Types of obsessive compulsive disorder (OCD): Explore the most common obsessions and compulsions associated with obsessive compulsive disorder (OCD).

Background: Digital mental health interventions (DMHIs) are increasingly popular for their ability to disseminate evidence-based treatments in a scalable, accessible way. Engagement with digital treatments is critical for effectiveness but remains poorly defined and measured. Most studies rely on subjective self-reports or 1 or 2 objective metrics, overlooking the multidimensional nature of how users interact with DMHIs. Objective: This exploratory secondary analysis applied a road map for comprehensive behavioral engagement measurement, developed for a prior smartphone cognitive behavioral therapy program for body dysmorphic disorder, to a 12-week randomized controlled trial of smartphone cognitive behavioral therapy for obsessive compulsive disorder (OCD; N=60). Aims were to (1) comprehensively characterize behavioral engagement using 21 objective app analytics-based variables, (2) identify distinct behavioral engagement profiles via cluster analysis, (3) assess whether profiles were differentially associated with OCD symptom change, and (4) evaluate associations between profiles and pretreatment credibility, expectancy, posttreatment satisfaction, and perceived app quality. Methods: Behavioral engagement was measured via 21 objective variables derived from app analytics, spanning use volume, frequency, feature usage, session duration, and temporal patterns. Hierarchical agglomerative cluster analysis identified engagement profiles. Associations between cluster membership and OCD severity change (Yale-Brown Obsessive Compulsive Scale) were examined using hierarchical generalized linear mixed models. Objective measures were complemented with subjective self-reports: namely, cluster differences in treatment credibility, expectancy, satisfaction, and perceived app quality were examined using ANOVAs and Wilcoxon rank-sum tests. Results: Cluster analysis indicated a 3-cluster solution representing high (cluster 1: 21/60, 35%), moderate (cluster 2: 31/60, 52%), and low (cluster 3: 8/60, 13%) app users. All 3 clusters experienced significant reductions in OCD severity, with no significant differences in pre- to posttreatment Yale-Brown Obsessive Compulsive Scale change across clusters. Descriptively, cluster 1 had a higher rate of treatment responders than cluster 3. While clusters 1 and 2 had similar perceptions of treatment credibility and expectancy at baseline and satisfaction at posttreatment, cluster 3 perceived the intervention as significantly less credible, had lower expectations, and reported significantly lower satisfaction than cluster 2. All clusters rated app quality as similarly high. Conclusions: Comprehensive behavioral engagement measurement is feasible and informative across different DMHIs and clinical populations. The finding that all engagement profiles showed comparable symptom improvement challenges simple dose-response assumptions and may suggest that multiple paths of engagement can be therapeutically beneficial; nonsignificant differences in improvement across clusters may also reflect limited power to detect differences. Pretreatment credibility and expectancy are associated with engagement patterns, identifying a potential modifiable intervention target. Trial Registration: ClinicalTrials.gov NCT04136626; https://clinicaltrials.gov/study/NCT04136626

OCD Treatment Cardiff: Hypnotherapy can be combined with Exposure and Response Prevention techniques to treat your obsessive compulsive disorder.

Learn about Obsessive-Compulsive Disorder (OCD), its common symptoms, possible causes, and how it can affect daily life, relationships, and emotional wellbeing. Discover helpful information about mana...

OCD means having frequent unwanted thoughts and behaviors that interfere with activities.

Matthew Wright says to many in his life he appeared calm and capable, while he was privately spending hours each day trapped in compulsions.

YouTube video by Tara Softa

Some mental health experts are worried Anxiety Canada's online resources will cease to be available in 2026 if the organization doesn't find a new source of revenue.

스스로 제어하기 힘든 반복적인 생각이나 행동 때문에 일상생활에서 남모를 고통을 겪는 분들이 많습니다. 이러한 강박증 증상은 본인만 아는 비밀로 묻어두는 경우가 흔해서 치료 시기를 놓치기 쉽습니다. 단순히 예민한 성격 탓으로 돌리기에는 일상의 균열이 너무 크기에, 내 상태를 정확히