“Not Just Right Experiences” are specific to obsessive–compulsive disorder: Further evidence from Italian clinical samples

2015 ◽  
Vol 31 ◽  
pp. 73-83 ◽  
Author(s):  
Claudio Sica ◽  
Gioia Bottesi ◽  
Antonella Orsucci ◽  
Caterina Pieraccioli ◽  
Cecilia Sighinolfi ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Clinical Samples ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Not Just Right Experiences ◽  
Just Right

Incompleteness and not just right experiences in the explanation of Obsessive–Compulsive Disorder

2016 ◽  
Vol 236 ◽  
pp. 1-8 ◽  
Author(s):  
Amparo Belloch ◽  
Gertrudis Fornés ◽  
Angel Carrasco ◽  
Clara López-Solá ◽  
Pino Alonso ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Not Just Right Experiences ◽  
Just Right

Is Performance on the Go/Nogo Task Related to Not Just Right Experiences in Patients with Obsessive Compulsive Disorder?

2013 ◽  
Vol 37 (6) ◽  
pp. 1121-1131 ◽  
Author(s):  
Marta Ghisi ◽  
Gioia Bottesi ◽  
Claudio Sica ◽  
Ezio Sanavio ◽  
Mark H. Freeston
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Not Just Right Experiences ◽  
Just Right

scholarly journals Perfectionism in obsessive-compulsive and eating disorders

2009 ◽  
Vol 31 (4) ◽  
pp. 322-327 ◽  
Author(s):  
Berta Rodrigues Maia ◽  
Maria João Soares ◽  
Ana Gomes ◽  
Mariana Marques ◽  
Ana Telma Pereira ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Obsessive Compulsive Disorder ◽  
Clinical Samples ◽  
Control Groups ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Socially Prescribed Perfectionism ◽  
Clinical Control ◽  
Scale Total Score ◽  
Clinical Conditions

OBJECTIVE: The main aims of this article are twofold. First, to assess perfectionism dimensions in obsessive-compulsive disorder and eating disorders in comparison with psychiatric control (depression/anxiety) and non-clinical control groups. Second, to examine if perfectionism is specifically related to these different clinical conditions. METHOD: Thirty-nine outpatients with obsessive-compulsive disorder, 24 outpatients with eating disorders, 65 outpatients with a diagnosis of depression and/or anxiety, and 70 non-clinical participants completed the Portuguese version of the Multidimensional Perfectionism Scale. RESULTS: Compared to non-clinical subjects, individuals of all clinical samples had significantly higher scores on Multidimensional Perfectionism Scale total score, Self-Oriented and Socially-Prescribed Perfectionism. There were no significantly differences in Self-Oriented Perfectionism and Multidimensional Perfectionism Scale total score in all the three clinical samples. Subjects from the eating disorders sample had significantly higher scores of Socially-Prescribed Perfectionism in comparison to obsessive-compulsive disorder and psychiatric control samples. CONCLUSION: Perfectionism showed to be related with this broad range of psychopathologies. However, the differences between eating disorders versus obsessive-compulsive disorder and psychiatric control on Socially-Prescribed Perfectionism warrant further investigation in order to clarify the specificity of this perfectionism dimension in eating disorders.

Psychosocial Function and Economic Costs of Obsessive-Compulsive Disorder

CNS Spectrums ◽  
1998 ◽  
Vol 3 (S1) ◽  
pp. 48-58 ◽  
Author(s):  
Eric Hollander ◽  
Dan J. Stein ◽  
Jee H. Kwon ◽  
Clayton Rowland ◽  
Cheryl M. Wong ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Obsessive Compulsive Disorder ◽  
Family Relationships ◽  
Clinical Samples ◽  
Symptom Improvement ◽  
Obsessive Compulsive ◽  
Psychosocial Function ◽  
Compulsive Disorder ◽  
Study Results

