Prevalence and regional patterns of identity-related OCD across the United States: Findings from The National OCD Survey.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Prevalence and regional patterns of identity-related OCD across the United States: Findings from The National OCD Survey.
Συγγραφείς: Pinciotti CM; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA. Electronic address: caitlin.pinciotti@bcm.edu., Foshee KL; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA., Upshaw B; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA; Department of Psychology, University of Mississippi, Oxford, MS, USA., Spencer SD; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA; University of North Texas, Denton, TX, USA., Hershfield J; Sheppard Pratt, Baltimore, MD, USA., Park JM; Acadia Healthcare, Franklin, TN, USA., Franklin ME; Rogers Behavioral Health System, Oconomowoc, WI, USA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA., Storch EA; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA.
Πηγή: Psychiatry research [Psychiatry Res] 2026 Oct; Vol. 364, pp. 117285. Date of Electronic Publication: 2026 Jun 16.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Elsevier/North-Holland Biomedical Press Country of Publication: Ireland NLM ID: 7911385 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-7123 (Electronic) Linking ISSN: 01651781 NLM ISO Abbreviation: Psychiatry Res Subsets: MEDLINE
Imprint Name(s): Publication: Limerick : Elsevier/North-Holland Biomedical Press
Original Publication: Amsterdam, Elsevier/North-Holland Biomedical Press.
Ιατρικοί όροι (MeSH): Obsessive-Compulsive Disorder*/epidemiology , Obsessive-Compulsive Disorder*/psychology , Gender Identity*, United States/epidemiology ; Humans ; Female ; Prevalence ; Male ; Adult ; Middle Aged ; Adolescent ; Young Adult ; Poverty ; Aged ; Racism ; Social Group
Περίληψη: Obsessive-compulsive disorder (OCD) is often understood to manifest based on individuals' core values, with symptom themes reflecting that which is personally meaningful and therefore threatening. Identity-related OCD themes - including pathological fears or doubts related to sexual orientation, gender identity, racism, disability/diagnostic status, aging, and poverty - may be particularly shaped by the values guided by sociocultural contexts. The United States provides a useful context for examining these cultural intersections, as culturally similar communities have historically clustered across eleven distinct sociocultural regions. Moreover, despite clinical observation suggesting increased frequency of identity-related OCD themes in recent years, their prevalence remains unclear. Using data from The National OCD Survey (N = 2917), the present study examined the prevalence and regional patterning of identity-related OCD themes across the United States. Overall, obsessions about disability/diagnostic status were most common, followed by racism, sexual orientation, aging, poverty, and lastly, gender identity. Notably, the prevalence of sexual orientation obsessions exceeded prior estimates, potentially reflecting a shift in the presentation and function of these symptoms. Regionally, identity-related OCD themes clustered in culturally meaningful ways, ostensibly reflecting regional differences in the centrality, stigmatization, and status loss associated with different identities or personal characteristics. Findings highlight the importance of sociocultural context in the emergence and presentation of OCD symptoms.
(Copyright © 2026 Elsevier B.V. All rights reserved.)
Competing Interests: Declaration of competing interest Dr. Pinciotti receives research funding from the Texas Child Mental Health Care Consortium and fees to be a consultant and workshop presenter with The Knowledge Tree and OCD Training School. Mr. Hershfield receives book royalties from New Harbinger Publications, Inc. Dr. Franklin receives book royalties from Guilford Press and Oxford University Press. Dr. Storch reports receiving research funding to his institution from the Ream Foundation, International OCD Foundation, and NIH. He was formerly a consultant for Brainsway and Biohaven Pharmaceuticals in the past 24 months. He owns stock less than $5000 in NView. He receives book royalties from Elsevier, Wiley, Oxford, American Psychological Association, Guildford, Springer, Routledge, and Jessica Kingsley. Ms. Foshee, Mr. Upshaw, and Drs. Park and Spencer have no disclosures to report.
Contributed Indexing: Keywords: American Nations; Identity; Obsessive-compulsive disorder; Regional differences; The National OCD Survey
Entry Date(s): Date Created: 20260628 Date Completed: 20260810 Latest Revision: 20260810
Update Code: 20260811
DOI: 10.1016/j.psychres.2026.117285
PMID: 42365681
Βάση Δεδομένων: MEDLINE