The correlates of social phobia in OCD: Findings from a large clinical sample.
Objectives: Obsessive‐compulsive disorder (OCD) is a debilitating psychiatric disorder, often complicated with comorbidities. Social phobia (SP) is the most frequent co‐occurring anxiety disorder in OCD, associated with increased clinical severity. However, no study had examined the relevance of int...
| Publicado en: | British Journal of Clinical Psychology Vol. 60; no. 3; pp. 312 - 333 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151739786&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151739786 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01446657 99B jtl: British Journal of Clinical Psychology issn: 01446657 maglogo: Y pubinfo: dt: Sep2021 vid: 60 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 151739786 149863013 151739786 151739786 10.1111/bjc.12292 151739786 ppf: 312 ppct: 21 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The correlates of social phobia in OCD: Findings from a large clinical sample. aug: au: Tibi, Lee Asher, Sapir van Oppen, Patricia van Balkom, Anton J. L. M. Eikelenboom, Merijn Visser, Henny A. Penninx, Brenda W. Anholt, Gideon E. affil: Department of Psychology, Ben‐Gurion University of the Negev, Beer‐Sheva, Israel sug: subj: Obsessive-Compulsive Disorder Complications Social Anxiety Disorders Symptoms Social Anxiety Disorders Epidemiology Age of Onset Severity of Illness Comorbidity Vulnerability Interpersonal Relations Human Correlational Studies Netherlands Trauma Adverse Childhood Experiences Life Change Events Attachment Behavior Emotions Support, Psychosocial Self Report Questionnaires Structured Interview Comparative Studies Descriptive Statistics Univariate Statistics Logistic Regression Depression Age Factors ab: Objectives: Obsessive‐compulsive disorder (OCD) is a debilitating psychiatric disorder, often complicated with comorbidities. Social phobia (SP) is the most frequent co‐occurring anxiety disorder in OCD, associated with increased clinical severity. However, no study had examined the relevance of interpersonal processes in this comorbidity, which are at the core of SP. This study characterized the clinical (i.e., symptom profile, age of onset, chronicity, and comorbidity), vulnerability (i.e., childhood trauma, negative life events), and interpersonal (attachment style, expressed emotion, and social support) correlates of comorbid SP in a large sample of OCD patients. Methods: We analysed the data of 382 OCD patients participating in the Netherlands Obsessive Compulsive Disorder Association (NOCDA) study. We examined the correlates of SP in OCD using self‐report questionnaires and structured clinical interviews. In addition, data of 312 non‐OCD SP patients were drawn from the Netherlands Study of Depression and Anxiety (NESDA), to compare the age of onset of SP between groups. Descriptive univariate analyses were followed by backward stepwise logistic regression analyses. Results: Social phobia was present among approximately 20% of OCD patients. Social phobia in OCD was associated with increased depression severity and decreased ratings of secure attachment style. Among OCD patients, SP had a significantly earlier age onset as compared to SP in non‐OCD patients. Conclusion: Social phobia in OCD might render a vulnerable clinical picture, characterized with early onset of SP symptoms, insecure attachment style, and increased depressive symptoms. Future studies should use prospective designs to better understand the nature of comorbid SP in OCD. Practitioner points: Approximately one fifth of OCD patients were diagnosed with comorbid social phobia in a large representative clinical sample.OCD patients with comorbid social phobia presented with a vulnerable clinical picture, characterized with increased depression severity and decreased ratings of secure attachment style.Social phobia in OCD was associated with an earlier AOO as compared to the AOO of social phobia without OCD.The findings are limited by a cross‐sectional design; thus, causality could not be assessed.Research is needed to further examine the mechanisms of comorbid social phobia in OCD. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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