Examination of outcomes among sexual minorities in treatment for obsessive-compulsive and related disorders
Open accessAbstract
The first-line psychological treatment for obsessive-compulsive and related disorders (OCRDs) is exposure and response prevention (ERP). As the first study to examine treatment outcomes for sexual minorities, it is crucial to examine: (1) how treatment-seeking individuals who identify as sexual minorities compare to heterosexual individuals in symptom severity at admission, length of stay in treatment, and (2) whether ERP is equally effective for sexual minorities. The current study explored these questions in an intensive/residential treatment (IRT) program for OCRDs. Adult participants (N = 191) completed self-reported measures of OCD severity, distress tolerance, and depression at program admission, in the first four weeks of treatment, and at discharge. No differences were found between groups for treatment outcome, although slight differences (non-significant) emerged at baseline for OCRD severity, distress tolerance, and depression. Sexual orientation was not predictive of OCRD severity at weeks 1–4, and number of days spent in treatment was not associated with sexual orientation. This is the first study exploring whether sexual orientation is predictive of treatment outcomes for individuals diagnosed with OCRDs. Results suggest that outcomes did not differ and participation in the program resulted in an overall improvement of symptoms regardless of sexual orientation, however several study limitations are discussed. Future studies should replicate these findings, attempt to collect a larger sample, incorporate qualitative feedback from treatment, and examine outcomes in gender minorities. © 2022
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Claims the paper makes
10 of 35 cited sources checked · 9 supported · 0 flagged · accuracy not yet measured
- Premisecitation
Sexual minorities experience more lifetime depression symptoms than heterosexual individuals.
“Moreover, sexual minorities experience more symptoms related to depression in their lifetime compared to heterosexual individuals (Zietsch, et al., 2012).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Zietsch, et al., 2012 source
- Study design and conductown data
The study was underpowered to detect between-group differences in YBOCS change, with observed power of .49.
“An observed (post-hoc) power analysis using G*Power (Faul et al., 2007) with 𝛼 = .05, observed effect size of d = .369, n = 34 for sexual minorities and n = 157 for heterosexual individuals, indicated that observed power was .49 to detect between-group differences in YBOCS change.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Faul et al., 2007 source
- Premisecitation
Rates of depression are disproportionately higher in sexual minorities than in heterosexual individuals.
“Likewise, rates of depression are disproportionately higher in sexual minorities than heterosexual individuals (Meyer, 2003).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Meyer, 2003 source
- Findingown data
Distress tolerance increased significantly from baseline to discharge across all participants.
“Results from DTS data revealed a significant main effect of time, F(1, 178) = 25.16, p < .001, 𝜂p2 = .124, indicating that distress tolerance increased from baseline (M = 39.74, SD = 15.14) to discharge (M = 45.41, SD = 14.64).”
Quote in the paperNot a substantial claim - Findingown data
There was no significant Group X Time interaction for OCD severity.
“The main effect of group was not significant, F(1, 189) = 51.61, p = .368, 𝜂p2 = .004, nor was the Group X Time interaction, F(1, 189) = 3.26, p = .073, 𝜂p2 = .017.”
Quote in the paperSubstantial claim
- Findingown data
Depression symptom severity decreased significantly from baseline to discharge across all participants.
“Results from HAMD data revealed a significant main effect of time, F(1, 186) = 62.70, p < .001, 𝜂p2 = .252, indicating that depression symptom severity decreased from baseline (M = 9.00, SD = 5.37) to discharge (M = 4.94, SD = 5.11).”
Quote in the paperNot a substantial claim - Findingown data
There was no significant main effect of group on distress tolerance.
“The main effect of group was not significant, F(1, 178) = 1.00, p = .320, 𝜂p2 = .006, nor was the Group X Time interaction, F(1, 178) = 3.30, p = .071, 𝜂p2 = .018.”
Quote in the paperSubstantial claim - Findingown data
There was no significant main effect of group on depression severity.
“The main effect of group was not significant, F(1, 186) = 2.42, p = .122, 𝜂p2 = .013, nor was the Group X Time interaction, F(1, 186) = 0.80, p = .797, 𝜂p2 = .004.”
