Dysfunctional Belief Domains Related to Obsessive-Compulsive Disorder: A Further Examination of their Dimensionality and Specificity

2010 ◽  
Vol 13 (1) ◽  
pp. 376-388 ◽  
Author(s):  
Amparo Belloch ◽  
Carmen Morillo ◽  
Juan V. Luciano ◽  
Gemma García-Soriano ◽  
Elena Cabedo ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Factor Model ◽  
Dysfunctional Beliefs ◽  
Obsessive Beliefs ◽  
Obsessive Compulsive ◽  
International Consensus ◽  
Confirmatory Factor Analyses ◽  
Thought Control ◽  
Compulsive Disorder ◽  
Thought Action Fusion

International consensus has been achieved on the existence of several dysfunctional beliefs underlying the development and/or maintenance of the Obsessive-Compulsive Disorder (OCD). Nevertheless, questions such as the dimensionality of the belief domains and the existence of OCD-specific dysfunctional beliefs still remain inconclusive. The present paper addresses these topics through two different studies. Study 1: A series of confirmatory factor analyses (N= 573 non-clinical subjects) were carried out on the Obsessive Beliefs Spanish Inventory-Revised (OBSI-R), designed to assess dysfunctional beliefs hypothetically related to OCD. An eight-factor model emerged as the best factorial solution: responsibility, over-importance of thoughts, thought-action fusion-likelihood, thought action fusion-morality, importance of thought control, overestimation of threat, intolerance of uncertainty and perfectionism. Study 2: The OBSI-R and other symptom measures were administered to 75 OCD patients, 22 depressed patients, and 25 non-OCD anxious patients. Results indicated that, although OCD patients differed from their non-clinical counterparts on all of the OBSI-R subscales, no evidence of OCD-specificity emerged for any of the belief domains measured, as the OCD subjects did not differ from the other two clinical groups of patients.

Experimental manipulation of beliefs about the importance of thoughts and the effect on an aggressive impulse

2020 ◽  
Vol 48 (5) ◽  
pp. 626-630
Author(s):  
A. Jiménez-Ros ◽  
L. Faísca ◽  
T. Martins ◽  
L. Janeiro ◽  
A.T. Martins
Keyword(s):  
Experimental Manipulation ◽  
Self Report ◽  
Obsessive Beliefs ◽  
Obsessive Compulsive ◽  
Moral Thought ◽  
Thought Control ◽  
Compulsive Disorder ◽  
Induced Changes ◽  
Maladaptive Beliefs ◽  
Thought Action Fusion

AbstractBackground:Cognitive models of obsessive-compulsive disorder attribute a causal role to maladaptive beliefs.Aims:To test this hypothesis, we manipulated Overimportance of Thoughts (OT) beliefs and experimentally evaluated their effect on the response to an induced aggressive impulse.Method:Eighty-five participants completed a battery of self-report instruments assessing obsession symptoms, thought control, affectivity and obsessive beliefs, and were then randomly assigned to two conditions. In the experimental condition participants read a scientific abstract on the importance of thought control whilst those in the control condition read a neutral abstract. All participants identified a loved person and imagined feeling the impulse to stab this person, then completed again OT beliefs measures (Overimportance of Thought, Moral-Thought Action Fusion and Thought Action Fusion Likelihood).Results:The Moral component of the Thought Action Fusion was reduced by reading a brief text about the possibility and desirability of thought control. However, experimentally induced changes in beliefs did not yield differences in the intrusiveness of the aggressive impulse.Conclusions:Some beliefs can be modified through a single session in which information similar to what could be obtained in quotidian life is provided.

Influence of pharmacological treatment on obsessive beliefs in the patients with obsessive compulsive disorder

2011 ◽  
Vol 26 (S2) ◽  
pp. 979-979
Author(s):  
Y. Selvi ◽  
L. Besiroglu ◽  
A. Aydin ◽  
A. Atli ◽  
M. Gulec
Keyword(s):  
Treatment Response ◽  
Obsessive Compulsive Disorder ◽  
Rating Scale ◽  
Negative Mood ◽  
Dysfunctional Beliefs ◽  
Obsessive Beliefs ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
The Mean ◽  
And Control

