Editorial: Hoarding and Obsessive-Compulsive Disorder

Hoarding disorder is more than surplus clothes and belongings that could be remedied by a visit from Marie Kondo (https://konmari.com). It is officially recognized as a distinct condition in the DSM-5 and placed under obsessive-compulsive conditions.1 Prior to the designation in the DSM-5, hoarding was regarded as a diagnostic element in obsessive-compulsive personality disorder or a symptom nested within obsessive-compulsive disorder (OCD). 2 In the DSM-5, hoarding disorder is defined by great reluctance or outright refusal to discard belongings – including articles of limited value.
Source: Journal of the American Academy of Child and Adolescent Psychiatry - Category: Psychiatry Authors: Tags: Editorial Source Type: research

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Publication date: Available online 20 September 2019Source: Journal of Obsessive-Compulsive and Related DisordersAuthor(s): Christina Gallinat, Markus Moessner, Holger A. Haenssle, Julia K. Winkler, Matthias Backenstrass, Stephanie BauerAbstractSkin picking disorder is accompanied by substantial psychosocial impairment and requires adequate treatment. However, literature on help-seeking attitudes and healthcare utilization in affected individuals is scarce. Therefore, the present study sought to investigate help-seeking behavior and experiences, as well as attitudes and expectations towards healthcare utilization in indivi...
Source: Journal of Obsessive Compulsive and Related Disorders - Category: Psychiatry Source Type: research
Publication date: Available online 20 September 2019Source: Journal of Obsessive-Compulsive and Related DisordersAuthor(s): Eliska Noskova, Pavla Stopkova, Jiri Horacek, Antonin SebelaAbstract:Treatment resistance is a barrier to the successful care of patients with OCD. Glutamate modulators such as n-acetylcysteine (NAC) represent a promising new treatment option. To elucidate the current evidence of the efficacy and safety of NAC, we performed a systematic review and meta-analysis of double-blind, randomized, placebo-controlled trials. Primary outcomes were full and partial response rates and a reduction in the Yale-Brow...
Source: Journal of Obsessive Compulsive and Related Disorders - Category: Psychiatry Source Type: research
We report a case of an individual referred for cognitive training in view of persisting cognitive and functional difficulties despite clinical improvement. The intervention consisted of therapist-guided sessions along with homework practice. A smartphone application was developed for cognitive stimulation, and used with other techniques for cognitive stimulation, strategy use, and generalization to achieve transfer of effects. Following 12 weeks of intervention, changes were observed on executive functions including verbal fluency and planning, and smaller changes across measures of attention and working memory. Notably, t...
Source: Journal of Obsessive Compulsive and Related Disorders - Category: Psychiatry Source Type: research
ConclusionsOverall, our findings suggest that co-occurring symptoms (e.g., anxiety, depression) may be worthwhile targets to examine in future research aimed to extend our understanding of the mechanisms through which chronic sleep deprivation exerts deleterious effects on OCS. Extending findings to clinical populations and treatment contexts may have important implications for our understanding of the links between insomnia and OCS.
Source: Journal of Obsessive Compulsive and Related Disorders - Category: Psychiatry Source Type: research
ConclusionsRemission from OCD is associated with improvement of QoL, but comorbid anxiety and depression symptoms hamper the improvement of QoL. QoL could be improved by reducing OCD symptoms in patients with OCD and by treating comorbid anxiety and depression symptoms in remitting patients.
Source: Social Psychiatry and Psychiatric Epidemiology - Category: Psychiatry Source Type: research
CONCLUSION: Despite significant acute effects, tDCS with the cathode placed over the left OFC and the anode placed over the right cerebellum was not significantly effective in inducing a long-lasting reduction of symptoms in patients with treatment-resistant OCD. PMID: 31525581 [PubMed - as supplied by publisher]
Source: Journal of the Association of European Psychiatrists - Category: Psychiatry Tags: Eur Psychiatry Source Type: research
ConclusionsThese results provide evidence that the impaired cognitive flexibility of OCD may be associated with dysfunctions of the brain network from the dorsal caudate (DC) to important nodes of the salience network. Our results extend the neuropsychological model of OCD by showing intrinsically different associations between OCD and HC in functional network and cognitive flexibility.
Source: NeuroImage: Clinical - Category: Radiology Source Type: research
Source: Neuropsychiatric Disease and Treatment - Category: Psychiatry Tags: Neuropsychiatric Disease and Treatment Source Type: research
Publication date: Available online 13 September 2019Source: Journal of Obsessive-Compulsive and Related DisordersAuthor(s): Frederick Aardema, Shiu F. WongAbstractCognitive-behavioral models of obsessive-compulsive disorder (OCD) have largely ignored conceptualizing vulnerable self-themes as a core feature, despite numerous historical accounts and empirical work hinting at its importance. The current special issue of the Journal of Obsessive-Compulsive and Related Disorders aims to highlight the role of one such self-construct in OCD, namely the feared possible self — which describes a set of qualities that the perso...
Source: Journal of Obsessive Compulsive and Related Disorders - Category: Psychiatry Source Type: research
ConclusionDespite significant acute effects, tDCS with the cathode placed over the left OFC and the anode placed over the right cerebellum was not significantly effective in inducing a long-lasting reduction of symptoms in patients with treatment-resistant OCD.
Source: European Psychiatry - Category: Psychiatry Source Type: research
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