Early life experiences and adult attachment in obsessive-compulsive disorder Part 1: Relationships between demographic, clinical, and psychological factors in pharmacoresistant OCD

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15110%2F22%3A73621907" target="_blank" >RIV/61989592:15110/22:73621907 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/46747885:24510/22:00010505 RIV/00098892:_____/22:10157838

Výsledek na webu

<a href="https://www.nel.edu/userfiles/articlesnew/1675789833_43_6_hodny1_333-pdf.pdf" target="_blank" >https://www.nel.edu/userfiles/articlesnew/1675789833_43_6_hodny1_333-pdf.pdf</a>

DOI - Digital Object Identifier

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Jazyk výsledku

angličtina

Název v původním jazyce

Early life experiences and adult attachment in obsessive-compulsive disorder Part 1: Relationships between demographic, clinical, and psychological factors in pharmacoresistant OCD

Popis výsledku v původním jazyce

Obsessive-compulsive disorder (OCD) has been connectedto various psychosocial factors that might influence its onset and course.Developmental factors, such as parenting styles or early adverse experiences,and adult attachment have been listed as examples. However, the research on theinterconnections of these factors brought mixed results. The study explores therelationship between demographic, clinical, and selected psychosocial factors andthe severity of adult OCD.METHOD: Eighty-seven pharmacoresistant inpatients with OCD were admittedbetween October 2019 and August 2022 for a 6-week cognitive behaviouraltherapy inpatient program in the psychotherapeutic department. The participantscompleted the following scales at the start of the hospitalisation: the self-reportYale-Brown Obsessive-Compulsive Scale (Y-BOCS-SR), Beck Anxiety Inventory(BAI), Beck Depression Inventory (BDI-II), Dissociative Experiences Scale (DES),Childhood Trauma Questionnaire-Short Form (CTQ-SF), PBI (Parental BondingInstrument), ECR-R (Experiences in Close Relationships – Revised), and a demographic questionnaire. A skilled psychologist administered Mini InternationalNeuropsychiatric Interview (MINI) to confirm the OCD diagnosis and HamiltonAnxiety Rating Scale (HAMA).RESULTS: OCD patients with more severe adverse childhood experiences (ACEs)showed earlier onset of the disorder and more pronounced attachment anxiety,334 Copyright © 2022 Neuroendocrinology Letters ISSN 0172–780X • www.nel.eduHodny et al: Early life experiences and adult attachment in obsessive-compulsive disorderdepressive symptoms, and dissociation and patientrated the severity of the disorder as more serious.Physical abuse and physical neglect were related tothe severity of specific OCD symptoms. Maternalcare negatively correlates with clinician-rated anxiety,patient-rated depressive symptoms, and dissociation.The maternal and paternal control positively correlatedwith patient-rated anxiety and depression. Attachmentanxiety negatively correlated with the age of onset andpositively with the severity of the clinician-rated anxietyand the patient-rated anxiety, depressive symptoms, anddissociation.CONCLUSIONS: Early adverse experiences, perceivedparental styles, and adult attachment anxiety could playa significant role in the symptoms of anxiety, depression, and dissociation. The connection with the specificobsessive-compulsive symptoms is less apparent. Still,adverse childhood events and adult attachment anxietyseem to influence the age of OCD onset.

Název v anglickém jazyce

Early life experiences and adult attachment in obsessive-compulsive disorder Part 1: Relationships between demographic, clinical, and psychological factors in pharmacoresistant OCD

Popis výsledku anglicky

Obsessive-compulsive disorder (OCD) has been connectedto various psychosocial factors that might influence its onset and course.Developmental factors, such as parenting styles or early adverse experiences,and adult attachment have been listed as examples. However, the research on theinterconnections of these factors brought mixed results. The study explores therelationship between demographic, clinical, and selected psychosocial factors andthe severity of adult OCD.METHOD: Eighty-seven pharmacoresistant inpatients with OCD were admittedbetween October 2019 and August 2022 for a 6-week cognitive behaviouraltherapy inpatient program in the psychotherapeutic department. The participantscompleted the following scales at the start of the hospitalisation: the self-reportYale-Brown Obsessive-Compulsive Scale (Y-BOCS-SR), Beck Anxiety Inventory(BAI), Beck Depression Inventory (BDI-II), Dissociative Experiences Scale (DES),Childhood Trauma Questionnaire-Short Form (CTQ-SF), PBI (Parental BondingInstrument), ECR-R (Experiences in Close Relationships – Revised), and a demographic questionnaire. A skilled psychologist administered Mini InternationalNeuropsychiatric Interview (MINI) to confirm the OCD diagnosis and HamiltonAnxiety Rating Scale (HAMA).RESULTS: OCD patients with more severe adverse childhood experiences (ACEs)showed earlier onset of the disorder and more pronounced attachment anxiety,334 Copyright © 2022 Neuroendocrinology Letters ISSN 0172–780X • www.nel.eduHodny et al: Early life experiences and adult attachment in obsessive-compulsive disorderdepressive symptoms, and dissociation and patientrated the severity of the disorder as more serious.Physical abuse and physical neglect were related tothe severity of specific OCD symptoms. Maternalcare negatively correlates with clinician-rated anxiety,patient-rated depressive symptoms, and dissociation.The maternal and paternal control positively correlatedwith patient-rated anxiety and depression. Attachmentanxiety negatively correlated with the age of onset andpositively with the severity of the clinician-rated anxietyand the patient-rated anxiety, depressive symptoms, anddissociation.CONCLUSIONS: Early adverse experiences, perceivedparental styles, and adult attachment anxiety could playa significant role in the symptoms of anxiety, depression, and dissociation. The connection with the specificobsessive-compulsive symptoms is less apparent. Still,adverse childhood events and adult attachment anxietyseem to influence the age of OCD onset.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

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OECD FORD obor

30215 - Psychiatry

Projekt

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Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

NEUROENDOCRINOLOGY LETTERS

ISSN

0172-780X

e-ISSN

2354-4716

Svazek periodika

44

Číslo periodika v rámci svazku

6

Stát vydavatele periodika

SE - Švédské království

Počet stran výsledku

12

Strana od-do

333-344

Kód UT WoS článku

000942363200006

EID výsledku v databázi Scopus

2-s2.0-85148952888