Neuroticism as an underlying construct in youth emotional disorders

2020 ◽  
Vol 84 (3) ◽  
pp. 214-236 ◽  
Author(s):  
Niza A. Tonarely ◽  
Jamie A. Sherman ◽  
Rebecca A. Grossman ◽  
Ashley M. Shaw ◽  
Jill Ehrenreich-May
Keyword(s):  
Emotional Disorders ◽  
Symptom Severity ◽  
Internalizing Symptoms ◽  
Distress Tolerance ◽  
Clinical Sample ◽  
Big Five Personality ◽  
Obsessive Compulsive ◽  
Latent Construct ◽  
Independent Evaluator ◽  
Structural Research

Structural research on neuroticism, as indicated by Big Five personality traits and/or internalizing symptoms, has been conducted with youth. However, no structural research has investigated neuroticism as characterized by transdiagnostic risk factors such as distress tolerance (DT), negative affect (NA), and avoidance. No study has investigated whether DT, NA, and avoidance, as a group, are associated with anxiety, depressive, obsessive-compulsive (OC) symptoms, and independent evaluator (lE)-rated symptom severity in a clinical sample of youth. The purpose of the current investigation was to understand the proportion of variance in anxiety, depressive, OC symptoms, and independent evaluator-rated global symptom severity by a latent construct of neuroticism, as indicated by these modifiable features in youth with emotional disorders among a sample of 121 adolescents (ages 13–18, 51.2% female). A latent neuroticism factor was significantly associated with greater youth- and parent-reported anxiety, depressive, and OC symptoms, and greater IE-rated global severity.

Examining depression symptoms within OCD: the role of experiential avoidance

2021 ◽  
pp. 1-14
Author(s):  
Morgan E. Browning ◽  
Nathaniel P. Van Kirk ◽  
Jason W. Krompinger
Keyword(s):  
Experiential Avoidance ◽  
Symptom Severity ◽  
Distress Tolerance ◽  
Past Research ◽  
Primary Diagnosis ◽  
Hierarchical Regression ◽  
Depression Symptoms ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Underlying Mechanisms

Abstract Background: Obsessive compulsive disorder (OCD) and depression commonly co-occur. Past research has evaluated underlying mechanisms of depression in the context of other diagnoses, but few to no studies have done this within OCD. Aims: This study examines the relationships between distress tolerance (DT), experiential avoidance (EA), depression, and OCD symptom severity across intensive/residential treatment (IRT) for OCD. It was hypothesized that all variables would be significantly moderately related and EA would emerge as a potential contributing factor to change in depression and OCD symptoms across IRT for OCD. Method: The sample included 311 participants with a primary diagnosis of OCD seeking IRT. Correlations were performed between all variables at both admission and discharge. A two-step hierarchical regression with change in OCD symptoms and change in DT in the first block and change in EA in the second block examined if change in EA explained change in depression above and beyond change in OCD and DT ability. Results: At both admission and discharge, higher EA, lower DT, and higher OCD symptom severity were significantly associated with more depressive symptoms. Change in EA explained a significant amount of variance in change in depression above and beyond change in OCD symptom severity and change in DT. Conclusions: This study expands past results within an OCD sample, emphasizing EA as an important treatment target in OCD. Future studies could utilize samples from other treatment contexts, use a measure of EA specific to OCD, and utilize a longitudinal model that takes temporal precedence into account.

Structuring Assessments of Psychopathology

2006 ◽  
Vol 27 (2) ◽  
pp. 87-92 ◽  
Author(s):  
Willem K.B. Hofstee ◽  
Dick P.H. Barelds ◽  
Jos M.F. Ten Berge
Keyword(s):  
Principal Components ◽  
Personality Assessment ◽  
Clinical Sample ◽  
Principal Component ◽  
Normal Sample ◽  
Normative Sample ◽  
Assessment Data ◽  
Obsessive Compulsive ◽  
Oblique Rotation ◽  
Two Samples