Quote in the paperSubstantial claim - Findingown data
There was no significant Group X Time interaction for depression severity.
“The main effect of group was not significant, F(1, 186) = 2.42, p = .122, 𝜂p2 = .013, nor was the Group X Time interaction, F(1, 186) = 0.80, p = .797, 𝜂p2 = .004.”
Quote in the paperSubstantial claim - Findingown data
There was no significant difference in number of days spent in treatment between sexual minorities and heterosexual individuals.
“An independent samples t-test highlighted there was no significant difference, t(188) = 1.07, p = .428, d = .20) in number of days spent in treatment between sexual minorities (M = 65.97, SD = 24.44) and heterosexual individuals (M = 61.38, SD = 22.23).”
Quote in the paperNot a substantial claim - Findingown data
OCD symptom severity decreased significantly from baseline to discharge across all participants.
“Results from YBOCS data revealed a significant main effect of time, F(1, 189) = 261.86, p < .001, 𝜂p2 = .581, indicating that OCD symptom severity decreased from baseline (M = 24.79, SD = 6.50, representing severe symptoms) to discharge (M = 15.19, SD = 6.65, representing mild symptoms).”
Quote in the paperSubstantial claim - Findingown data
There was no significant main effect of group on OCD severity.
“The main effect of group was not significant, F(1, 189) = 51.61, p = .368, 𝜂p2 = .004, nor was the Group X Time interaction, F(1, 189) = 3.26, p = .073, 𝜂p2 = .017.”
Quote in the paperSubstantial claim - Findingown data
There was no significant Group X Time interaction for distress tolerance.
“The main effect of group was not significant, F(1, 178) = 1.00, p = .320, 𝜂p2 = .006, nor was the Group X Time interaction, F(1, 178) = 3.30, p = .071, 𝜂p2 = .018.”
Quote in the paperSubstantial claim - Premisecitation
In a transdiagnostic intensive psychiatric hospital program, treatment outcomes in SGM for anxiety, depression, and impairment were similar among all SGM groups, except for bisexual individuals.
“In a transdiagnostic intensive psychiatric hospital program, Beard and colleagues (2017) results suggest that treatment outcomes in sexual and gender minorities (SGM) for anxiety, depression, and level of impairment, were similar among all SGM groups, with the exception for those who identified as bisexual.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Beard et al., 2017 source
- Premisecitation
High rates of comorbidity exist between anxiety-related disorders and depression.
“high rates of comorbidity between anxiety-related disorders and depression (Abramowitz et al., 2000; Beard et al., 2016; McNally et al., 2017)”
Quote in the paperSubstantial claim0 of 3 sources checked - Interpretationown data
The treatment program's efficacy in improving OCD severity, distress tolerance, and depression is general regardless of sexual orientation.
“The decrease in OCD and depression severity and increase in distress tolerance regardless of sexual orientation thus highlights the general efficacy of the treatment program.”
Quote in the paperSubstantial claim - Premisecitation
Minoritized ethnoracial individuals required longer stays in an IRT facility for OCD than non-minoritized individuals.
“Williams and colleagues (2015) examined treatment outcomes in minoritized ethnoracial individuals and found that minoritized individuals also required longer stays in an intensive/residential treatment (IRT) facility for OCD than non-minoritized individuals.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Williams et al., 2015 source
- Premisecitation
Sexual minorities are nine times more likely to receive a diagnosis or treatment for OCD in the past 12 months.
“Notably, sexual minorities are nine times more likely to receive a diagnosis or treatment for OCD in the past 12 months (Pelts & Albright, 2015).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Pelts & Albright, 2015 source
- Interpretationreasoning
The findings may not translate to lower levels of care or other therapeutic interventions for sexual minorities with OCD.
“Therefore, the findings in this paper may not translate to lower levels of care (outpatient treatment) or other forms of therapeutic intervention for sexual minorities with OCD.”
Quote in the paperNot a substantial claim
- May combine two claims. 20
- Classified as probably not a substantial claim. 15
May combine two claims.
PremisecitationSexual orientation-related stress may maintain or lead to lower distress tolerance in sexual minorities, increasing anxiety-related symptoms.
