ABSTRACT
Scrupulosity is a complex form of obsessive-compulsive disorder (OCD) characterised by excessive concerns about morality, ethics, and spirituality, often deeply intertwined with religious beliefs and predominantly affecting adults. This systematic review, conducted in accordance with PRISMA guidelines, analysed 1,525 publications from Science Direct and PubMed. After applying inclusion criteria focused on quantitative studies from the past five years, 10 relevant articles were selected. The findings reveal that scrupulosity involves an intense preoccupation with sin and moral correctness, with cognitive behavioural therapy (CBT) and selective serotonin reuptake inhibitors (SSRIs) identified as effective treatment options. The review underscores the need for personalised interventions that integrate pharmacological and psychological therapies, aligning with Sustainable Development Goal 3 (Good Health and Well-being). It also highlights the importance of recognising and addressing scrupulosity in clinical practice to enhance mental health outcomes. Furthermore, the study recommends that future research develop more inclusive treatment models and assessment strategies to support better individuals struggling with this condition.