Hofstee and Ten Berge (2004a) have proposed a new look at personality assessment data, based on a bipolar proportional (-1, .. . 0, .. . +1) scale, a corresponding coefficient of raw-scores likeness L = ΢XY/N, and raw-scores principal component analysis. In a normal sample, the approach resulted in a structure dominated by a first principal component, according to which most people are faintly to mildly socially desirable. We hypothesized that a more differentiated structure would arise in a clinical sample. We analyzed the scores of 775 psychiatric clients on the 132 items of the Dutch Personality Questionnaire (NPV). In comparison to a normative sample (N = 3140), the eigenvalue for the first principal component appeared to be 1.7 times as small, indicating that such clients have less personality (social desirability) in common. Still, the match between the structures in the two samples was excellent after oblique rotation of the loadings. We applied the abridged m-dimensional circumplex design, by which persons are typed by their two highest scores on the principal components, to the scores on the first four principal components. We identified five types: Indignant (1-), Resilient (1-2+), Nervous (1-2-), Obsessive-Compulsive (1-3-), and Introverted (1-4-), covering 40% of the psychiatric sample. Some 26% of the individuals had negligible scores on all type vectors. We discuss the potential and the limitations of our approach in a clinical context.

scholarly journals Correlates of obsessive-compulsive and related disorders symptom severity during the COVID-19 pandemic

2021 ◽  
Author(s):  
Leonardo F. Fontenelle ◽  
Lucy Albertella ◽  
Mary-Ellen Brierley ◽  
Emma M. Thompson ◽  
Louise Destrée ◽  
...  
Keyword(s):  
Symptom Severity ◽  
Obsessive Compulsive

scholarly journals Symmetry Dimension in Obsessive–Compulsive Disorder: Prevalence, Severity and Clinical Correlates

2021 ◽  
Vol 10 (2) ◽  
pp. 274
Author(s):  
Aline P. Vellozo ◽  
Leonardo F. Fontenelle ◽  
Ricardo C. Torresan ◽  
Roseli G. Shavitt ◽  
Ygor A. Ferrão ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Obsessive Compulsive Disorder ◽  
Clinical Sample ◽  
Cross Sectional Study ◽  
Obsessive Compulsive ◽  
Chi Square ◽  
Cross Sectional ◽  
Compulsive Disorder ◽  
Clinical Correlates ◽  
Axis I

Background: Obsessive–compulsive disorder (OCD) is a very heterogeneous condition that frequently includes symptoms of the “symmetry dimension” (i.e., obsessions and/or compulsions of symmetry, ordering, repetition, and counting), along with aggressive, sexual/religious, contamination/cleaning, and hoarding dimensions. Methods: This cross-sectional study aimed to investigate the prevalence, severity, and demographic and clinical correlates of the symmetry dimension among 1001 outpatients from the Brazilian Research Consortium on Obsessive–Compulsive Spectrum Disorders. The main assessment instruments used were the Dimensional Yale–Brown Obsessive–Compulsive Scale, the Yale–Brown Obsessive–Compulsive Scale, the USP-Sensory Phenomena Scale, the Beck Depression and Anxiety Inventories, the Brown Assessment of Beliefs Scale, and the Structured Clinical Interview for DSM-IV Axis I Disorders. Chi-square tests, Fisher’s exact tests, Student’s t-tests, and Mann–Whitney tests were used in the bivariate analyses to compare patients with and without symptoms of the symmetry dimension. Odds ratios (ORs) with confidence intervals and Cohen’s D were also calculated as effect size measures. Finally, a logistic regression was performed to control for confounders. Results: The symmetry dimension was highly prevalent (86.8%) in this large clinical sample and, in the logistic regression, it remained associated with earlier onset of obsessive–compulsive symptoms, insidious onset of compulsions, more severe depressive symptoms, and presence of sensory phenomena. Conclusions: A deeper knowledge about specific OCD dimensions is essential for a better understanding and management of this complex and multifaceted disorder.