AbstractThe study presented was conducted to analyze the effects of obsessive-compulsive symptoms on patients' quality of life and the costs incurred by patients and society for the treatment of obsessive-compulsive disorder (OCD). To accomplish this, a detailed 410-item questionnaire of psychosocial function and economic cost was sent to every fourth member of the Obsessive Compulsive Foundation. Of the 2,670 members who received the survey, 701 (26.9%) returned it.Outcome measures included symptomatology, course of illness, impact of illness on psychosocial and other functioning, effects of diagnosis and treatment, and economic consequences. The demographics of this group were similar to those in smaller treatment-seeking clinical samples, but not necessarily to OCD sufferers within the US population as a whole. More than half of the patients reported moderate to severe interference in family relationships, socializing, and ability to study or work, secondary to OCD symptoms. A 10.2-year gap was observed between the onset of symptoms and the first attempt to seek professional help, and a 17.2-year gap was observed between the onset of symptoms and receipt of effective treatment. Specific treatments, such as serotonin reuptake inhibitors and behavior therapy, showed greater symptom improvement, and significantly reduced the total annual fees incurred by OCD patients when compared with nonspecific treatments.Our study results indicate that OCD has a profound effect on psychosocial functioning and quality of life. Large direct costs for OCD and even larger indirect costs due to lost wages and underemployment were found. Greater awareness of OCD among practitioners may result in earlier diagnosis and more appropriate and cost-effective treatments.

Obsessive-Compulsive Disorder, Body Dysmorphic Disorder, and Hypochondriasis: Three Variations on a Theme

CNS Spectrums ◽  
1996 ◽  
Vol 1 (2) ◽  
pp. 24-31 ◽  
Author(s):  
Stephen C. Josephson ◽  
Eric Hollander ◽  
Brian Fallon ◽  
Dan J. Stein
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Behavioral Treatment ◽  
Body Dysmorphic Disorder ◽  
Behavioral Therapy ◽  
Response To Treatment ◽  
Clinical Samples ◽  
Cognitive Behavioral Treatment ◽  
Analysis Model ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

AbstractBackground:Exaggerated illness and appearance concerns and related compulsive behaviors are seen in the psychiatric disorders of hypochondriasis (HYP), body dysmorphic disorder (BDD), and obsessive-compulsive disorder (OCD). It has been argued that these conditions may cluster in clinical samples and that our current categorical diagnostic policies, which assume independence of these disorders, are arbitrary and fail to capture the dimensional nature of these disorders.Methods:We present retrospective clinical data on 21 randomly selected patients who presented with symptoms that involved anxiety about illness and appearance and who were evaluated for cognitive-behavioral treatment or pharmacotherapy. We also review the symptoms, associated features, and response to treatment of three patients from the sample who were each diagnosed with all three of these disorders (HYP, BDD, and OCD).Results:Three patients met criteria for HYP, BDD, and OCD, and the other 18 patients met criteria for at least two of the above conditions. The most frequently reported source of anxiety had to do with one's hair. Nine out of the 12 patients treated with behavioral therapy were considered to be responders, and the one treated solely with medication was “very much improved.” Of the eight treated with a combination of behavioral therapy and medication, five were judged to be responders.Conclusions:Overlap in phenomenology, associated features, and treatment response suggests that these three disorders may be difficult to distinguish from each other and that a “cluster analysis” model may prove helpful in evaluating clinical samples.

The Relationship Between Obsessive-Compulsive Symptoms, Perfectionism, and Anxiety Sensitivity for Not Just Right Experiences

2017 ◽  
Vol 34 (3) ◽  
pp. 134-155 ◽  
Author(s):  
Lauren D. Irwin ◽  
Mairwen K. Jones
Keyword(s):  
Anxiety Sensitivity ◽  
Strong Association ◽  
Self Report ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Maladaptive Perfectionism ◽  
Not Just Right Experiences ◽  
The Relationship ◽  
Just Right

The obsessive-compulsive core dimensions model posits that compulsions are driven by harm avoidance, or to counteract a sense of incompleteness, known as ‘not just right experiences’ (NJREs). Evidence suggests NJREs are associated with obsessive-compulsive disorder (OCD) symptoms and maladaptive perfectionism. However, manipulations of NJREs have focused on the visual system, and have not been examined in the context of arousal fears associated with anxiety sensitivity (AS). This study examined the relationship between OC symptoms, perfectionism, and AS using in vivo manipulations of NJREs across visual, auditory, and tactile sensory modalities. Using a 2 (NJRE vs. JRE) × 2 (AS vs. no AS) between-subjects design, participants (N = 132) completed behavioural tasks designed to elicit NJREs and assess task discomfort and urge to counteract sensory-specific stimuli. Strong relationships were observed between task ratings and self-report measures of NJREs, incompleteness, OCD symptoms, maladaptive perfectionism, and AS. Those in the NJRE conditions gave significantly higher task ratings compared to JRE conditions; however, there was no main effect for AS. While maladaptive perfectionism and AS were significant predictors of task performance, there was no interaction between the two. The results confirm and extend research suggesting a strong association between NJREs and incompleteness motivations, as well as sensory-affective disturbance in OCD.

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