{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:18:47Z","timestamp":1791332327525,"version":"4.3.1"},"reference-count":40,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,11,30]],"date-time":"2024-11-30T00:00:00Z","timestamp":1732924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Psychiatry Research"],"published-print":{"date-parts":[[2025,2]]},"DOI":"10.1016\/j.psychres.2024.116306","type":"journal-article","created":{"date-parts":[[2024,11,30]],"date-time":"2024-11-30T23:21:06Z","timestamp":1733008866000},"page":"116306","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"special_numbering":"C","title":["Towards the DSM-6: The intersection of OCD and psychosis. Expert perspectives on insight in the diagnosis of OCD"],"prefix":"10.1016","volume":"344","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8601-0143","authenticated-orcid":false,"given":"Steffen","family":"Moritz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4934-4352","authenticated-orcid":false,"given":"Stefan","family":"Leucht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Hoyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1744-3994","authenticated-orcid":false,"given":"Stella","family":"Schmotz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9640-0970","authenticated-orcid":false,"given":"Amitai","family":"Abramovitch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5292-350X","authenticated-orcid":false,"given":"Lena","family":"Jelinek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.psychres.2024.116306_bib0001","series-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1952"},{"key":"10.1016\/j.psychres.2024.116306_bib0002","unstructured":"American Psychiatric Association. (1968). Diagnostic and Statistical Manual of Mental Disorders. Second Edition (DSM-II). American Psychiatric Association."},{"key":"10.1016\/j.psychres.2024.116306_bib0003","series-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1980"},{"key":"10.1016\/j.psychres.2024.116306_bib0004","series-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1987"},{"key":"10.1016\/j.psychres.2024.116306_bib0005","series-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1994"},{"key":"10.1016\/j.psychres.2024.116306_bib0006","series-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2013"},{"key":"10.1016\/j.psychres.2024.116306_bib0007","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/j.jpsychires.2022.10.001","article-title":"Familial risk of psychosis in obsessive-compulsive disorder: Impact on clinical characteristics, comorbidity and treatment response","volume":"156","author":"Balachander","year":"2022","journal-title":"J. Psych. Res"},{"key":"10.1016\/j.psychres.2024.116306_bib0008","unstructured":"Bleuler, E. (1950). Dementia Preacox Or the Group of Schizophrenias. Published in 1911. G. Aschaffenburg, Ed.. Deuticke."},{"key":"10.1016\/j.psychres.2024.116306_bib0009","article-title":"A study of doubt in obsessive-compulsive disorder","volume":"80","author":"Chiang","year":"2023","journal-title":"J. Beh. Ther. Exp. Psych"},{"issue":"3","key":"10.1016\/j.psychres.2024.116306_bib0010","doi-asserted-by":"crossref","first-page":"e2893","DOI":"10.1002\/hup.2893","article-title":"The use of antipsychotics in obsessive compulsive disorder","volume":"39","author":"Conti","year":"2024","journal-title":"Human Psychopharmacol: Clin. Exp"},{"issue":"5","key":"10.1016\/j.psychres.2024.116306_bib0011","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1007\/s00406-005-0573-y","article-title":"Insight and alexithymia in adult outpatients with obsessive\u2013compulsive disorder","volume":"255","author":"De Berardis","year":"2005","journal-title":"Eur. Arch. Psych. Clin. Neurosci."},{"issue":"3","key":"10.1016\/j.psychres.2024.116306_bib0012","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1093\/schbul\/sbv150","article-title":"Psychosis, delusions and the \u201cjumping to conclusions\u201d reasoning bias: a systematic review and meta-analysis","volume":"42","author":"Dudley","year":"2016","journal-title":"Schizophrenia Bull."