IntroductionCognitive models hypothesize that certain dysfunctional beliefs leading to misinterpretation of the significance of intrusions are important in the etiology and maintenance of obsessive-compulsive disorder (OCD). There is no consensus about which characteristics of OCD patients more likely to be associated with better treatment response.ObjectivesWe aimed to investigate whether obsessive beliefs change over time in the OCD patients receiving Serotonin Reuptake Inhibitors. We also investigated the effect of change in obsessive beliefs on psychopharmacological treatment response.MethodsA sample of 75 patients with OCD were interviewed the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) and Hamilton Depression Rating Scale (HDRS). To measure dysfunctional beliefs, they were administered the Obsessive Beliefs Questionnaire-44 (OBQ-44) which contains three subscales; threat overestimation and responsibility, importance and control of intrusive thoughts, and perfectionism and need for certainty.ResultsThe seventy-six percent (n=57) patients completed the treatment period and they were reassessed after 12 weeks with the Y-BOCS, HDRS and OBQ-44. The mean change scores of responders for OBQ-44 Responsibility/Threat Estimation and OBQ-44 Perfectionism/Certainty were not significantly differing from those of non-responders. The mean change in responders for OBQ-44 Importance/Control of Thoughts and HDRS were significantly higher than non responders.ConclusionsOur results suggest that treatment response to pharmacotherapy in OCD is negatively associated with the obsessive beliefs about perfectionism and certainty. The alleviation of negative mood by SRIs may not allow the sufferer disengages from dysfunctional appraisals.

scholarly journals The Association of Trait Mindfulness and Self-compassion with Obsessive-Compulsive Disorder Symptoms: Results from a Large Survey with Treatment-Seeking Adults

2019 ◽  
Vol 44 (1) ◽  
pp. 120-135 ◽  
Author(s):  
Tamara Leeuwerik ◽  
Kate Cavanagh ◽  
Clara Strauss
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Distress Tolerance ◽  
Treatment Seeking ◽  
Trait Mindfulness ◽  
Obsessive Beliefs ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Self Compassion ◽  
Clinically Significant ◽  
Anxiety Depression

Abstract Little is known about the role of mindfulness and self-compassion in obsessive-compulsive disorder. This cross-sectional study examined associations of mindfulness and self-compassion with obsessive-compulsive disorder symptoms and with the obsessive beliefs and low distress tolerance thought to maintain them. Samples of treatment-seeking adults (N = 1871) and non-treatment-seeking adults (N = 540) completed mindfulness, self-compassion, obsessive-compulsive disorder, anxiety, depression, obsessive beliefs and distress tolerance questionnaires. Participants with clinically significant obsessive-compulsive disorder symptoms reported lower trait mindfulness and self-compassion compared to participants with clinically significant anxiety/depression and to non-clinical controls. Among the clinical sample, there were medium-large associations between mindfulness and self-compassion and obsessive-compulsive disorder symptoms, obsessive beliefs and distress tolerance. Mindfulness and self-compassion were unique predictors of obsessive-compulsive disorder symptoms, controlling for depression severity. Once effects of obsessive beliefs and distress tolerance were controlled, a small effect remained for mindfulness (facets) on obsessing symptoms and for self-compassion on washing and checking symptoms. Directions for future research and clinical implications are considered in conclusion.

Longitudinal Relations of Obsessive Beliefs, Obsessions, and Compulsions During Treatment for Obsessive Compulsive Disorder

2020 ◽  
Vol 44 (4) ◽  
pp. 846-857
Author(s):  
Martha J. Falkenstein ◽  
Meghan Schreck ◽  
Sriramya Potluri ◽  
Jacob A. Nota ◽  
Kara N. Kelley ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Obsessive Beliefs ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

When patients with OCD decide to seek, and not to avoid harm: The problem of suicidality in OCD

2018 ◽  
Vol 82 (4) ◽  
pp. 360-374 ◽  
Author(s):  
Gabriela M. Ferreira ◽  
Natalie V. Zanini ◽  
Gabriela B. de Menezes ◽  
Lucy Albertella ◽  
Louise Destree ◽  
...  
Keyword(s):  
High Risk ◽  
Obsessive Compulsive Disorder ◽  
Life Events ◽  
Electroconvulsive Therapy ◽  
Suicidal Behavior ◽  
Stressful Life Events ◽  
Obsessive Beliefs ◽  
Obsessive Compulsive ◽  
Future Studies ◽  
Compulsive Disorder

Obsessive-compulsive disorder (OCD) is a chronic, distressing, and disabling condition associated with a high risk of suicidal behavior and death by suicide. In this study, the authors describe two cases of OCD patients who developed recurrent suicidal behaviors in response to stressful life events that appeared to “confirm” their obsessive beliefs (termed “confirmatory events”). In both cases, the authors used accepted strategies for treating suicidality in other contexts (such as antidepressants, lithium, and electroconvulsive therapy), which proved unsuccessful. Future studies should investigate personalized strategies to treat suicidality and prevent suicide in OCD patients.

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