The centrality of doubting and checking in the network structure of obsessive-compulsive symptom dimensions in youth

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift


Objective. Obsessive-compulsive disorder (OCD) is a heterogeneous condition with well-established symptom dimensions across the lifespan. The objective of the present study was to use network analysis to investigate the internal structure and central features of these dimensions in unselected schoolchildren and in youth with OCD.
Method. We estimated the network structure of OCD symptom dimensions in 6,991 schoolchildren and 704 youth diagnosed with OCD from 18 sites across six countries. All participants completed the Obsessive Compulsive Inventory - Child Version.
Results. In both the school-based and clinic-based samples, the OCD dimensions formed an interconnected network with doubting/checking emerging as a highly central node, i.e. exerting strong influence over other symptom dimensions in the network. The centrality of the doubting/checking dimension was consistent across countries, genders, age groups, clinical status, and tic disorder comorbidity. Network differences were observed for age and gender in the school-based but not the clinic-based samples.
Conclusion. The centrality of doubting/checking in the network structure of childhood OCD adds to classic and recent conceptualizations of the disorder in which the important role of doubt in disorder severity and maintenance is highlighted. The present results suggest that doubting/checking is a potentially important target for further research into the etiology and treatment of childhood OCD.


  • Elin Olsson
  • Kristina Apsvall
  • Daniel Geller
  • Sabine Wilhelm
  • Joseph McGuire
  • Luisa Lázaro
  • Agustín Ernesto Martínez González
  • Barbara Barcaccia
  • Andrea Pozza
  • Wayne Goodman
  • Tanya Murphy
  • İsmail Seçer
  • Jose Piqueras
  • Tíscar Rodríguez-Jiménez
  • Antonio Godoy
  • Ana Rosa-Alcázar
  • Angel Rosa-Alcázar
  • Beatriz Ruiz-García
  • Eric Storch
  • David Mataix-Coles
Enheter & grupper
Externa organisationer
  • Karolinska Institute
  • Massachusetts General Hospital
  • Region Skåne Psychiatry
  • Johns Hopkins University School of Medicine
  • Hospital Clínic of Barcelona
  • University of Alicante
  • Baylor College of Medicine
  • Catholic University Of Murcia
  • University of Malaga
  • Sapienza University of Rome
  • University of Florence
  • University of South Florida
  • Atatürk University
  • Miguel Hernández University of Elche
  • University of Murcia

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Psykiatri
  • Psykologi (exklusive tillämpad psykologi)


TidskriftJournal of the American Academy of Child & Adolescent Psychiatry
Tidigt onlinedatum2019 aug 14
StatusE-pub ahead of print - 2019 aug 14
Peer review utfördJa