Dean Mckay

Dean Mckay
Fordham University · Department of Psychology

PhD

About

309
Publications
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10,452
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Publications

Publications (309)
Article
Full-text available
Members of the Black, Asian, and Latinx community have been particularly vulnerable to the COVID-19 pandemic but may be hesitant to vaccinate. In a December 2020 study in Black, Asian, and Latinx adults in the U.S. (n = 779), only 50% of Black respondents endorsed intending to vaccinate against COVID-19, followed by 65% and 75% of Latinx and Asian...
Article
Background: Obsessive-compulsive disorder (OCD) is an often disabling and chronic condition that is normally assessed using diagnostic interviews or lengthy self-report questionnaires. This makes routine screening in general health settings impractical, and as a result OCD is often under-(or mis-)recognized. The present study reports on the develo...
Article
Background The Obsessive-Compulsive Inventory-Children’s Version (OCI-CV) was developed to assess obsessive-compulsive symptoms in youth. Recent changes in the Diagnostic and Statistical Manual (DSM-5) exclude hoarding from inclusion in the diagnosis of obsessive-compulsive disorder (OCD). Accordingly, the present study examined the reliability, va...
Article
Background Panic disorder is a common and disabling psychiatric condition marked by sudden onset of physiological sensations that are appraised as dangerous. A number of studies and reviews have examined the efficacy of psychosocial treatments for PD; however, there is a lack of overarching reports that discuss the strength of evidence for the diff...
Article
Introduction Clinical trials typically involve random assignment to treatment conditions. However, random assignment does not guarantee a lack of systematic variation in the outcomes, and application of covariation methods for multiple dependent measures requires complicated assumptions that are often not met. Methods This study employed matched c...
Chapter
Obsessive-compulsive disorder (OCD) was once considered a rare and untreatable condition. Over the past half-century, however, a dramatic surge in research has led not only to a clearer understanding of this problem but also to the realization that it is fairly common and impairing, afflicting up to about 3% of the population. When the prevalence a...
Chapter
Incompleteness, “not just right” experiences (NJREs), and reward sensitivity are constructs that have recently been the subject of intense research investigation in the obsessive-compulsive literature. Incompleteness refers to an underlying sense that something is not finished or has not been completed to one’s personal satisfaction. NJREs are sens...
Chapter
Misophonia is a recently described condition that is marked by extreme adverse reactions to select classes of trigger sounds. It has recently received attention as a putative diagnosable condition, and specifically as a member of the class of obsessive-compulsive and related disorders. Adverse reactions may include physiological responses, emotiona...
Chapter
Obsessive-compulsive disorder (OCD) and substance use disorders (SUDs) are clinically distinct disorders that share key features such as impulsivity, obsessive thoughts, compulsive behavior, and impaired attentional distraction. OCD sufferers may turn to substance use as a maladaptive coping strategy to reduce OCD-related distress, although researc...
Article
Clients can develop feelings of romantic or sexual attraction to their therapists. From a cognitive-behavioral perspective, how should therapists handle these situations? Although the topic of client attraction is comprehensively covered in the psychoanalytic and psychodynamic literature, it is woefully neglected in our cognitive-behavioral therapy...
Article
Objectives: In this study, we examined the degree of generality and specificity of OC beliefs are moderated by gender among individuals with OC disorders. Methods: The diagnostic groups consisted of: (1) individuals with obsessive-compulsive disorder (OCD; N = 398); (2) individuals with other anxiety disorders (N = 104); and (3) undergraduate st...
Article
Objective The aim of this study was to analyze the characteristics of the COVID-19 publications in the ten psychology-related Web of Science categories in the social science citation index 10-month following the COVID-19 outbreak. Methods Six publication indicators were examined across authors, institutions, and countries. Results Analyses showed...
Article
Misophonia, a condition marked by extreme intolerance to certain classes of sounds (e.g., respiratory or gustatory noises), has recently attracted increased research attention. As yet there are no evidence-based treatments, although some promising options are under empirical consideration. This paper presents a stress management and exposure therap...
Article
Full-text available
Background: As an emergent public health event, COVID-19 has had a significant impact on mental health, particularly causing anxiety. Some cognitive-affective related studies have demonstrated that attentional control is related to levels of anxiety. More specifically, recent research has shown that anxiety sensitivity is uniquely associated with m...
