The relationship between obsessive–compulsive symptoms and depressive symptoms in patients with obsessive–compulsive disorder: A network analysis

Aim: The network model suggests that the comorbidity of obsessive–compulsive disorder (OCD) and depression is due to direct interactions between OCD and depression symptoms. The study investigates the network structure of OCD and depressive symptoms in patients with OCD and explores the pathways tha...

Full description

Saved in:
Bibliographic Details
Main Authors: Zhujing Ma, Lei Ren, Li Guo, Fengzhan Li, Yinchuan Jin, Wei Liang, Qintao Zhang, Huiling Yuan, Qun Yang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-05-01
Series:Indian Journal of Psychiatry
Subjects:
Online Access:https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_377_21
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832593533892034560
author Zhujing Ma
Lei Ren
Li Guo
Fengzhan Li
Yinchuan Jin
Wei Liang
Qintao Zhang
Huiling Yuan
Qun Yang
author_facet Zhujing Ma
Lei Ren
Li Guo
Fengzhan Li
Yinchuan Jin
Wei Liang
Qintao Zhang
Huiling Yuan
Qun Yang
author_sort Zhujing Ma
collection DOAJ
description Aim: The network model suggests that the comorbidity of obsessive–compulsive disorder (OCD) and depression is due to direct interactions between OCD and depression symptoms. The study investigates the network structure of OCD and depressive symptoms in patients with OCD and explores the pathways that connect the OCD and depression symptoms. Materials and Methods: The items of Yale-Brown Obsessive–Compulsive Symptom (Y-BOCS) Scale and the Depression Self-Rating Scale of 445 patients with OCD were analyzed by network model. Statistical analysis and visualization of the network were conducted using R software. Results: Two bridge edges “uneasiness” and “time consumed by obsessions” and “low spirit” and “distress caused by obsessions” connected the OCD symptoms to depressive symptoms. Two closely related edges were between “interference due to obsessions” and “interference due to compulsions” and between “difficulty resisting obsessions” and “difficulty resisting compulsions.” The symptoms “interference due to compulsions,” “distress caused by obsessions,” “time consumed by compulsions,” and “uneasiness” had the highest expected influence centrality. Conclusions: This study highlighted the relationship between “uneasiness” and “time consumed by obsessions” and between “low spirit” and “distress caused by obsessions.” In addition, “interference due to compulsions” is found as the core symptom in the network. Targeting these symptoms may help prevent and treat the comorbidity of obsession–compulsion and depression in patients with OCD.
format Article
id doaj-art-33273550ba5640aca007918998e75ac0
institution Kabale University
issn 0019-5545
1998-3794
language English
publishDate 2023-05-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Psychiatry
spelling doaj-art-33273550ba5640aca007918998e75ac02025-01-20T11:19:06ZengWolters Kluwer Medknow PublicationsIndian Journal of Psychiatry0019-55451998-37942023-05-0165553454010.4103/indianjpsychiatry.indianjpsychiatry_377_21The relationship between obsessive–compulsive symptoms and depressive symptoms in patients with obsessive–compulsive disorder: A network analysisZhujing MaLei RenLi GuoFengzhan LiYinchuan JinWei LiangQintao ZhangHuiling YuanQun YangAim: The network model suggests that the comorbidity of obsessive–compulsive disorder (OCD) and depression is due to direct interactions between OCD and depression symptoms. The study investigates the network structure of OCD and depressive symptoms in patients with OCD and explores the pathways that connect the OCD and depression symptoms. Materials and Methods: The items of Yale-Brown Obsessive–Compulsive Symptom (Y-BOCS) Scale and the Depression Self-Rating Scale of 445 patients with OCD were analyzed by network model. Statistical analysis and visualization of the network were conducted using R software. Results: Two bridge edges “uneasiness” and “time consumed by obsessions” and “low spirit” and “distress caused by obsessions” connected the OCD symptoms to depressive symptoms. Two closely related edges were between “interference due to obsessions” and “interference due to compulsions” and between “difficulty resisting obsessions” and “difficulty resisting compulsions.” The symptoms “interference due to compulsions,” “distress caused by obsessions,” “time consumed by compulsions,” and “uneasiness” had the highest expected influence centrality. Conclusions: This study highlighted the relationship between “uneasiness” and “time consumed by obsessions” and between “low spirit” and “distress caused by obsessions.” In addition, “interference due to compulsions” is found as the core symptom in the network. Targeting these symptoms may help prevent and treat the comorbidity of obsession–compulsion and depression in patients with OCD.https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_377_21comorbiditydepressionnetwork analysisobsessive–compulsive disorder
spellingShingle Zhujing Ma
Lei Ren
Li Guo
Fengzhan Li
Yinchuan Jin
Wei Liang
Qintao Zhang
Huiling Yuan
Qun Yang
The relationship between obsessive–compulsive symptoms and depressive symptoms in patients with obsessive–compulsive disorder: A network analysis
Indian Journal of Psychiatry
comorbidity
depression
network analysis
obsessive–compulsive disorder
title The relationship between obsessive–compulsive symptoms and depressive symptoms in patients with obsessive–compulsive disorder: A network analysis
title_full The relationship between obsessive–compulsive symptoms and depressive symptoms in patients with obsessive–compulsive disorder: A network analysis
title_fullStr The relationship between obsessive–compulsive symptoms and depressive symptoms in patients with obsessive–compulsive disorder: A network analysis
title_full_unstemmed The relationship between obsessive–compulsive symptoms and depressive symptoms in patients with obsessive–compulsive disorder: A network analysis
title_short The relationship between obsessive–compulsive symptoms and depressive symptoms in patients with obsessive–compulsive disorder: A network analysis
title_sort relationship between obsessive compulsive symptoms and depressive symptoms in patients with obsessive compulsive disorder a network analysis
topic comorbidity
depression
network analysis
obsessive–compulsive disorder
url https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_377_21
work_keys_str_mv AT zhujingma therelationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT leiren therelationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT liguo therelationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT fengzhanli therelationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT yinchuanjin therelationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT weiliang therelationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT qintaozhang therelationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT huilingyuan therelationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT qunyang therelationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT zhujingma relationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT leiren relationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT liguo relationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT fengzhanli relationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT yinchuanjin relationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT weiliang relationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT qintaozhang relationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT huilingyuan relationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis
AT qunyang relationshipbetweenobsessivecompulsivesymptomsanddepressivesymptomsinpatientswithobsessivecompulsivedisorderanetworkanalysis