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Cited by 100Obsessive-Compulsive Spectrum DisordersPsychoanalysis and Psychopathology ResearchAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

Pathological Guilt: A Persistent Yet Overlooked Treatment Factor in Obsessive-Compulsive Disorder

Shapiro, Leslie J., Stewart, S. Evelyn·2011·Annals of Clinical Psychiatry
DOI 10.1177/104012371102300109
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Abstract

Background Guilt appears to be a factor that may increase the severity of obsessive-compulsive disorder (OCD) and negatively impact treatment outcomes. However, researchers and clinicians have paid little attention to addressing guilt in OCD treatment. Because guilt is an important perpetuating and mediating factor for OCD symptoms and the development of guilt-specific strategies may yield improved treatment outcomes, we hypothesized that a review of the relevant literature may provide important guidance for the field. Methods To identify existing scientific contributions across psychological, biologic, and theological disciplines, we conducted a systematic review of the literature on the topic of pathological guilt (PG) in OCD. Results Fourteen studies focusing on both PG and OCD were identified. The content of these papers consistently reflected the theme that guilt plays a significant role in OCD and obsessive-compulsive symptoms. Conclusions The potential influence and moderating effects of guilt require more focused attention in the clinical management of OCD. Development of routine standardized measures and treatment protocols targeting the role of guilt in OCD, in addition to consultation with clergy or other appropriate community resources, would provide valuable contributions to the literature. Addressing this affective component related to OCD may lead to improved treatment outcomes and fewer relapses for this debilitating and frequently chronic illness.

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Citations

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Research works printed but not linked: 56

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Cited by

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Metadata

Authors
Shapiro, L. J., & Stewart, S. E.
Affiliations
Harvard University (US)
Venue
Annals of Clinical Psychiatry
Publisher
SAGE Publications
Published
2011-02
Volume
23
Issue
1
Pages
63-70
ISSN
  • 1040-1237 (ISSN-L)
  • 1547-3325
DOI
10.1177/104012371102300109
OpenAlex
W199838849
Cited by
100
References
5
Citations by year
2026: 6 · 2025: 9 · 2024: 7 · 2023: 5 · 2022: 8 · 2021: 6 · 2020: 11 · 2019: 8 · 2018: 1 · 2017: 9 · 2016: 8 · 2015: 8 · 2014: 2 · 2013: 8 · 2012: 3
FWCI
4.83
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Annals of Clinical Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed
Topics
  • Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
obsessive-compulsive disorder, guilt, OCD treatment, symptom severity, treatment outcomes, relapse, emotional factors
MeSH terms
Behavioral Symptoms, Brain Mapping, Diagnostic Errors, Guilt, Interpersonal Relations, Obsessive Behavior, Obsessive-Compulsive Disorder, Pastoral Care, Psychological Techniques, Psychotherapy, Severity of Illness Index, Behavior Control, Behavioral Research, Emotional Intelligence

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