Rachel C. Leonard, Ph.D.1, Bradley C. Riemann, Ph.D.1, and Jonathan S. Abramowitz, Ph.D.2
The DOCS (Abramowitz et al., 2010) was recently developed to assess OCD symptom dimensions, including: a) contamination-related obsessions and cleaning compulsions; b) obsessions regarding doubt about responsibility for making mistakes or causing harm, with checking and reassurance-seeking rituals; c) obsessions regarding need for completeness, symmetry, or exactness with ordering and arranging rituals; and d) obsessional intrusive thoughts regarding unwanted violent, sexual, or religious content with covert mental rituals or neutralizing rituals. To date, ways in which DOCS dimensions predict symptom improvement have not yet been examined. Therefore, the present study examined how DOCS scores at admission to an intensive outpatient or residential treatment program predict discharge Y-BOCS (Goodman et al., 1989). Results indicated that DOCS Responsibility for Harm and Mistakes and Symmetry/Ordering dimensions predicted discharge Y-BOCS scores, while DOCS Contamination and Unacceptable Thoughts dimensions did not. These results suggest that responsibility for harm and mistakes and symmetry/ordering symptoms may be particularly important targets of treatment.