},{"issue":"2\u20133","key":"10.1016\/j.psychres.2024.116306_bib0013","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.schres.2011.08.012","article-title":"Improving cognitive treatments for delusions","volume":"132","author":"Freeman","year":"2011","journal-title":"Schizophrenia Res"},{"key":"10.1016\/j.psychres.2024.116306_bib0014","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/s12888-023-04543-z","article-title":"Disclosing common biological signatures and predicting new therapeutic targets in schizophrenia and obsessive\u2013compulsive disorder by integrated bioinformatics analysis","volume":"23","author":"Ghanbarzehi","year":"2023","journal-title":"BMC Psych"},{"issue":"7","key":"10.1016\/j.psychres.2024.116306_bib0015","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1016\/j.euroneuro.2009.04.003","article-title":"Advantages and disadvantages of combination treatment with antipsychotics","volume":"19","author":"Goodwin","year":"2009","journal-title":"Eur. Neuropsychopharmacol"},{"issue":"4","key":"10.1016\/j.psychres.2024.116306_bib0016","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1017\/S0033291799008661","article-title":"Scales to measure dimensions of hallucinations and delusions: the psychotic symptom rating scales (PSYRATS)","volume":"29","author":"Haddock","year":"1999","journal-title":"Psychol. Med"},{"issue":"3","key":"10.1016\/j.psychres.2024.116306_bib0017","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1891\/JCP-2021-0008","article-title":"Obsessive-compulsive disorder and schizophrenia: conceptualization, assessment and cognitive behavioral treatment","volume":"36","author":"Hudak","year":"2022","journal-title":"J. Cognit. Psychother"},{"issue":"3","key":"10.1016\/j.psychres.2024.116306_bib0018","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1159\/000505876","article-title":"Clozapine-associated obsessive-compulsive symptoms and their management: a systematic review and analysis of 107 reported cases","volume":"89","author":"Kim","year":"2020","journal-title":"Psychother. Psychosom"},{"key":"10.1016\/j.psychres.2024.116306_bib0019","article-title":"Second-generation antipsychotics for obsessive compulsive disorder","volume":"12","author":"Komossa","year":"2010","journal-title":"Cochrane Datab. System. Rev"},{"issue":"4","key":"10.1016\/j.psychres.2024.116306_bib0020","article-title":"Psychotic-like experiences in obsessive compulsive disorder","volume":"37","author":"Korkmaz","year":"2023","journal-title":"Eur. J. Psych."},{"key":"10.1016\/j.psychres.2024.116306_bib0021","doi-asserted-by":"crossref","DOI":"10.1016\/j.brat.2019.103449","article-title":"Mindfulness predicts insight in obsessive-compulsive disorder over and above OC symptoms: an experience-sampling study","volume":"121","author":"Landmann","year":"2019","journal-title":"Behav. Res. Ther"},{"issue":"5","key":"10.1016\/j.psychres.2024.116306_bib0022","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1111\/j.1469-7610.2009.02181.x","article-title":"Correlates of insight among youth with obsessive-compulsive disorder","volume":"51","author":"Lewin","year":"2010","journal-title":"J. Child Psychol. Psychiatry"},{"key":"10.1016\/j.psychres.2024.116306_bib0023","doi-asserted-by":"crossref","DOI":"10.1192\/bjp.2024.173","article-title":"Is too much insight bad for you?","author":"Lopez-Morinigo","year":"2024","journal-title":"Br. J. Psych"},{"issue":"5","key":"10.1016\/j.psychres.2024.116306_bib0024","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1093\/schbul\/sbae061","article-title":"Towards the DSM-6: Results of a survey of experts on the reintroduction of first-rank symptoms as core criteria of schizophrenia and on redefining hallucinations","volume":"50","author":"Moritz","year":"2024","journal-title":"Schizophrenia Bull"},{"issue":"7","key":"10.1016\/j.psychres.2024.116306_bib0025","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1097\/NMD.0000000000000156","article-title":"Perceptual properties of obsessive thoughts are associated with low insight in obsessive-compulsive disorder","volume":"202","author":"Moritz","year":"2014","journal-title":"J. Nerv. Mental Dis"},{"issue":"1","key":"10.1016\/j.psychres.2024.116306_bib0026","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1093\/schbul\/sbad131","article-title":"What Kurt Schneider really said and what the DSM has made of it in its different editions: a plea to redefine hallucinations in Schizophrenia","volume":"50","author":"Moritz","year":"2024","journal-title":"Schizophrenia Bull"},{"issue":"2","key":"10.1016\/j.psychres.2024.116306_bib0027","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/S0165-1781(02)00012-4","article-title":"Dimensional structure of the Yale-Brown obsessive-compulsive scale (Y-BOCS)","volume":"109","author":"Moritz","year":"2002","journal-title":"Psych. Res."