Article
Objectives. Obsessive-compulsive (OC) symptom severity is associated with intensity of OC related beliefs, and we examined generality and specificity of OC beliefs among individuals with OC disorders. Further, we tested gender moderation across the groups. Methods. The diagnostic groups consisted of: (1) individuals with obsessive-compulsive disord...
Article
Introduction: The American Psychological Association's national surveys have revealed high levels of stress surrounding the political climate since the 2016 United States (U.S.) presidential election. The two current studies aimed to further evaluate the impact of political factors, such as social and economic conservatism and political party affil...
Article
Suicidal ideation is prevalent in patients with obsessive‐compulsive disorder (OCD); but, during COVID‐19 it may be increased. The present study aimed to examine the effects of obsessive‐compulsive (OC) symptom dimensions and OCD severity on suicidal ideation by considering the role of stress responses in reaction to COVID‐19 in a clinical sample o...
Article
Suicidal ideation is prevalent in patients with obsessive‐compulsive disorder (OCD); but, during COVID‐19 it may be increased. The present study aimed to examine the effects of obsessive‐compulsive (OC) symptom dimensions and OCD severity on suicidal ideation by considering the role of stress responses in reaction to COVID‐19 in a clinical sample o...
Article
Continuing education is recognized as important to maintaining professional competence. The aim of these analyses was to compare the continuing education standards established by the American Psychological Association (APA) to those of other service delivery professions. Two studies were conducted in which graduate students in clinical psychology a...
Article
Research shows that there has been a substantial increase in substance use and abuse during the COVID-19 pandemic, and that substance use/abuse is a commonly reported way of coping with anxiety concerning COVID-19. Anxiety about COVID-19 is more than simply worry about infection. Research provides evidence of a COVID Stress Syndrome characterized b...
Article
Food neophobia (FN) describes problematic fear-based avoidance/restriction of novel foods. Using the novel parent-reported Measure of Food Neophobia (MFN), the authors examined FN symptoms and impairment in 305 Salvadorian children and explored clinical correlates. Factor analysis supported the MFN's designed structure to inquire about FN symptoms...
Article
Excessive fear and worry in response to the COVID-19 pandemic (e.g., COVID stress syndrome) is prevalent and associated with various adverse outcomes. Research from the current and past pandemics supports the association between transdiagnostic constructs-anxiety sensitivity (AS), disgust, and intolerance of uncertainty (IU)-and pandemic-related di...
Article
The 18-item Obsessive-Compulsive Inventory-Revised (OCI-R) is a widely used self-report measure of Obsessive-Compulsive Disorder (OCD) symptoms, yet its factor structure does not converge with contemporary dimensional models of OCD symptoms. In addition to assessing the four core OCD dimensions, the OCI-R includes hoarding and neutralizing factors....
Article
While research supports the role of disgust in contamination OCD, there is also an overlap with fear in motivating avoidance. The “heebie-jeebies” is an emotional response associated with fear and disgust that motivates avoidance of contact with skin-transmitted pathogens (e.g., parasites). This motivation aligns with characteristics of contaminati...
Article
Objectives Research during prior virus outbreaks has examined vulnerability factors associated with increased anxiety and fear. Design We explored numerous psychopathology, sociodemographic, and virus exposure-related variables associated with anxiety and perceived threat of death regarding COVID-19. Method We recruited 908 adults from Eastern Ch...
Article
Obsessive-compulsive disorder (OCD) is a prevalent and burdensome condition that is typically assessed using in-depth interviews or lengthy self-report measures. Accordingly, routine screening in busy non-mental health settings is impractical, and OCD is often under- (or mis-) recognized. We evaluated an ultra-brief version of a widely used self-re...
Article
Introduction Anxiety expression varies by age in youth, and evaluation of putative mechanisms in treatment must consider both conjointly. Accordingly, age would moderate the mediation effect of anxiety in a youth obsessive-compulsive disorder (OCD) treatment trial. Methods Fifty-six children ages 7 – 17 participated in an RCT comparing three treat...
Chapter
The growing dominance of dimensional models of psychopathology suggest that analog samples are suitable for conducting psychopathology research, and drawing conclusions to the wider population from these investigations. This chapter describes the impetus, advantages, and suitability of reliance on analog models, limitations of the methodology, and...
