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Gepubliceerd in: Cognitive Therapy and Research 6/2012

01-12-2012 | Original Article

Initial Data Characterizing the Progression from Obsessions and Compulsions to Full-Blown Obsessive Compulsive Disorder

Auteurs: Meredith E. Coles, Ashley S. Hart, Casey A. Schofield

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2012

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Abstract

Most individuals who develop obsessive compulsive disorder (OCD) experience years of obsessions and/or compulsions preceding onset of the full-blown disorder (Angst in Current insights in obsessive compulsive disorder, Wiley, Chirchester, New York, Brisbane, 1994; Coles et al. in Behav Cogn Psychother 11:1–11, 2011; Pinto et al. in J Clin Psychiatry 67(5):703–711, 2006). However, little is known about experiences during this period and about factors that are involved in the generation of interference or distress that signals the onset of diagnosable OCD. Therefore, the current study was designed to provide data on the characteristics of the symptom phase of OCD and potential markers of the transition from symptoms to the full-blown disorder. Individuals that eventually developed full-blown OCD retrospectively reported that generalized anxiety, perfectionism, impaired work or school performance, social isolation, preoccupation with details and intolerance of uncertainty, frequently emerged after their initial OC symptoms but before full-criteria for OCD were met. Increases in stress level, the desire for things to feel ‘just right’, and the amount of attention paid to one’s thoughts were perceived as having played an important role in the transition to OCD. Additional data and theory development regarding the progression from symptoms to OCD is warranted.
Voetnoten
1
The period characterized by the presence of OC symptoms without significant interference or distress is referred to as the “symptom phase” throughout the paper.
 
2
Formal statistical tests were not conducted due to the exploratory nature of the study and the large number of comparisons that would need to be conducted.
 
Literatuur
go back to reference Abramowitz, J. S., Khandker, M., Nelson, C. A., Deacon, B. J., & Rygwall, R. (2006). The role of cognitive factors in the pathogenesis of obsessive-compulsive symptoms: A prospective study. Behaviour Research and Therapy, 44(9), 1361–1374. doi:10.1016/j.brat.2005.09.011. Abramowitz, J. S., Khandker, M., Nelson, C. A., Deacon, B. J., & Rygwall, R. (2006). The role of cognitive factors in the pathogenesis of obsessive-compulsive symptoms: A prospective study. Behaviour Research and Therapy, 44(9), 1361–1374. doi:10.​1016/​j.​brat.​2005.​09.​011.
go back to reference Angst, J. (1994). The epidemiology of obsessive compulsive disorder. In E. Hollander, J. Zohar, D. Marazatti, & B. Olivier (Eds.), Current insights in obsessive compulsive disorder. Chirchester, New York, Brisbane: Wiley. Angst, J. (1994). The epidemiology of obsessive compulsive disorder. In E. Hollander, J. Zohar, D. Marazatti, & B. Olivier (Eds.), Current insights in obsessive compulsive disorder. Chirchester, New York, Brisbane: Wiley.
go back to reference Bannon, S., Gonsalvez, C. J., Croft, R. J., & Boyce, P. M. (2002). Response inhibition deficits in obsessive-compulsive disorder. Psychiatry Research, 110(2), 165–174. doi:10.1016/S0165-1781(02)00104-X. Bannon, S., Gonsalvez, C. J., Croft, R. J., & Boyce, P. M. (2002). Response inhibition deficits in obsessive-compulsive disorder. Psychiatry Research, 110(2), 165–174. doi:10.​1016/​S0165-1781(02)00104-X.
go back to reference Bechdolf, A., Schultze-Lutter, F., & Klosterkötter, J. (2002). Self-experienced vulnerability, prodromal symptoms and coping strategies preceding schizophrenic and depressive relapses. European Psychiatry, 17(7), 384–393. doi:10.1016/S0924-9338(02)00698-3. Bechdolf, A., Schultze-Lutter, F., & Klosterkötter, J. (2002). Self-experienced vulnerability, prodromal symptoms and coping strategies preceding schizophrenic and depressive relapses. European Psychiatry, 17(7), 384–393. doi:10.​1016/​S0924-9338(02)00698-3.
