title: Is disgust proneness sensitive to treatment for OCD among youth?: Examination of diagnostic specificity and symptom correlates.
abstract: Although disgust proneness has been implicated in obsessive-compulsive disorder (OCD), there is a paucity of research examining change in disgust proneness during treatment as well as the correlates of such change, especially in children. This study examined the relationship between changes in disgust proneness and disorder-specific symptoms during residential treatment among youth with OCD, anxiety, and mood disorders. Youth ages 12-18 (n=472) completed pre- and post-outcome measures of OCD, anxiety, and mood symptoms and disgust proneness. Results indicate that although disgust proneness decreases during treatment for youth with OCD, anxiety, and mood disorders, youth with primary OCD experienced the greatest decrease in disgust proneness over the course of treatment. Reductions in disgust proneness during treatment were significantly correlated with reductions in multiple symptom measures, with the strongest correlations between reductions in disgust proneness and OCD symptoms. Implications and directions for future research are discussed.
authors.affiliation: Department of Psychology, Vanderbilt University, Nashville, TN, USA. Electronic address: kelly.a.knowles@vanderbilt.edu.
authors.forename: Kelly A
authors.initials: KA
authors.lastname: Knowles
authors.affiliation: Department of Psychology, Vanderbilt University, Nashville, TN, USA.
authors.forename: Megan A
authors.initials: MA
authors.lastname: Viar-Paxton
authors.affiliation: Rogers Memorial Hospital, Oconomowoc, WI, USA.
authors.forename: Bradley C
authors.initials: BC
authors.lastname: Riemann
authors.affiliation: Rogers Memorial Hospital, Oconomowoc, WI, USA.
authors.forename: David M
authors.initials: DM
authors.lastname: Jacobi
authors.affiliation: Department of Psychology, Vanderbilt University, Nashville, TN, USA; Rogers Memorial Hospital, Oconomowoc, WI, USA.
authors.forename: Bunmi O
authors.initials: BO
authors.lastname: Olatunji
mesh_terms: D000293:Adolescent; D000339:Affect / Q000502:physiology; D001007:Anxiety / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D002648:Child; D004644:Emotions / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D063189:Symptom Assessment
keywords: Disgust; OCD; Treatment change; Youth