Article
Full-text available
Obsessive-compulsive disorder (OCD) is a debilitating psychiatric condition with an onset typically during childhood. Evidence-based treatments include cognitive-behavioral therapy (CBT) and serotonin reuptake inhibitors. This study evaluates the extent that anxiety and OCD-related impairment may mediate symptom improvement during treatment. Data f...
Article
Full-text available
Health anxiety has been linked with fear and anxiety regarding COVID‐19. Higher levels of health anxiety likely increased social distancing and self‐isolating during the pandemic. We investigated relations among health anxiety, fear of missing out (FOMO) on rewarding social experiences from social distancing, and consequential levels of problematic...
Article
This brief clinical review critically assesses the use of exposure and response prevention therapy (ERP) for patients with obsessive-compulsive disorder (OCD) in light of the COVID-19 pandemic. We discuss the ethical and practical considerations that clinicians employed in past infectious disease outbreaks, as well as general safety measures routin...
Article
COVID-19 presents significant social, economic, and medical challenges. Because COVID-19 has already begun to precipitate huge increases in mental health problems, clinical psychological science must assert a leadership role in guiding a national response to this secondary crisis. In this article, COVID-19 is conceptualized as a unique, compounding...
Article
Full-text available
Background Research shows that the COVID Stress Scales have a robust multifactorial structure, representing five correlated facets of COVID‐19‐related distress: (a) Fear of the dangerousness of COVID‐19, which includes fear of coming into contact with fomites potentially contaminated with SARSCoV2, (b) worry about socioeconomic costs of COVID‐19 (e...
Conference Paper
Full-text available
Abstract We examined age as a moderator and anxiety as a mediator to understand mechanisms of treatment response in youth with obsessive-compulsive disorder (OCD). Fifty-six children ages 7–17 participated in a randomized controlled trial comparing three treatment conditions: CBT with standard dosing of sertraline (condition A), CBT with slow dosi...
Presentation
Full-text available
Abstract Background: Subjects participating in clinical trials are often randomly assigned to a treatment condition. However, random assignment does not always guarantee a lack of systematic variation in the outcome of interest. Hence, the present study aims to control the systematic variation occurring in children with autism spectrum disorder (A...
Article
We write with great concern in response to the recent systematic review and meta-analysis of cognitive-behavioral therapy (CBT) in pediatric obsessive-compulsive disorder (OCD) by Uhre et al.¹ Although the authors’ results consistently support the clinical efficacy of CBT for pediatric OCD, we expect that, much like ourselves, readers will be confu...
Article
The coronavirus disease 2019 (COVID-19) pandemic sparked significant anxiety regarding viral rates and means of transmission. Heightened concerns about contamination have prompted new hygienic strategies to vigilantly guard against infection, including hand washing immediately after touching foreign objects or suspected contaminants. This has prese...
Article
Background People with pre-existing mental health conditions may be more susceptible to stressors associated with COVID-19 relative to the general population; however, no studies have assessed whether susceptibility differs between classes of mental health disorders. We assessed COVID-19-related stress, self-isolation stressors, and coping in those...
Article
Introduction The obsessive-compulsive inventory revised (OCI-R) is commonly used for the assessment of obsessive-compulsive symptom-severity, yet no severity benchmarks have been developed, limiting utilization in clinical practice, clinical research, and analogue studies. Additionally, since its development, no large normative work has been publis...
Article
Incompleteness (INC) and Harm Avoidance (HA) are known core dimensions of obsessive-compulsive disorder (OCD). Emotional processing and inhibitory learning (IL) have both been proposed as viable mechanisms of exposure for the alleviation of HA, yet the relationship with INC remains unclear. This study evaluated differential manipulation responses t...
Article
Full-text available
In the present study we examined age as a moderator and anxiety as a mediator for a pathway to obsessive-compulsive disorder (OCD) symptoms. Fifty-six patients ages 7–17 participated in a randomized controlled trial comparing three treatment conditions: CBT with standard dosing of sertraline (condition A), CBT with slow dosing of sertraline (condit...
Preprint
Full-text available
COVID-19 presents humanity with one of the greatest health and economic crises of the 21st Century. Because COVID-19 has already begun to precipitate a huge increase in mental health problems, we believe that clinical science must also play a leadership role in guiding a national response to this secondary crisis. In this article, we explain why CO...