go back to reference Cannon, T. D., Cadenhead, K., Cornblatt, B., Woods, S. W., Addington, J., Walker, E., et al. (2008). Prediction of psychosis in youth at high clinical risk: A multisite longitudinal study in north America. Archives of General Psychiatry, 65(1), 28–37. doi:10.1001/archgenpsychiatry.2007.3.PubMedCrossRef Cannon, T. D., Cadenhead, K., Cornblatt, B., Woods, S. W., Addington, J., Walker, E., et al. (2008). Prediction of psychosis in youth at high clinical risk: A multisite longitudinal study in north America. Archives of General Psychiatry, 65(1), 28–37. doi:10.​1001/​archgenpsychiatr​y.​2007.​3.PubMedCrossRef
go back to reference Chamberlain, S. R., Blackwell, A. D., Fineberg, N. A., Robbins, T. W., & Sahakian, B. J. (2005). The neuropsychology of obsessive compulsive disorder: The importance of failures in cognitive and behavioural inhibition as candidate endophenotypic markers. Neuroscience and Biobehavioral Reviews, 29(3), 399–419. doi:10.1016/j.neubiorev.2004.11.006.PubMedCrossRef Chamberlain, S. R., Blackwell, A. D., Fineberg, N. A., Robbins, T. W., & Sahakian, B. J. (2005). The neuropsychology of obsessive compulsive disorder: The importance of failures in cognitive and behavioural inhibition as candidate endophenotypic markers. Neuroscience and Biobehavioral Reviews, 29(3), 399–419. doi:10.​1016/​j.​neubiorev.​2004.​11.​006.PubMedCrossRef
go back to reference Chamberlain, S. R., & Menzies, L. (2009). Endophenotypes of obsessive compulsive disorder: Rationale, evidence and future potential. Expert Review of Neurotherapeutics, 9(8), 1133–1146. doi:10.1586/ern.09.36.PubMedCrossRef Chamberlain, S. R., & Menzies, L. (2009). Endophenotypes of obsessive compulsive disorder: Rationale, evidence and future potential. Expert Review of Neurotherapeutics, 9(8), 1133–1146. doi:10.​1586/​ern.​09.​36.PubMedCrossRef
go back to reference Chamberlain, S. R., Menzies, L., Hampshire, A., Suckling, J., Fineberg, N. A., del Campo, N., et al. (2008). Orbitofrontal dysfunction in patients with obsessive-compulsive disorder and their unaffected relatives. Science, 321(5887), 421–422. doi:10.1126/science.1154433.PubMedCrossRef Chamberlain, S. R., Menzies, L., Hampshire, A., Suckling, J., Fineberg, N. A., del Campo, N., et al. (2008). Orbitofrontal dysfunction in patients with obsessive-compulsive disorder and their unaffected relatives. Science, 321(5887), 421–422. doi:10.​1126/​science.​1154433.PubMedCrossRef
go back to reference Coles, M. E., & Horng, B. (2006). A prospective test of cognitive vulnerability to obsessive-compulsive disorder. Cognitive Therapy and Research, 30(6), 723–734. doi:10.1007/s10608-006-9033-x. Coles, M. E., & Horng, B. (2006). A prospective test of cognitive vulnerability to obsessive-compulsive disorder. Cognitive Therapy and Research, 30(6), 723–734. doi:10.​1007/​s10608-006-9033-x.
go back to reference Coles, M. E., Schubert, J. R., & Johnson, E. (2011). Retrospective reports of the onset of obsessive compulsive disorder: Extending knowledge of the protracted symptom phase. Behavioural and Cognitive Psychotherapy, 11, 1–11. Coles, M. E., Schubert, J. R., & Johnson, E. (2011). Retrospective reports of the onset of obsessive compulsive disorder: Extending knowledge of the protracted symptom phase. Behavioural and Cognitive Psychotherapy, 11, 1–11.
go back to reference Coles, M. E., Pietrefesa, A. S., Schofield, C. A., & Cook, L. M. (2008). Predicting changes in obsessive compulsive symptoms over a six-month follow-up: A prospective test of cognitive models of obsessive compulsive disorder. Cognitive Therapy and Research, 32(5), 657–675. doi:10.1007/s10608-007-9132-3. Coles, M. E., Pietrefesa, A. S., Schofield, C. A., & Cook, L. M. (2008). Predicting changes in obsessive compulsive symptoms over a six-month follow-up: A prospective test of cognitive models of obsessive compulsive disorder. Cognitive Therapy and Research, 32(5), 657–675. doi:10.​1007/​s10608-007-9132-3.