“Therefore, sexual orientation-related stress may possibly maintain or lead to lower distress tolerance in sexual minorities, increasing anxiety-related symptoms (Reitzel et al., 2017).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Reitzel et al., 2017 source
May combine two claims.
PremisecitationPast research on sexual minorities with OCRDs has mostly focused on sexual orientation-related obsessions in heterosexual individuals, while experiences of sexual minority individuals with OCD have not been studied.
“Past research involving sexual minorities with OCRDs has mostly focused on sexual orientation-related obsessions in heterosexual individuals (Williams & Farris, 2011; Williams et al., 2014), whereas the experiences of individuals with OCD who identify as a sexual minority have not been studied.”
Quote in the paperSubstantial claim1 of 2 sources checked- cites Williams & Farris, 2011 source
The Introduction (page unavailable) and Results (page unavailable) show that this study focuses on sexual-orientation obsessions among people with OCD. They do not establish that the patients were heterosexual or that past research mostly concerned heterosexual individuals. The statement about sexual minority individuals’ experiences follows the citation rather than being directly attributed to it. (LLM, conf=0.82)
Experimental — accuracy not yet measured - cites Williams et al., 2014
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Classified as probably not a substantial claim.
PremisecitationLower distress tolerance partially mediates the relationship between sexual orientation-related discrimination experiences and anxiety symptoms in sexual minorities.
“In particular, lower distress tolerance has been shown to partially mediate the relationship between sexual orientation-related discrimination experiences and anxiety symptoms in sexual minorities (Reitzel et al., 2017).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Reitzel et al., 2017 source
May combine two claims.
PremisecitationIndividuals diagnosed with OCD are at increased risk for suicide attempts and dying by suicide.
“For example, individuals diagnosed with OCD are at an increased risk for suicide attempts and dying by suicide (de la Cruz et al., 2017)”
Quote in the paperSubstantial claim1 of 1 sources checked- cites de la Cruz et al., 2017 source
May combine two claims.
PremisecitationThe likelihood of developing suicidal ideation or experiencing a suicide attempt is increased in sexual minorities compared to heterosexual individuals.
“and the likelihood of developing suicidal ideation or experiencing a suicide attempt is increased compared to heterosexual individuals (Meyer, 2003; Lewis, 2009).”
Quote in the paperSubstantial claim1 of 2 sources checkedClassified as probably not a substantial claim.
PremisecitationMinority stress theory holds that sexual minorities face unique distal and proximal stressors that raise the risk for emotional disorders.
“Minority stress theory posits that sexual minorities experience unique distal stressors (e.g., external stressors) related to their identities and subsequent proximal stressors (e.g., internal stressors in response to negative external experiences) that increase the risk for emotional disorders (Meyer, 2003).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Meyer, 2003 source
May combine two claims.
PremisecitationSexual minorities have a higher risk for psychopathology and higher levels and rates of anxiety-related disorders than heterosexual individuals.
“sexual minorities are at increased risk for psychopathology, experiencing both higher levels and rates of anxiety-related disorders compared to heterosexual individuals (Cohen et al., 2016; Gilman et al., 2001; Potoczniak et al., 2007; Safren & Pantalone, 2006; Seelman, et al., 2017).”
Quote in the paperNot a substantial claim1 of 3 sources checkedMay combine two claims.
Findingown dataThere were no significant differences in treatment outcomes (OCD severity, depression, distress tolerance) or length of stay between sexual minority and heterosexual groups.
“No differences were found between groups for treatment outcome, although slight differences (non-significant) emerged at baseline for OCRD severity, distress tolerance, and depression.”
- Also stated in: § Discussion · plain
“Contrary to our hypotheses, there were no significant differences in treatment outcomes for OCD severity, depression, or distress tolerance between groups, nor were there differences in length of stay.”
Quote in the paperSubstantial claim- Also stated in: § Discussion · plain
May combine two claims.
Findingown dataBaseline differences between sexual minorities and heterosexual individuals were non-significant for OCD symptoms, distress tolerance, and depression.
