

Pages:457–467
Published Online:5 November 2021

https://doi.org/10.1176/appi.focus.19402

Abstract
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Background: Several interventions are available for management of obsessive-compulsive disorder in adults, but few studies have compared their relative efficacy in a single analysis. We aimed to simultaneously compare all available treatments using both ...

October 2021

Cognitive Behavioral Therapy For Hoarding Disorder: A Meta-Analysis

David F. Tolin,
Randy O. Frost,
Gail Steketee, and
Jordana Muroff

Pages:468–476
Published Online:5 November 2021

https://doi.org/10.1176/appi.focus.19403

Abstract
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Background: Hoarding disorder (HD) is a new diagnosis in DSM-5 (American Psychiatric Association, 2013). Cognitive-behavioral therapy (CBT) appears promising for the treatment of HD, and has been tested in both individual and group settings. Methods: ...

October 2021

Family and Couple Integrated Cognitive-Behavioural Therapy for Adults with OCD: A Meta-Analysis

Kathleen E. Stewart,
David Sumantry,
Bailee L. Malivoire

Pages:477–489
Published Online:5 November 2021

https://doi.org/10.1176/appi.focus.19404

Abstract
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Supplement

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Background: Integrating family into the treatment of obsessive-compulsive disorder (OCD) is standard in pediatric populations; however, in adult populations, patients are typically treated independent of their family. Yet, there is compelling evidence to ...

October 2021

Body Dysmorphic Disorder and Major Depressive Episode Have Comorbidity-Independent Associations With Suicidality in an Acute Psychiatric Setting

Ivar Snorrason,
Courtney Beard,
Kirsten Christensen,
Andri S. Bjornsson,
Thröstur Björgvinsson

Pages:490–495
Published Online:5 November 2021

https://doi.org/10.1176/appi.focus.19405

Abstract
Full text
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Background: This study sought to examine whether mood, anxiety, and obsessive-compulsive spectrum disorders have unique (comorbidity-independent) associations with suicidal thoughts and behaviors in an acute psychiatric population. Methods: Patients (N =...

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