{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:24:05Z","timestamp":1787729045428,"version":"build-2784847793"},"reference-count":76,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":237,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Depression and Anxiety"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sensory phenomena (SP) affect 60%\u201380% of obsessive\u2010compulsive (OC) disorder (OCD) patients, demonstrate dimension\u2010specific symptom associations, yet their mechanistic role in OCD\u2019s network architecture remains unexamined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross\u2010sectional study, 1350 clinician\u2010diagnosed OCD patients from the China OCD Cohort (COCC) underwent standardized assessments using the University of S\u00e3o Paulo SP Scale (USP\u2010SPS), Yale\u2010Brown OC Scale (Y\u2010BOCS), OC Inventory\u2010Revised (OCI\u2010R), and Beck Depression Inventory\u2010II\/Beck Anxiety Inventory (BDI\u2010II\/BAI). Network analysis was utilized to identify core\/bridge symptoms and test network differences across early\/late\u2010onset and SP\u2010severity subgroups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      SP\u2010positive OCD patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009850) demonstrated earlier disease onset (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009 &lt; 0.001), more severe compulsions (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.010), and greater depression than SP\u2010negative patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009500). Network analysis in the SP\u2010positive cohort identified SP symptoms as central network drivers, though with considerable heterogeneity across subtypes: muscle\u2010joint\/bone sensation (strength\u2009=\u20093.41) and sound \u201cjust\u2010right\u201d (strength\u2009=\u20092.73) exhibited the highest centrality, while other SP subtypes showed more modest or selective connectivity. Anxiety was the primary bridge symptom (bridge strength\u2009=\u20091.60), with the strongest cross\u2010domain link between \u201clook \u2018just\u2010right\u2019\u201d and \u201cordering.\u201d The network architecture remained stable across subgroups, though elevated SP severity significantly increased global connectivity (\n                      <jats:italic>S<\/jats:italic>\n                      \u2009=\u20095.343,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.002) without altering topology.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SP may represent a clinically meaningful dimension of OCD psychopathology, within which SP subtypes operate as a heterogeneous set of experiences rather than a uniform construct, differentially shaping symptom connectivity. Anxiety serves as a critical bridge between SP and OC symptoms, while SP severity functions as a symptom network intensifier rather than a structural reorganizer. Future studies should explore whether precision interventions targeting anxiety and sensory\u2010channel\u2010specific pathways may improve treatment outcomes for refractory OCD with SP.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      Chinese Clinical Trial Registry: ChiCTR2100051536\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/da\/1367751","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:07:53Z","timestamp":1787728073000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Network Analysis of Sensory Phenomena and Obsessive\u2010Compulsive Symptoms in OCD: A Multicenter Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8081-2418","authenticated-orcid":false,"given":"Yue","family":"Sun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1791-7827","authenticated-orcid":false,"given":"Xuedi","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenxin","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qianqian","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Yan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Si","family":"Mi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhanjiang","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3267-6737","authenticated-orcid":false,"given":"Bin","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guiyun","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4325-0313","authenticated-orcid":false,"given":"Congwen","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maorong","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6890-8806","authenticated-orcid":false,"given":"Zhenqing","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6104-8097","authenticated-orcid":false,"given":"Yanbin","family":"Jia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7862-0491","authenticated-orcid":false,"given":"Xiaoping","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changhong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5644-3631","authenticated-orcid":false,"given":"Na","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(18)30511-X"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2011.09.017"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-025-07193-5"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-019-0102-3"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.158.11.1899"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-024-06441-4"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2008.11.007"},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2016.12.002"},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.1842"},{"key":"e_1_2_13_10_2","volume-title":"Cognitive Approaches to Obsessions and Compulsions: Theory, Assessment, and Treatment","author":"Frost R. 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