“Baseline differences were non-significant for all measures, including OCD symptoms, t(189) = 1.73, p = .085, d = 0.34, distress tolerance, t(178) = −1.78, p = .078, d = 0.37, and depression symptoms, t(186) = 1.76, p = .081, d = 0.33.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAt baseline, sexual minority individuals had higher OCD symptoms, lower distress tolerance, and higher depression symptoms than heterosexual individuals, but these differences were small and non-significant.
“Mean differences were in the expected direction such that sexual minority individuals demonstrated higher OCD symptoms (M = 26.53, SD = 5.68) than heterosexual individuals (M = 24.41, SD = 6.62), lower distress tolerance (M = 35.12, SD = 11.79) than heterosexual individuals (M = 40.27, SD = 15.41), and higher depression symptoms (M = 10.24, SD = 5.45) than heterosexual individuals (M = 8.46, SD =”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataSexual orientation was positively and significantly associated with admission DTS and negatively and significantly associated with admission YBOCS.
“Sexual orientation was positively and significantly associated with admission DTS (β = .81, p = .009) and negatively and significantly associated with admission YBOCS (β = −.31, p = .028).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIndividuals with more marginalized identities (race, ethnicity, sexual orientation) experience greater OCD severity and depression.
“In another study in IRT for OCRDs, research highlights that individuals who hold more marginalized identities (e.g., race, ethnicity, sexual orientation) experience greater levels of OCD severity and depression (Wadsworth et al., 2020).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Wadsworth et al., 2020 source
Classified as probably not a substantial claim.
PremisecitationSexual minorities diagnosed with an OCRD may be at risk of worsened therapeutic interactions compared to heterosexual individuals due to anti-affirming LGBQ+ care.
“Moreover, in a recent review, Pinciotti and colleagues (2021) describe how sexual minorities who are diagnosed with an OCRD may be at risk of worsened therapeutic interactions compared to heterosexual individuals, as a possible result of anti-affirming LGBQ+ care, historically intertwined with exposure therapy.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Pinciotti et al., 2021 source
Classified as probably not a substantial claim.
PremisecitationExposure and response prevention is the first-line psychological treatment for obsessive-compulsive and related disorders.
“The first-line psychological treatment for obsessive-compulsive and related disorders (OCRDs) is exposure and response prevention (ERP).”
Quote in the paperSubstantial claim0 of 2 sources checkedClassified as probably not a substantial claim. May combine two claims.
PremisecitationGender minorities report greater contamination obsessions, psychiatric comorbidities, longer lengths of stay, and less symptom improvement compared to cisgender individuals with OCD.
“Prior research indicates that gender minorities report greater contamination obsessions, psychiatric comorbidities, longer lengths of stay in treatment, and less symptom improvement in treatment compared to cisgender individuals with OCD (Pinciotti et al., 2022).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Pinciotti et al., 2022 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe HAMD-6 has good psychometric properties.
“The measure has been shown to have good psychometric properties (Timmerby et al., 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Timmerby et al., 2017 source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationResearch in non-clinical settings suggests that sexual minorities are more likely to endorse obsessive compulsive symptoms.
“Moreover, research in non-clinical settings also suggests that sexual minorities are more likely to endorse obsessive compulsive symptoms (Pinciotti & Orcutt, 2020).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Pinciotti & Orcutt, 2020 source
Classified as probably not a substantial claim. May combine two claims.
PremisecitationDistress tolerance is an important facet in emotion regulation; low distress tolerance relates to difficulty experiencing negative feelings.
“Distress tolerance is an important facet in emotion regulation; experiencing low distress tolerance often relates to difficulty an individual has in experiencing negative feelings (Blackledge & Hayes, 2001).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Blackledge & Hayes, 2001 source
May combine two claims.
PremisecitationDistress tolerance is an important maintenance factor of OCRDs and has a significant association with OCD-related obsessions.
“Distress tolerance is also an important maintenance factor of OCRDs, which has a significant association with OCD-related obsessions (Cougle et al., 2011).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Cougle et al., 2011 source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationA single-session intervention for youth with depressive disorders was similarly acceptable and efficacious among SGMs and heterosexual, cis-gender individuals.
