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

Matti Cervin, Sean Perrin, 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-GarcíaEric Storch, David Mataix-Coles

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskriftPeer review

19 Citeringar (SciVal)


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.
Sidor (från-till)880-889
Antal sidor10
TidskriftJournal of the American Academy of Child and Adolescent Psychiatry
Tidigt onlinedatum2019 aug. 14
StatusPublished - 2020 juli

Ämnesklassifikation (UKÄ)

  • Psykiatri
  • Psykologi (exklusive tillämpad psykologi)


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