},{"issue":"4","key":"10.1016\/j.psychres.2024.116306_bib0028","article-title":"Overconfidence in incorrect perceptual judgments in patients with schizophrenia","volume":"1","author":"Moritz","year":"2014","journal-title":"Schizophrenia Res: Cognit"},{"key":"10.1016\/j.psychres.2024.116306_bib0029","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.mcn.2018.02.010","article-title":"The genetic architecture of schizophrenia, bipolar disorder, obsessive- compulsive disorder and autism spectrum disorder","volume":"88","author":"O'Connell","year":"2018","journal-title":"Mol. Cell. Neurosci"},{"issue":"3","key":"10.1016\/j.psychres.2024.116306_bib0030","doi-asserted-by":"crossref","first-page":"50","DOI":"10.5498\/wjp.v3.i3.50","article-title":"Differential diagnosis of obsessive-compulsive symptoms from delusions in schizophrenia: a phenomenological approach","volume":"3","author":"Oulis","year":"2013","journal-title":"World J. Psych"},{"issue":"16","key":"10.1016\/j.psychres.2024.116306_bib0031","doi-asserted-by":"crossref","first-page":"4739","DOI":"10.3390\/jcm13164739","article-title":"Unraveling the boundaries, overlaps, and connections between schizophrenia and obsessive\u2013compulsive disorder (OCD)","volume":"13","author":"Pardossi","year":"2024","journal-title":"J. Clin. Med"},{"issue":"2","key":"10.1016\/j.psychres.2024.116306_bib0032","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1016\/j.psychres.2015.10.009","article-title":"Sensory properties of obsessive thoughts in OCD and the relationship to psychopathology","volume":"230","author":"R\u00f6hlinger","year":"2015","journal-title":"Psych. Res"},{"issue":"1","key":"10.1016\/j.psychres.2024.116306_bib0033","doi-asserted-by":"crossref","first-page":"88","DOI":"10.2174\/157015912799362724","article-title":"Clozapine-induced obsessive-compulsive symptoms in schizophrenia: a critical review","volume":"10","author":"Schirmbeck","year":"2012","journal-title":"Current Neuropharmac"},{"issue":"15","key":"10.1016\/j.psychres.2024.116306_bib0034","doi-asserted-by":"crossref","first-page":"3297","DOI":"10.1017\/S0033291722002550","article-title":"Psychotic experiences in the general population, a review, definition, risk factors, outcomes and interventions","volume":"52","author":"Staines","year":"2022","journal-title":"Psychol. Med"},{"issue":"2\u20133","key":"10.1016\/j.psychres.2024.116306_bib0035","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1016\/j.schres.2013.10.033","article-title":"The obsessive compulsive spectrum in schizophrenia, a meta-analysis and meta-regression exploring prevalence rates","volume":"152","author":"Swets","year":"2014","journal-title":"Schizophrenia Res"},{"issue":"7","key":"10.1016\/j.psychres.2024.116306_bib0036","doi-asserted-by":"crossref","first-page":"51","DOI":"10.4103\/psychiatry.IndianJPsychiatry_519_18","article-title":"Antipsychotic augmentation in the treatment of obsessive-compulsive disorder","volume":"61","author":"Thamby","year":"2019","journal-title":"Indian J. Psych"},{"key":"10.1016\/j.psychres.2024.116306_bib0037","doi-asserted-by":"crossref","DOI":"10.1016\/j.neubiorev.2024.105625","article-title":"Antecedents of major depressive, bipolar, and psychotic disorders: a systematic review and meta-analysis of prospective studies","volume":"160","author":"Uher","year":"2024","journal-title":"Neurosci. Biobehav. Rev"},{"issue":"8","key":"10.1016\/j.psychres.2024.116306_bib0038","doi-asserted-by":"crossref","first-page":"1220","DOI":"10.3390\/biom13081220","article-title":"The neurobiological underpinnings of obsessive-compulsive symptoms in psychosis, translational issues for treatment-resistant schizophrenia","volume":"13","author":"Vellucci","year":"2023","journal-title":"Biomolecules"},{"key":"10.1016\/j.psychres.2024.116306_bib0039","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.schres.2017.08.045","article-title":"Fast and slow thinking in distressing delusions: a review of the literature and implications for targeted therapy","volume":"203","author":"Ward","year":"2019","journal-title":"Schizophrenia Res"},{"key":"10.1016\/j.psychres.2024.116306_bib0040","first-page":"1","article-title":"Overlap of obsessive compulsive and psychosis risk symptoms in a specialized clinic","author":"West","year":"2024","journal-title":"Early Interven. Psych"}],"container-title":["Psychiatry Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165178124005912?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165178124005912?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,1,19]],"date-time":"2025-01-19T15:37:51Z","timestamp":1737301071000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0165178124005912"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":40,"alternative-id":["S0165178124005912"],"URL":"https:\/\/doi.org\/10.1016\/j.psychres.2024.116306","relation":{},"ISSN":["0165-1781"],"issn-type":[{"value":"0165-1781","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Towards the DSM-6: The intersection of OCD and psychosis. Expert perspectives on insight in the diagnosis of OCD","name":"articletitle","label":"Article Title"},{"value":"Psychiatry Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.psychres.2024.116306","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Author(s). Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"116306"}}