“however, a single-session intervention for youth with depressive disorders was found similarly acceptable and efficacious among SGMs and heterosexual, cis-gender individuals (McDanal et al., 2021).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites McDanal et al., 2021 source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
InterpretationreasoningSexual minorities may have acquired skills in therapy to manage symptoms and cope with identity-related stress, developed supportive relationships, and thus benefited comparably to heterosexual individuals.
“While sexual minorities may have experienced these stressors in treatment, they may have acquired skills in therapy to manage their symptoms and cope with stressful identity-related experiences, developed supportive relationships with other sexual minority participants with OCD, and benefitted comparably to heterosexual individuals in treatment outcomes.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
PremisecitationPrevious research on IRT for OCRDs suggests the largest amount of symptom reduction occurs within the first four weeks of treatment and that this period is most predictive of outcomes.
“due to previous research of IRT for OCRDs suggesting the largest amount of symptom reduction occurs within the first four weeks of treatment and that this period is most predictive of outcomes (Krompinger et al., 2017).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Krompinger et al., 2017 source
May combine two claims.
Interpretationown dataTreatment was broadly effective in reducing OCD and depression symptoms and improving distress tolerance.
“There were main effects of time for all measures, suggesting that treatment was broadly effective in reducing symptoms of OCD and depression, as well as improving distress tolerance.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe self-report Y-BOCS has medium to strong correlations with the clinician-administered version.
“This self-report version of the YBOCS is commonly utilized (Steketee et al., 1996), and displays medium to strong correlations with the clinically administered measure (Federici et al., 2010; Hauschildt et al., 2019; Storch et al., 2017).”
Quote in the paperNot a substantial claim0 of 3 sources checkedClassified as probably not a substantial claim.
PremisecitationThe presence of non-affirming care interferes with treatment for sexual minorities.
“given that past research has highlighted how the presence of non-affirming care interferes with treatment for sexual minorities (Pinciotti et al., 2021).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Pinciotti et al., 2021 source
May combine two claims.
InterpretationreasoningThe sample exclusively includes individuals who can take time away from work or family obligations, so results may not represent those with such obligations.
“As such, our results might not be capturing a representative sample among those who are employed or have other obligations at home.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataAt admission, sexual minorities had slightly worse symptomology, but these differences dissipated by discharge, where outcomes were comparable regardless of sexual orientation.
“Although non-significant, findings suggested that at admission sexual minorities experience slightly worse levels of symptomology, however, these differences dissipated by program discharge, where outcomes were comparable regardless of sexual orientation.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningThe sociocultural context of the program cannot be generalized to all clinicians or programs.
“Nonetheless, this sociocultural context cannot be generalized to assume similar attitudes among all clinicians or programs, nor does the context necessarily indicate that clinicians will demonstrate awareness of microaggressions or will integrate considerations around participants’ identities into their clinical work.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe sample was predominantly non-Hispanic White and college-educated, which is not generalizable to all individuals with an OCRD.
“Second, the sample was predominantly non-Hispanic White, holding a bachelor’s degree or some level of college experience, which is not generalizable to all individuals with an OCRD.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningThe study did not examine gender minorities because questions allowing endorsement of non-cisgender identities were not initially included.
“Lastly, this study did not examine participants identifying as gender minorities because we did not initially include questions that appropriately allow people to endorse non-cisgender identities.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
No prior studies have examined treatment outcomes for sexual minorities in an intensive/residential treatment program for OCRDs.
“To the best of our knowledge, no past studies have examined treatment outcomes for sexual minorities in IRT setting for OCRDs”
The paper relies on this without support.
The majority of OCD treatment research has been conducted in predominantly White, cisgender, and heterosexual samples, so it is unclear if first-line treatments remain effective among diverse populations.
“However, the majority of research on OCD and its treatment has been conducted in samples that comprise predominantly White, cisgender, and heterosexual individuals, thus it is unclear if first-line treatments remain such among diverse populations.”
Statistics that don’t add up
Each reported p-value recomputed from its test statistic and degrees of freedom.
Statistic does not fit its p-value and effect size: F(1, 189) = 51.61, p = .368
MinorThe paper reports p = .368 here; recomputing from the test statistic and its degrees of freedom gives p < .001. The partial eta squared printed with it (ηp² = .004) corresponds to F ≈ 0.76 and p = .385, which fits the reported p-value and not the statistic: the statistic appears to be the misprint.
