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03-06-2023 | Article

‘Excessive and Unreasonable’: The Relation Between Clinical Insight and Clinical Correlates and Treatment Outcomes in Obsessive–Compulsive Disorder Across the Life Course

Auteurs: Joshua S. Steinberg, Sarah H. Morris, Sara R. Jaffee

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 1/2025

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Abstract

Individuals with mental disorders possess varying levels of clinical insight—the degree to which one understands that they are afflicted with a mental disorder and that their symptoms are manifestations of this psychopathology. Although clinical insight in OCD is thought to play an especially important role in determining various clinical characteristics and treatment outcomes, insight has not been sufficiently addressed developmentally, the importance of which this review will elucidate. Findings from this review suggest that clinical insight is typically associated with more complex cases and worse treatment outcomes across the life course, and also reveal nuances between pediatric and adult OCD cases with low insight. Implications of these findings, future research directions, and recommendations for the field are discussed.
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Voetnoten
1
Y-BOCS Item 11: “Do you think that your concerns or behaviors are reasonable? What do you think would happen if you did not perform the compulsion(s)? Are you convinced something would really happen?”.
 
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Metagegevens
Titel
‘Excessive and Unreasonable’: The Relation Between Clinical Insight and Clinical Correlates and Treatment Outcomes in Obsessive–Compulsive Disorder Across the Life Course
Auteurs
Joshua S. Steinberg
Sarah H. Morris
Sara R. Jaffee
Publicatiedatum
03-06-2023
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 1/2025
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-023-01548-3