go back to reference Correll, C. U., Penzner, J. B., Frederickson, A. M., Richter, J. J., Auther, A. M., Smith, C. W., et al. (2007). Differentiation in the preonset phases of schizophrenia and mood disorders: Evidence in support of a bipolar mania prodrome. Schizophrenia Bulletin, 33(3), 703–714. doi:10.1093/schbul/sbm028.PubMedCrossRef Correll, C. U., Penzner, J. B., Frederickson, A. M., Richter, J. J., Auther, A. M., Smith, C. W., et al. (2007). Differentiation in the preonset phases of schizophrenia and mood disorders: Evidence in support of a bipolar mania prodrome. Schizophrenia Bulletin, 33(3), 703–714. doi:10.​1093/​schbul/​sbm028.PubMedCrossRef
go back to reference de Bruijn, C., Beun, S., de Graaf, R., ten Have, M., & Denys, D. (2010). Subthreshold symptoms and obsessive-compulsive disorder: Evaluating the diagnostic threshold. Psychological Medicine: A Journal of Research in Psychiatry and the Allied Sciences, 40(6), 989–997. doi:10.1017/S0033291709991012. de Bruijn, C., Beun, S., de Graaf, R., ten Have, M., & Denys, D. (2010). Subthreshold symptoms and obsessive-compulsive disorder: Evaluating the diagnostic threshold. Psychological Medicine: A Journal of Research in Psychiatry and the Allied Sciences, 40(6), 989–997. doi:10.​1017/​S003329170999101​2.
go back to reference Degonda, M., Wyss, M., Angst, J. (1993). The Zurich study. XVIII. Obsessive-compulsive disorders and syndromes in the general population. European Archives of Psychiatry and Clinical Neuroscience, 243, 16–22. Degonda, M., Wyss, M., Angst, J. (1993). The Zurich study. XVIII. Obsessive-compulsive disorders and syndromes in the general population. European Archives of Psychiatry and Clinical Neuroscience, 243, 16–22.
go back to reference DiNardo, P., Brown, T. A., & Barlow, D. H. (1994). Anxiety disorders interview schedule lifetime version (ADIS-IV-L): Client interview schedules. New York, NY: Oxford University Press. DiNardo, P., Brown, T. A., & Barlow, D. H. (1994). Anxiety disorders interview schedule lifetime version (ADIS-IV-L): Client interview schedules. New York, NY: Oxford University Press.
go back to reference DuPont, R. L., Rice, D. P., Miller, L. S., Shiraki, S. S., Rowland, C. R., & Harwood, H. J. (1996). Economic costs of anxiety disorders. Anxiety, 2, 167–172.PubMedCrossRef DuPont, R. L., Rice, D. P., Miller, L. S., Shiraki, S. S., Rowland, C. R., & Harwood, H. J. (1996). Economic costs of anxiety disorders. Anxiety, 2, 167–172.PubMedCrossRef
go back to reference Fava, G. A., Savron, G., Rafanelli, C., Grandi, S., & Canestrari, R. (1996). Prodromal symptoms in obsessive-compulsive disorder. Psychopathology, 29(2), 131–134.PubMedCrossRef Fava, G. A., Savron, G., Rafanelli, C., Grandi, S., & Canestrari, R. (1996). Prodromal symptoms in obsessive-compulsive disorder. Psychopathology, 29(2), 131–134.PubMedCrossRef
go back to reference First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (1995). Structured clinical interview of DSM-IV. New York: Biometrics Research, New York State Psychiatric Institute. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (1995). Structured clinical interview of DSM-IV. New York: Biometrics Research, New York State Psychiatric Institute.
go back to reference Foa, E. B., Kozak, M. J., Salkovskis, P. M., Coles, M. E., & Amir, N. (1998). The validation of a new obsessive-compulsive disorder scale: The obsessive-compulsive inventory. Psychological Assessment, 10(3), 206–214. doi:10.1037/1040-3590.10.3.206.CrossRef Foa, E. B., Kozak, M. J., Salkovskis, P. M., Coles, M. E., & Amir, N. (1998). The validation of a new obsessive-compulsive disorder scale: The obsessive-compulsive inventory. Psychological Assessment, 10(3), 206–214. doi:10.​1037/​1040-3590.​10.​3.​206.CrossRef
go back to reference Fullana, M. A., Mataix-Cols, D., Caspi, A., Harrington, H., Grisham, J. R., Moffitt, T. E., et al. (2009). Obsessions and compulsions in the community: Prevalence, interference, help-seeking, developmental stability, and co-occurring psychiatric conditions. The American Journal of Psychiatry, 166(3), 329–336. doi:10.1176/appi.ajp.2008.08071006.PubMedCrossRef Fullana, M. A., Mataix-Cols, D., Caspi, A., Harrington, H., Grisham, J. R., Moffitt, T. E., et al. (2009). Obsessions and compulsions in the community: Prevalence, interference, help-seeking, developmental stability, and co-occurring psychiatric conditions. The American Journal of Psychiatry, 166(3), 329–336. doi:10.​1176/​appi.​ajp.​2008.​08071006.PubMedCrossRef
go back to reference Holzer, J. C., Goodman, W. K., McDougle, C. J., & Baer, L. (1994). Obsessive-compulsive disorder with and without a chronic tic disorder: A comparison of symptoms in 70 patients. British Journal of Psychiatry, 164(0007-1250, 0007-1250), 469–473. doi:10.1192/bjp.164.4.469. Holzer, J. C., Goodman, W. K., McDougle, C. J., & Baer, L. (1994). Obsessive-compulsive disorder with and without a chronic tic disorder: A comparison of symptoms in 70 patients. British Journal of Psychiatry, 164(0007-1250, 0007-1250), 469–473. doi:10.​1192/​bjp.​164.​4.​469.