Article
Background The Research Domain Criteria seeks to bridge knowledge from neuroscience with clinical practice by promoting research into valid neurocognitive phenotypes and dimensions, irrespective of symptoms and diagnoses as currently conceptualized. While the Research Domain Criteria offers a vision of future research and practice, its 39 functiona...
Article
The COVID-19 public health crisis has led to extensive recommendations by officials to contain its spread. Anxiety regarding contracting the virus is prominent in the public. Specific routes to anxiety over disease contraction are under studied. It is expected that a contributory feature of fear of contracting COVID-19 involve disgust propensity an...
Article
Full-text available
Research and clinical observations suggest that during times of pandemic many people exhibit stress- or anxiety-related psychopathology that include fear of becoming infected, fear of coming into contact with possibly contaminated objects or surfaces, fear of foreigners who might be carrying infection (i.e., disease-related xenophobia), fear of the...
Article
Background COVID-19 is fast-spreading and potentially fatal, introducing home quarantine, social distancing, and increased internet usage globally. We investigated COVID-19 anxiety, general anxiety and depression symptoms, and their impact on problematic smartphone use (PSU) severity Methods Participants were 908 residents of a large Eastern Chine...
Article
Obsessive–compulsive disorder (OCD) is a serious psychiatric disorder that is associated with significant functional impairment. While efficacious psychological and pharmacological treatments exist, many individuals do not receive these interventions but rather are treated with inappropriate therapies. Indeed, there are ways that nonevidence‐based...
Article
Obsessive-compulsive (OC) symptoms have been associated with trauma exposure. Although no studies have specified relations between type of trauma and OC symptom presentations, this information may inform personalized care for this complex population. Thus, this study used profile analysis via multidimensional scaling to characterize typical OC symp...
Chapter
This chapter reviews psychological characteristics of misophonia (selective sound aversion). Included in this review is a model for etiology, associated emotional reactions, and psychological conditions. It is noted that the research on psychopathological features of misophonia is extremely limited, although principles of learning can effectively a...
Article
Introduction: Autism spectrum disorders (ASD) are neurodevelopmental in nature and are frequently accompanied by anxiety. To fully assess treatment efficacy, we examined rates of anxiety symptom change by age groups following either cognitive behavioral therapy (CBT) or treatment as usual (TAU). Methods: One hundred sixty-three children with ASD...
Article
Full-text available
Introduction: Misophonia is marked by abnormal negative reactions to specific and idiosyncratic sounds. Despite unclear etiology and diagnostic conceptualization, neuropsychology may be able to help characterize the syndrome. In the current study, we administered the Attention Network Test (ANT) under symptom provocation conditions, as well as seco...
Article
Research into mechanisms of treatment outcome in cognitive-behavior therapy (CBT), as work evaluating potential mechanisms through mediator and moderator analyses, has been increasing. In recognition of this growth in more refined analyses of functional components of treatment, this special issue highlights a diverse range of research-evaluating me...
Article
The Research Domain Criteria (RDoC) is a major initiative of the National Institute of Mental Health that aims to identify empirically based indicators of psychiatric conditions. It is based on a matrix of major domains of function by hierarchically arranged levels of analysis from genes, through neural circuits and up through paradigms of investig...
Article
The Research Domain Criteria (RDoC) emphasizes the discovery of mechanisms of psychopathology and treatment outcome. In the case of Obsessive-Related Disorders (OCRDs), the available research shows that research exists that describes negative valence variables, specifically neural circuitry, that may be mediators of cognitive-behavioral treatment (...
Article
Measurement-based care has important implications across multiple avenues in mental and behavioral health care, including clinical care, quality improvement, and accountability. Using measurement-based care to demonstrate that quality care is being provided within the context of cost-efficient care could strengthen the position of mental and behavi...
Article
Meta-analyses suggest that exposure with response prevention (ERP) is the most efficacious treatment for obsessive–compulsive disorder (OCD) and treatment guidelines for the disorder accordingly recommend ERP. Despite this, many therapists, including those with a cognitive-behavioral therapeutic background, do not perform ERP in patients with OCD....
