Psychologists' Diagnostic Accuracy and Treatment Recommendations for Obsessive‐Compulsive Disorder.

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Title: Psychologists' Diagnostic Accuracy and Treatment Recommendations for Obsessive‐Compulsive Disorder.
Authors: Weinberg, Leah (AUTHOR), Martin, Luci A. (AUTHOR), Post, Kristina M. (AUTHOR), Ricketts, Emily J. (AUTHOR)
Source: Journal of Clinical Psychology. May2025, Vol. 81 Issue 5, p324-333. 10p.
Subjects: Mental health personnel, Sexual orientation, Obsessive-compulsive disorder, Psychologists, Vignettes
Abstract: Obsessive‐compulsive disorder (OCD) is a debilitating condition prevalent in up to 2.3% of the population, yet obsessive‐compulsive symptoms are commonly misidentified by mental health professionals, adversely impacting treatment recommendations. This study examined OCD misidentification rates across two different types of obsessions, the influence of misidentification on treatment recommendation, and attitudes associated with clinicians' decisions surrounding the diagnosis of OCD and treatment recommendations in a sample of 110 licensed psychologists. Results showed that over one‐third (35.0%) of participants incorrectly diagnosed two vignettes, representing symptoms of sexual orientation OCD (SO‐OCD) and symmetry. Of those who correctly diagnosed the vignettes, about half of participants (symmetry = 55.4%; SO‐OCD = 47.1%) recommended exposure and response prevention (ERP) as the primary treatment choice. Participants who endorsed greater client empowerment were more likely to misdiagnose the SO‐OCD vignette (t(108) = 2.97, p = 0.004). Less experience with evidence‐based practice and negative attitudes toward evidence‐based practice were associated with the choice of treatment other than ERP (t(71) = −2.98, p = 0.004 and t(72) = 3.40, p < 0.001, respectively). Elevated OCD misdiagnosis and its adverse impact on treatment recommendations, as well as knowledge of factors contributing to misdiagnosis and mistreatment, imply the need for greater education and training. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Psychologists&#39; Diagnostic Accuracy and Treatment Recommendations for Obsessive‐Compulsive Disorder.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Journal+of+Clinical+Psychology%22&quot;&gt;Journal of Clinical Psychology&lt;/searchLink&gt;. May2025, Vol. 81 Issue 5, p324-333. 10p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Mental+health+personnel%22&quot;&gt;Mental health personnel&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Sexual+orientation%22&quot;&gt;Sexual orientation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Obsessive-compulsive+disorder%22&quot;&gt;Obsessive-compulsive disorder&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Psychologists%22&quot;&gt;Psychologists&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Vignettes%22&quot;&gt;Vignettes&lt;/searchLink&gt;
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  Data: Obsessive‐compulsive disorder (OCD) is a debilitating condition prevalent in up to 2.3% of the population, yet obsessive‐compulsive symptoms are commonly misidentified by mental health professionals, adversely impacting treatment recommendations. This study examined OCD misidentification rates across two different types of obsessions, the influence of misidentification on treatment recommendation, and attitudes associated with clinicians&#39; decisions surrounding the diagnosis of OCD and treatment recommendations in a sample of 110 licensed psychologists. Results showed that over one‐third (35.0%) of participants incorrectly diagnosed two vignettes, representing symptoms of sexual orientation OCD (SO‐OCD) and symmetry. Of those who correctly diagnosed the vignettes, about half of participants (symmetry = 55.4%; SO‐OCD = 47.1%) recommended exposure and response prevention (ERP) as the primary treatment choice. Participants who endorsed greater client empowerment were more likely to misdiagnose the SO‐OCD vignette (t(108) = 2.97, p = 0.004). Less experience with evidence‐based practice and negative attitudes toward evidence‐based practice were associated with the choice of treatment other than ERP (t(71) = −2.98, p = 0.004 and t(72) = 3.40, p &lt; 0.001, respectively). Elevated OCD misdiagnosis and its adverse impact on treatment recommendations, as well as knowledge of factors contributing to misdiagnosis and mistreatment, imply the need for greater education and training. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: &lt;i&gt;Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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        Value: 10.1002/jclp.23775
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      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 324
    Subjects:
      – SubjectFull: Mental health personnel
        Type: general
      – SubjectFull: Sexual orientation
        Type: general
      – SubjectFull: Obsessive-compulsive disorder
        Type: general
      – SubjectFull: Psychologists
        Type: general
      – SubjectFull: Vignettes
        Type: general
    Titles:
      – TitleFull: Psychologists' Diagnostic Accuracy and Treatment Recommendations for Obsessive‐Compulsive Disorder.
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            NameFull: Weinberg, Leah
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            NameFull: Martin, Luci A.
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            NameFull: Post, Kristina M.
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            NameFull: Ricketts, Emily J.
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            – D: 01
              M: 05
              Text: May2025
              Type: published
              Y: 2025
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