go back to reference Howes, O. D., Lim, S., Theologos, G., Yung, A. R., Goodwin, G. M., & McGuire, P. (2011). A comprehensive review and model of putative prodromal features of bipolar affective disorder. Psychological Medicine: A Journal of Research in Psychiatry and the Allied Sciences, 41(8), 1567–1577. doi:10.1017/S0033291710001790. Howes, O. D., Lim, S., Theologos, G., Yung, A. R., Goodwin, G. M., & McGuire, P. (2011). A comprehensive review and model of putative prodromal features of bipolar affective disorder. Psychological Medicine: A Journal of Research in Psychiatry and the Allied Sciences, 41(8), 1567–1577. doi:10.​1017/​S003329171000179​0.
go back to reference Hou, S. Y., Yen, C. F., Huang, M. F., Wang, P. W., & Yeh, Y. C. (2010). Quality of life and its correlates in patients with obsessive compulsive disorder. The Kaohsiung Journal of Medical Sciences, 26(8), 397–407.PubMedCrossRef Hou, S. Y., Yen, C. F., Huang, M. F., Wang, P. W., & Yeh, Y. C. (2010). Quality of life and its correlates in patients with obsessive compulsive disorder. The Kaohsiung Journal of Medical Sciences, 26(8), 397–407.PubMedCrossRef
go back to reference Khanna, S., Rajendra, P. N., & Channabasavanna, S. M. (1988). Life events and onset of obsessive compulsive disorder. International Journal of Social Psychiatry, 34(4), 305–309. doi:10.1177/002076408803400408. Khanna, S., Rajendra, P. N., & Channabasavanna, S. M. (1988). Life events and onset of obsessive compulsive disorder. International Journal of Social Psychiatry, 34(4), 305–309. doi:10.​1177/​0020764088034004​08.
go back to reference Lensi, P., Cassano, G. B., Correddu, G., Ravagli, S., & Kunovac, J. J. (1996). Obsessive-compulsive disorder. Familial-developmental history, symptomatology, comorbidity and course with special reference to gender-related differences. British Journal of Psychiatry, 169(1), 101–107. doi:10.1192/bjp.169.1.101.PubMedCrossRef Lensi, P., Cassano, G. B., Correddu, G., Ravagli, S., & Kunovac, J. J. (1996). Obsessive-compulsive disorder. Familial-developmental history, symptomatology, comorbidity and course with special reference to gender-related differences. British Journal of Psychiatry, 169(1), 101–107. doi:10.​1192/​bjp.​169.​1.​101.PubMedCrossRef
go back to reference Menzies, L., Achard, S., Chamberlain, S. R., Fineberg, N., Chen, C. H., delCampo, N., et al. (2007). Neurocognitive endophenotypes of obsessive-compulsive disorder. Brain, 130(Pt 12), 3223–3236.PubMedCrossRef Menzies, L., Achard, S., Chamberlain, S. R., Fineberg, N., Chen, C. H., delCampo, N., et al. (2007). Neurocognitive endophenotypes of obsessive-compulsive disorder. Brain, 130(Pt 12), 3223–3236.PubMedCrossRef
go back to reference Menzies, L., Chamberlain, S. R., Laird, A. R., Thelen, S. M., Sahakian, B. J., & Bullmore, E. T. (2008). Integrating evidence from neuroimaging and neuropsychological studies of obsessive-compulsive disorder: The orbitofrontal-striatal model revised. Neuroscience and Behavioral Reviews, 32, 525–549. doi:10.1016/j.neubiorev.2007.09.005. Menzies, L., Chamberlain, S. R., Laird, A. R., Thelen, S. M., Sahakian, B. J., & Bullmore, E. T. (2008). Integrating evidence from neuroimaging and neuropsychological studies of obsessive-compulsive disorder: The orbitofrontal-striatal model revised. Neuroscience and Behavioral Reviews, 32, 525–549. doi:10.​1016/​j.​neubiorev.​2007.​09.​005.