Reported p = .368 · recomputed p < .001
“F(1, 189) = 51.61, p = .368”
Inconsistent p-value: F(1, 186) = 0.80, p = .797
MinorThe paper reports p = .797 here; recomputing from the test statistic and its degrees of freedom gives p = .372. The check cannot tell whether the statistic or the p-value is the misprint.
Reported p = .797 · recomputed p = .372
“F(1, 186) = 0.80, p = .797”
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Doesn’t add upF(1, 189) = 51.61reported p = .368 · recomputed p < .001
“F(1, 189) = 51.61, p = .368”
- Doesn’t add upF(1, 186) = 0.8reported p = .797 · recomputed p = .372
“F(1, 186) = 0.80, p = .797”
- Consistentt(188) = 1.07reported p = .428 · recomputed p = .286
“t(188) = 1.07, p = .428”
The paper states a correction for multiple tests
- ConsistentF(1, 189) = 261.86reported p < .001 · recomputed p < .001
“F(1, 189) = 261.86, p < .001”
- ConsistentF(1, 189) = 3.26reported p = .073 · recomputed p = .073
“F(1, 189) = 3.26, p = .073”
- ConsistentF(1, 178) = 25.16reported p < .001 · recomputed p < .001
“F(1, 178) = 25.16, p < .001”
- ConsistentF(1, 178) = 1reported p = .32 · recomputed p = .319
“F(1, 178) = 1.00, p = .320”
- ConsistentF(1, 178) = 3.3reported p = .071 · recomputed p = .071
“F(1, 178) = 3.30, p = .071”
- ConsistentF(1, 186) = 62.7reported p < .001 · recomputed p < .001
“F(1, 186) = 62.70, p < .001”
- ConsistentF(1, 186) = 2.42reported p = .122 · recomputed p = .121
“F(1, 186) = 2.42, p = .122”
- Consistentt(189) = 1.73reported p = .085 · recomputed p = .085
“t(189) = 1.73, p = .085”
- Consistentt(178) = -1.78reported p = .078 · recomputed p = .077
“t(178) = −1.78, p = .078”
- Consistentt(186) = 1.76reported p = .081 · recomputed p = .080
“t(186) = 1.76, p = .081”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
This check didn’t finish.
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Anxiety and related disorders and concealment in sexual minority young adults
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Reducing the Treatment Gap for LGBT Mental Health Needs: the Potential of Telepsychiatry
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Williams, M. T., Sawyer, B., Leonard, R. C., Ellsworth, M., Simms, J., & Riemann, B. C. (2015) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2015.02.004 · Cited by 46 · see citing works
McDanal, R., Rubin, A., Fox, K. R., & Schleider, J. L. (2022) · Behavior Therapy · doi:10.1016/j.beth.2021.10.004 · Cited by 43 · see citing works
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Emotion regulation in acceptance and commitment therapy
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Flagged first, then by citations
2 of the 50 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- Williams, 2014, Sexual orientation symptoms in obsessive compulsive disorder: Assessment and treatment with cognitive behavioral therapy, Directions in Psychiatry, 34, 37
Cited by
Sorted by citations
Emotion regulation and OCD among sexual minority people: Identifying treatment targets
Bezahler, A., Kuckertz, J. M., McKay, D., Falkenstein, M. J., & Feinstein, B. A. (2023) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2023.102807 · Cited by 11 · see citing works
Self-citationKuckertz, J. M., McNally, R. J., Riemann, B. C., van Borkulo, C. D., Bellet, B. W., Krompinger, J. W., Kirk, N. P. V., & Falkenstein, M. J. (2022) · Behaviour Research and Therapy · doi:10.1016/j.brat.2022.104151 · Cited by 8 · see citing works
Self-citationDunn, I. B. J. M. D., Power, E., Casey, L. J., & Wootton, B. M. (2024) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2024.2434021 · Cited by 7 · see citing works
“One study (Bezahler et al., 2022) used blended in-person and group treatment and was removed for this analysis.”
