An examination of obsessive-compulsive symptom domains, depression, and quality of life within an online survey sample

Author:

Browning Morgan E.1,Guzick Andrew G.2,McCarty Ryan J.3,Cooke Danielle L.3,Toledano Shanee4,Olsen Brian T.5,Barthle Megan A.6,Bailey Brittany A.3,Guastello Andrea D.6,Lazaroe Lacie M.3,McNamara Joseph P. H.7

Affiliation:

1. Psychology graduate student, Department of Psychology, University of Massachusetts Dartmouth, North Dartmouth, Massachusetts.

2. Assistant Professor, Baylor College of Medicine, Houston, Texas.

3. Clinical psychology doctoral student, Department of Psychiatry, College of Medicine, and the Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, Florida.

4. Psychologist, Rogers Behavioral Health, Sandy Springs, Georgia.

5. Psychologist, St. Lukes Health System, Twin Falls, Idaho.

6. Psychologist and clinical assistant professor, Department of Psychiatry, College of Medicine, University of Florida, Gainesville, Florida.

7. Associate Professor and Chief, Department of Psychiatry, College of Medicine, and the Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, Florida.

Abstract

Obsessive-compulsive disorder (OCD) is a heterogeneous and highly impairing disorder that is frequently comorbid with other conditions. Participants in this study were 212 individuals recruited through Mechanical Turk who filled out validated measures of obsessive-compulsive symptoms, quality of life (QoL), generalized anxiety, and depressive symptoms. Analyses examined the influences of each symptom variable on QoL and the mediating role of depression as an indirect link between unacceptable thoughts (UT) and QoL. Depressive symptoms had a significant negative relationship with multiple domains of functioning. Generalized anxiety was not significant. Higher endorsement of UT symptoms was related to lower physical, emotional, and social QoL. Depression partially mediated the relationship between UT symptoms and physical, emotional, and social health. Depressive symptoms are important to consider in clinical work surrounding OCD. The significant associations between UT symptoms and QoL in a nonclinical population illustrate a relevant area for future intervention, public awareness, and education.

Publisher

Guilford Publications

Subject

Psychiatry and Mental health,Clinical Psychology,Pshychiatric Mental Health

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