go back to reference Moller, P., & Husby, R. (2000). The initial prodrome in schizophrenia: Searching for naturalistic core dimensions of experience and behavior. Schizophrenia Bulletin, 26(1), 217–232. Moller, P., & Husby, R. (2000). The initial prodrome in schizophrenia: Searching for naturalistic core dimensions of experience and behavior. Schizophrenia Bulletin, 26(1), 217–232.
go back to reference Morrison, A. P., French, P., Parker, S., Roberts, M., Stevens, H., Bentall, R. P., et al. (2007). Three-year follow-up of a randomized controlled trial of cognitive therapy for the prevention of psychosis in people at ultrahigh risk. Schizophrenia Bulletin, 33(3), 682–687. doi:10.1093/schbul/sbl042.PubMedCrossRef Morrison, A. P., French, P., Parker, S., Roberts, M., Stevens, H., Bentall, R. P., et al. (2007). Three-year follow-up of a randomized controlled trial of cognitive therapy for the prevention of psychosis in people at ultrahigh risk. Schizophrenia Bulletin, 33(3), 682–687. doi:10.​1093/​schbul/​sbl042.PubMedCrossRef
go back to reference Morrison, A. P., French, P., Walford, L., Lewis, S. W., Kilcommons, A., Green, J., et al. (2004). Cognitive therapy for the prevention of psychosis in people at ultra-high risk: Randomised controlled trial. British Journal of Psychiatry, 185(4), 291–297. doi:10.1192/bjp.185.4.291.PubMedCrossRef Morrison, A. P., French, P., Walford, L., Lewis, S. W., Kilcommons, A., Green, J., et al. (2004). Cognitive therapy for the prevention of psychosis in people at ultra-high risk: Randomised controlled trial. British Journal of Psychiatry, 185(4), 291–297. doi:10.​1192/​bjp.​185.​4.​291.PubMedCrossRef
go back to reference Ozgurdal, S., van Haren, E., Hauser, M., Strohle, A., Bauer, M., Assion, H., et al. (2009) Early mood swings as symptoms of the bipolar prodrome: Preliminary results of a retrospective analysis. Psychopathology, 42, 337–342. doi:10.1159/000232977. Ozgurdal, S., van Haren, E., Hauser, M., Strohle, A., Bauer, M., Assion, H., et al. (2009) Early mood swings as symptoms of the bipolar prodrome: Preliminary results of a retrospective analysis. Psychopathology, 42, 337–342. doi:10.​1159/​000232977.
go back to reference Pietrefesa, A. S., & Coles, M. E. (2009). Moving beyond an exclusive focus on harm avoidance in obsessive-compulsive disorder: Behavioral validation for the separability of harm avoidance and incompleteness. Behavior Therapy, 40(3), 251–259. doi:10.1016/j.beth.2008.06.003. Pietrefesa, A. S., & Coles, M. E. (2009). Moving beyond an exclusive focus on harm avoidance in obsessive-compulsive disorder: Behavioral validation for the separability of harm avoidance and incompleteness. Behavior Therapy, 40(3), 251–259. doi:10.​1016/​j.​beth.​2008.​06.​003.
go back to reference Pinto, A., Mancebo, M. C., Eisen, J. L., Pagano, M. E., & Rasmussen, S. A. (2006). The brown longitudinal obsessive compulsive study: Clinical features and symptoms of the sample at intake. Journal of Clinical Psychiatry, 67(5), 703–711.PubMedCrossRef Pinto, A., Mancebo, M. C., Eisen, J. L., Pagano, M. E., & Rasmussen, S. A. (2006). The brown longitudinal obsessive compulsive study: Clinical features and symptoms of the sample at intake. Journal of Clinical Psychiatry, 67(5), 703–711.PubMedCrossRef
go back to reference Rasmussen, S. A., & Eisen, J. L. (1990). Epidemiology of obsessive compulsive disorder. Journal of Clinical Psychiatry, 51(2, Suppl), 10–13. Rasmussen, S. A., & Eisen, J. L. (1990). Epidemiology of obsessive compulsive disorder. Journal of Clinical Psychiatry, 51(2, Suppl), 10–13.