Article
Examination of habituation to disgust-related stimuli has received limited experimental investigation. In this study, 38 undergraduates were divided into two groups. The vomit-blood (VB) group was first exposed to a realistic approximation of vomit and allowed to habituate to this stimulus, while the blood-vomit (BV) group was first allowed to habi...
Article
Exposure therapies (ETs) are treatments of choice for a number of mental health disorders, particularly anxiety and associated conditions, and problems due to avoidance. Exposure has received broad empirical support as a primary intervention. Recent efforts have focused on improving the efficacy and acceptability of exposure-based treatments. As pr...
Article
Full-text available
The National Institute of Mental Health (NIMH) plays an enormous role in establishing the agenda for mental health research across the country (its 2016 appropriation was nearly $1.5 billion; NIMH, 2016a). As the primary funder of research that will lead to development of new assessments and interventions to identify and combat mental illness, the...
Article
As readers of this special issue will see, the treatments provided in the Obsessive-Compulsive Related Disorder (OCRD) cases described are highly varied. The unifying feature would be better described as an age group rather than a breakdown in inhibitory control as speculated to be the primary unifying mechanism in the OCRD. It is encouraging that...
Article
A wide range of technological approaches has been adopted in assessment and intervention using cognitive-behavior therapy (CBT). The articles that comprise this special issue cover a diversity of areas, including motion-tracking devices, ecological momentary assessment, facial recognition software to provide rapid feedback, audio and tablet-based C...
Article
Recent findings have led to a reconceptualization of the mechanisms that account for the efficacy of exposure-based treatments. Termed the “inhibitory learning model,” this approach emphasizes new learning when confronted with previously avoided stimuli rather than merely the cessation of fear or aversive emotional responding. In this paper, we pro...
Article
There has been impressive growth in scholarly research on obsessive-compulsive disorder (OCD). As a general rule, this can be construed as a sign of health in the subspecialty within anxiety disorder research. One factor that likely contributed to the growth in research on OCD was the observation that obsessional experiences can be placed on a dime...
Article
A significant proportion of the U.S. population report increased stress attributed to the political climate following the controversial 2016 United States (U.S.) Presidential election. The political stressors paired with the growth in news consumption and social media-use could be a potential trigger for obsessive-compulsive-like symptoms specific...
Article
Mental contamination (MC), feeling dirty in the absence of a physical contaminant, has been linked to the basic emotion of disgust. Both MC and disgust have been associated with posttraumatic stress (PTS) and obsessive-compulsive (OC) symptoms occurring separately as well as together. However, there is no consensus on the specific ways in which the...
Article
Disgust is a primary emotion, but it is also understudied in general, and in psychopathology in particular. Disgust plays a potential role in the reluctance of many non-scientifically minded practitioners from adopting evidence-based methods of treatment. This article summarizes findings from psychopathology research and treatment, and highlights b...
Article
Full-text available
Misophonia is characterized by extreme aversive reactions to certain classes of sounds. It has recently been recognized as a condition associated with significant disability. Research has begun to evaluate psychopathological correlates of misophonia. This study sought to identify profiles of psychopathology that characterize misophonia in a large c...
Chapter
This chapter describes the various ways contamination fear in adults and cleaning rituals may manifest in obsessive-compulsive disorder (OCD), the underlying cognitive-behavioral features of this symptom. It then considers emotional determinants other than fear that contribute to the symptoms, and covers treatment approaches. The Law of Similarity...
Chapter
Obsessive compulsive disorder (OCD) was once considered a very rare and untreatable condition. At the present time, practice guidelines for OCD treatment emphasize two broad approaches: cognitive-behavior therapy (CBT), particularly exposure with response prevention (ERP); and/or cognitive interventions aimed at specific obsessional belief structur...
Chapter
Body dysmorphic disorder (BDD) is a debilitating clinical condition in which individuals experience severe distress and preoccupation regarding one or more aspects of physical appearance. Body dysmorphic disorder is a complex syndrome that, while classified as a member of the obsessive-compulsive and related disorders (OCRD) category, has a number...
Article
Full-text available
In Obsessive Compulsive Disorder (OCD), overvalued ideas (OVI) are considered poor prognostic indicators in adults. To date, OVI has not been studied in an adolescent population with OCD, nor has it been examined in relation to obsessive-compulsive beliefs. To investigate the relationship between OVI and specific cognitions, fifty-five adolescents...