Transdiagnostic dimensions in obsessive-compulsive and related disorders: associations with internalizing and externalizing symptoms

2020 ◽  
pp. 1-9
Author(s):  
Ivar Snorrason ◽  
Courtney Beard ◽  
Andrew D. Peckham ◽  
Thröstur Björgvinsson
Keyword(s):  
Internalizing Symptoms ◽  
Externalizing Symptoms ◽  
Higher Order ◽  
Order Structure ◽  
Obsessive Compulsive ◽  
Addictive Disorders ◽  
Compulsive Disorder ◽  
Alcohol Cravings ◽  
Internalizing And Externalizing ◽  
Internalizing And Externalizing Symptoms

Abstract Background Hierarchical structural models of psychopathology rarely extend to obsessive-compulsive spectrum disorders. The current study sought to examine the higher-order structure of the obsessive-compulsive and related disorders (OCRDs) in DSM-5: obsessive-compulsive disorder (OCD), hoarding disorder (HD), body dysmorphic disorder (BDD), trichotillomania (hair-pulling disorder; HPD) and excoriation (skin-picking) disorder (SPD). Methods Adult patients in a partial hospital program (N = 532) completed a dimensional measure of the five OCRDs. We used confirmatory factor analysis to identify the optimal model of the comorbidity structure. We then examined the associations between the transdiagnostic factors and internalizing and externalizing symptoms (i.e. depression, generalized anxiety, neuroticism, and drug/alcohol cravings). Results The best fitting model included two correlated higher-order factors: an obsessions-compulsions (OC) factor (OCD, BDD, and HD), and a body-focused repetitive behavior (BFRB) factor (HPD and SPD). The OC factor, not the BFRB factor, had unique associations with internalizing symptoms (standardized effects = 0.42–0.66) and the BFRB factor, not the OC factor, had small marginally significant unique association with drug/alcohol cravings (standardized effect = 0.22, p = 0.088). Conclusions The results mirror findings from twin research and indicate that OCD, BDD, and HD share liability that is significantly associated with internalizing symptoms, but this liability may be relatively less important for BFRBs. Further research is needed to better examine the associations between BFRBs and addictive disorders.

Validation of a classification system of obsessive–compulsive spectrum disorder symptoms in a non-clinical sample

2011 ◽  
Vol 188 (1) ◽  
pp. 65-70 ◽  
Author(s):  
Michael L. Sulkowski ◽  
Twyla L. Mancil ◽  
Cary Jordan ◽  
Adam Reid ◽  
Elisa Chakoff ◽  
...  
Keyword(s):  
Classification System ◽  
Clinical Sample ◽  
Spectrum Disorder ◽  
Obsessive Compulsive ◽  
Obsessive Compulsive Spectrum Disorder

The Multilevel Structure of Daily Emotion-Regulation-Strategy Use: An Examination of Within- and Between-Person Associations in Naturalistic Settings

2018 ◽  
Vol 7 (2) ◽  
pp. 321-339 ◽  
Author(s):  
Tierney P. McMahon ◽  
Kristin Naragon-Gainey
Keyword(s):  
Emotion Regulation ◽  
Emotional Expression ◽  
Experiential Avoidance ◽  
Internalizing Symptoms ◽  
Clinical Sample ◽  
Strategy Use ◽  
Expressive Suppression ◽  
Student Sample ◽  
Attentional Shift ◽  
Exploratory Factor Analyses

Existing structural analyses of emotion-regulation (ER) strategies have relied on retrospective, dispositional assessments, ignoring the within-person structure (i.e., intraindividual strategy groupings based on momentary covariances) and variability in strategy use across time and contexts. We conducted multilevel exploratory factor analyses on self-reported daily use of 11 strategies (i.e., acceptance, behavioral avoidance, distraction, experiential avoidance, expressive suppression, procrastination, reappraisal, reflection, rumination, savoring, social support) in clinical ( N = 129) and student ( N = 109) samples with intensive longitudinal designs. At the between-person level, two factors—Engagement and Avoidance—emerged in both samples. A different structure was found at the within-person level, with four factors in the student sample (i.e., Attentional Shift, Acceptance, Avoidance, Emotional Expression) and three in the clinical sample (i.e., Attentional Shift, Avoidance, Emotional Expression). The validity of these factors was examined via their associations with daily internalizing symptoms and affect. Implications for naturalistic ER strategy use and clinical assessment/intervention are discussed.

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