Pinciotti, C. M., Feinstein, B. A., & Williams, M. T. (2024) · Behavior Therapy · doi:10.1016/j.beth.2024.06.006 · Cited by 6 · see citing works
Pinciotti, C. M., Castillo, A. A., Feinstein, B. A., Wadsworth, L. P., Abramowitz, J. S., Riemann, B. C., Goodman, W. K., & Storch, E. A. (2024) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2024.100907 · Cited by 3 · see citing works
Psychological therapy outcomes by sexual orientation and gender: a retrospective cohort study
Kent, T., Suh, J. W., Lewis, G., Saunders, R., Davies, N. M., Lewis, G., Dolby, L., & Buckman, J. E. J. (2025) · Psychological Medicine · doi:10.1017/s0033291725101220 · Cited by 2 · see citing works
“Similarly, studies from the United States, including those in day hospitals for eating disorders and residential programs for obsessive-compulsive and related disorders, have generally shown comparable outcomes across sexual orientation groups (Bezahler et al., 2022; Donahue et al., 2020).”
Bezahler, A., Falkenstein, M. J., & Kuckertz, J. M. (2024) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2024.100898 · Cited by 2 · see citing works
Self-citationBezahler, A., Kirk, N. P. V., Feinstein, B. A., Falkenstein, M. J., & Kuckertz, J. M. (2026) · Journal of Traumatic Stress · doi:10.1002/jts.70082 · Cited by 1 · see citing works
“Prior studies have demonstrated that sexual minority and heterosexual individuals do not differ in treatment outcomes with regard to OCD symptom severity (Bezahler et al., 2022; Pinciotti et al., 2025).”
Self-citationMunro, M., & Smith, N. G. (2026) · Sexuality Research and Social Policy · doi:10.1007/s13178-026-01323-8 · Cited by 1 · see citing works
Camp, J., Bodea, M., Skerven, K., Papoulias, C., Swales, M. A., & Smith, P. (2026) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x26100695 · Cited by 1 · see citing works
Sexuality and Related Disorders in OCD and Their Symptoms
de la Iglesia-Larrad, J. I., Bolaños, R. K. G., Navarro, I. M. P., de Alarcón, R., Casado‐Espada, N. M., & Montejo, A. L. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14196819 · Cited by 1 · see citing works
“Due to the dominance of obsessions in these patients, exposure response prevention (ERP) therapy may be less effective than in other patients with OCD [52,186,187].”
McCarty, R. J., Onyeka, O. “., Pinciotti, C. M., Wiese, A. D., & Storch, E. A. (2026) · Current Psychiatry Reports · doi:10.1007/s11920-026-01707-y
“Studies show no differences in overall treatment outcomes across sexual orientation groups [97, 113], although there is some suggestion that rates of improvement may differ, with lesbian/gay patients demonstrating the slowest improvement across sexual orientation groups in quality of life and…”
White, A. M., Ball, F. C., Teller, J. A., Mangen, K. H., & Wu, K. D. (2025) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2025.100981
Skin picking disorder in sexual minority individuals
Boutouis, S., & Grant, J. E. (2024) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2024.100914
- Authors
- Bezahler, A., Kuckertz, J. M., Schreck, M., Narine, K., Dattolico, D., & Falkenstein, M. J.
- Affiliations
- Harvard University (US)
- William James College (US)
- Corresponding author
- Bezahler, Andreas
- ORCID
- Venue
- Journal of Obsessive-Compulsive and Related Disorders
- Publisher
- Elsevier BV
- Published
- 2022-04
- Volume
- 33
- Pages
- 100724
- ISSN
- 2211-3649 (ISSN-L)
- PMC
- PMC10201929
- OpenAlex
- W4224903107
- Semantic Scholar
- e6e5861a870de2ecae98b3591e2caa52d48156b9
- Cited by
- 15
- References
- 50
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 5 · 2023: 1 · 2022: 1
- FWCI
- 2.17
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Journal of Obsessive-Compulsive and Related Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- obsessive-compulsive and related disorders, sexual minorities, exposure and response prevention, treatment outcomes, sexual orientation, treatment-seeking behavior, symptom severity, distress tolerance
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-09-28.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-09-28.
Cited sources are checked by gpt-6-sol.
Statistics and arithmetic are recomputed, not judged.
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