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Core clinical symptoms and suicidal ideation in patients with obsessive–compulsive disorder: A network analysis.

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Title: Core clinical symptoms and suicidal ideation in patients with obsessive–compulsive disorder: A network analysis.
Authors: Kim, Shin Tae (AUTHOR), Seo, Jun Ho (AUTHOR), Park, Chun Il (AUTHOR), Kim, Hae Won (AUTHOR), Boo, Young Jun (AUTHOR), Kim, Heeyeon (AUTHOR), Jeon, Sumoa (AUTHOR), Kang, Jee In (AUTHOR), Kim, Se Joo (AUTHOR)
Source: Psychiatry & Clinical Neurosciences. Feb2023, Vol. 77 Issue 2, p110-117. 8p. 3 Diagrams, 2 Charts.
Subjects: Obsessive-compulsive disorder, Suicidal ideation, Compulsive behavior, Symptoms, Compulsive shopping
Abstract: Introduction: Suicidality in obsessive‐compulsive disorder (OCD) is underestimated and it is important for clinicians to understand the factors that contribute to suicidal ideation. The present study aimed to estimate a network of the core clinical symptoms of OCD including obsessions, compulsions, and obsessive–compulsive (OC) symptom dimensions, depressive symptoms, and psychological traits, and to examine which symptoms contribute to suicidal ideation in patients with a primary diagnosis of obsessive–compulsive disorder. Methods: A total of 444 patients with OCD were assessed with the Yale–Brown Obsessive‐Compulsive Scale, the Montgomery–Asberg Depression Rating Scale, and various other measures. Network analysis was conducted to estimate the network of obsessive–compulsive and depressive symptoms, psychological traits including alexithymia and impulsivity, and demographic covariates. Symptoms directly related to suicidal ideation in the network were examined for their relative contribution to suicidal ideation. Results: Suicidal ideation was directly related to degree of control over compulsive behaviors, distress associated with compulsive behaviors, time spent performing compulsive behaviors, and unacceptable thoughts, along with depressive symptoms and alexithymia. In the network of OC and depressive symptoms the most central symptoms among the former were interference due to compulsive behaviors and interference due to obsessive thoughts, and among the latter were pessimistic thoughts and reported sadness. Conclusion: The findings suggest that along with depressive symptoms and alexithymia, compulsions and unacceptable thoughts dimension may contribute to suicidality, and thus, should be carefully monitored in patients with OCD. [ABSTRACT FROM AUTHOR]
Copyright of Psychiatry & Clinical Neurosciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Core clinical symptoms and suicidal ideation in patients with obsessive–compulsive disorder: A network analysis.
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  Data: <searchLink fieldCode="AR" term="%22Kim%2C+Shin+Tae%22">Kim, Shin Tae</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Seo%2C+Jun+Ho%22">Seo, Jun Ho</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Park%2C+Chun+Il%22">Park, Chun Il</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kim%2C+Hae+Won%22">Kim, Hae Won</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Boo%2C+Young+Jun%22">Boo, Young Jun</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kim%2C+Heeyeon%22">Kim, Heeyeon</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jeon%2C+Sumoa%22">Jeon, Sumoa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kang%2C+Jee+In%22">Kang, Jee In</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kim%2C+Se+Joo%22">Kim, Se Joo</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psychiatry+%26+Clinical+Neurosciences%22">Psychiatry & Clinical Neurosciences</searchLink>. Feb2023, Vol. 77 Issue 2, p110-117. 8p. 3 Diagrams, 2 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Obsessive-compulsive+disorder%22">Obsessive-compulsive disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Suicidal+ideation%22">Suicidal ideation</searchLink><br /><searchLink fieldCode="DE" term="%22Compulsive+behavior%22">Compulsive behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Compulsive+shopping%22">Compulsive shopping</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Introduction: Suicidality in obsessive‐compulsive disorder (OCD) is underestimated and it is important for clinicians to understand the factors that contribute to suicidal ideation. The present study aimed to estimate a network of the core clinical symptoms of OCD including obsessions, compulsions, and obsessive–compulsive (OC) symptom dimensions, depressive symptoms, and psychological traits, and to examine which symptoms contribute to suicidal ideation in patients with a primary diagnosis of obsessive–compulsive disorder. Methods: A total of 444 patients with OCD were assessed with the Yale–Brown Obsessive‐Compulsive Scale, the Montgomery–Asberg Depression Rating Scale, and various other measures. Network analysis was conducted to estimate the network of obsessive–compulsive and depressive symptoms, psychological traits including alexithymia and impulsivity, and demographic covariates. Symptoms directly related to suicidal ideation in the network were examined for their relative contribution to suicidal ideation. Results: Suicidal ideation was directly related to degree of control over compulsive behaviors, distress associated with compulsive behaviors, time spent performing compulsive behaviors, and unacceptable thoughts, along with depressive symptoms and alexithymia. In the network of OC and depressive symptoms the most central symptoms among the former were interference due to compulsive behaviors and interference due to obsessive thoughts, and among the latter were pessimistic thoughts and reported sadness. Conclusion: The findings suggest that along with depressive symptoms and alexithymia, compulsions and unacceptable thoughts dimension may contribute to suicidality, and thus, should be carefully monitored in patients with OCD. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychiatry & Clinical Neurosciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – SubjectFull: Compulsive shopping
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              Text: Feb2023
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