go back to reference Rasmussen, S. A., & Tsuang, M. T. (1986). Clinical characteristics and family history in DSM-III obsessive-compulsive disorder. American Journal of Psychiatry, 143, 317–322. Rasmussen, S. A., & Tsuang, M. T. (1986). Clinical characteristics and family history in DSM-III obsessive-compulsive disorder. American Journal of Psychiatry, 143, 317–322.
go back to reference Salkovskis, P. M. (1989). Obsessions and compulsions. Florence, KY, USA: Taylor & Frances/Routledge. Salkovskis, P. M. (1989). Obsessions and compulsions. Florence, KY, USA: Taylor & Frances/Routledge.
go back to reference Salkovskis, P., Shafran, R., Rachman, S., & Freeston, M. H. (1999). Multiple pathways to inflated responsibility beliefs in obsessional problems: Possible origins and implications for therapy and research. Behaviour Research and Therapy, 37(11), 1055–1072. doi:10.1016/S0005-7967(99)00063-7. Salkovskis, P., Shafran, R., Rachman, S., & Freeston, M. H. (1999). Multiple pathways to inflated responsibility beliefs in obsessional problems: Possible origins and implications for therapy and research. Behaviour Research and Therapy, 37(11), 1055–1072. doi:10.​1016/​S0005-7967(99)00063-7.
go back to reference Salkovskis, P. M., Wroe, A. L., Gledhill, A., Morrison, N., Forrester, E., Richards, C., et al. (2000). Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder. Behaviour Research and Therapy, 38(4), 347–372. doi:10.1016/S0005-7967(99)00071-6. Salkovskis, P. M., Wroe, A. L., Gledhill, A., Morrison, N., Forrester, E., Richards, C., et al. (2000). Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder. Behaviour Research and Therapy, 38(4), 347–372. doi:10.​1016/​S0005-7967(99)00071-6.
go back to reference Sobin, C., Prudic, J., Devanand, D. P., & Nobler, M. S. (1996). Who responds to electroconvulsive therapy? A comparison of effective and ineffective forms of treatment. British Journal of Psychiatry, 169(3), 322–328. doi:10.1192/bjp.169.3.322.PubMedCrossRef Sobin, C., Prudic, J., Devanand, D. P., & Nobler, M. S. (1996). Who responds to electroconvulsive therapy? A comparison of effective and ineffective forms of treatment. British Journal of Psychiatry, 169(3), 322–328. doi:10.​1192/​bjp.​169.​3.​322.PubMedCrossRef
go back to reference Stein, M. B., Forde, D. R., Anderson, G., & Walker, J. R. (1997). Obsessive-compulsive disorder in the community: An epidemiologic survey with clinical reappraisal. The American Journal of Psychiatry, 154(8), 1120–1126.PubMed Stein, M. B., Forde, D. R., Anderson, G., & Walker, J. R. (1997). Obsessive-compulsive disorder in the community: An epidemiologic survey with clinical reappraisal. The American Journal of Psychiatry, 154(8), 1120–1126.PubMed
go back to reference Summerfeldt, L. J. (2004). Understanding and treating incompleteness in obsessive-compulsive disorder. Journal of Clinical Psychology, 60(11), 1155–1168. doi:10.1002/jclp.20080. Summerfeldt, L. J. (2004). Understanding and treating incompleteness in obsessive-compulsive disorder. Journal of Clinical Psychology, 60(11), 1155–1168. doi:10.​1002/​jclp.​20080.
go back to reference Yung, A. R., & McGorry, P. D. (1996). The prodromal phase of first-episode psychosis: Past and current conceptualizations. Schizophrenia Bulletin, 22(2), 353–370. doi:10.1093/schbul/22.2.353. Yung, A. R., & McGorry, P. D. (1996). The prodromal phase of first-episode psychosis: Past and current conceptualizations. Schizophrenia Bulletin, 22(2), 353–370. doi:10.​1093/​schbul/​22.​2.​353.
Metagegevens
Titel
Initial Data Characterizing the Progression from Obsessions and Compulsions to Full-Blown Obsessive Compulsive Disorder
Auteurs
Meredith E. Coles
Ashley S. Hart
Casey A. Schofield
Publicatiedatum
01-12-2012
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 6/2012
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-011-9404-9

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