Cognitive Errors and Psychological Resilience in Patients With Social Anxiety and Obsessive-Compulsive Disorder: A Cross-Sectional Study

Background: Cognitive errors have been presented as effective factors in the creation and continuation of obsessive– compulsive disorder and social anxiety disorder. Psychological resilience is an important factor in the tolerance of cognitive errors. Objective: The present study aimed to compare cognitive errors and the psychological resilience of patients with social anxiety disorder and those with obsessive–compulsive disorder. Methods: This cross-sectional study investigated a total of 60 patients, 30 with social anxiety disorder and 30 with obsessivecompulsive disorder (OCD), seen at a hospital in Zanjan city, Iran, in 2017. Participants were aged between 15 and 50 years. Participants were chosen using convenience sampling and on the basis of psychiatrist diagnosis and structured diagnostic interviews (SCID-I, II) according to the inclusion and exclusion criteria. The Cognitive Errors Questionnaire (CET) and the Connor-Davidson Resilience Scale (CD-RISC) were used to assess the variables. Results: A significant difference was observed between the two patient groups in the cognitive errors components (P≤0.05). In patients with OCD, the highest average rate of cognitive errors was related to catastrophizing and splitting error. In patients with SAD, the highest mean rate of cognitive errors was related to catastrophizing. There was no significant difference in psychological resilience between the two groups. Conclusion: Cognitive errors play an important role in OCD and social anxiety disorder (SAD). OCD patients were observed to make more cognitive errors than SAD patients. However, psychological resilience was equal between both groups.

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Prevalence of Olfactory Reference Syndrome in Obsessive-Compulsive Disorder and Social Anxiety Disorder

The Journal of Clinical Psychiatry ◽

10.4088/jcp.14l08987 ◽

2014 ◽

Vol 75 (11) ◽

pp. 1266-1266 ◽

Cited By ~ 4

Author(s):

Christine Lochner ◽

Dan J. Stein

Keyword(s):

Anxiety Disorder ◽

Social Anxiety ◽

Obsessive Compulsive Disorder ◽

Social Anxiety Disorder ◽

Obsessive Compulsive ◽

Compulsive Disorder

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Standard of proof and intolerance of uncertainty in obsessive-compulsive disorder and social anxiety disorder

Journal of Behavior Therapy and Experimental Psychiatry ◽

10.1016/j.jbtep.2019.02.002 ◽

2019 ◽

Vol 64 ◽

pp. 36-44 ◽

Cited By ~ 4

Author(s):

Dianne M. Hezel ◽

S. Evelyn Stewart ◽

Bradley C. Riemann ◽

Richard J. McNally

Keyword(s):

Anxiety Disorder ◽

Social Anxiety ◽

Obsessive Compulsive Disorder ◽

Social Anxiety Disorder ◽

Intolerance Of Uncertainty ◽

Obsessive Compulsive ◽

Standard Of Proof ◽

Compulsive Disorder

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Body Dysmorphic Disorder Insights in an Inpatient Psychiatric Setting

Case Reports in Psychiatry ◽

10.1155/2021/6636124 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Zachary A. Koenig ◽

Sarah Callaham ◽

Brittany Waltz ◽

Julie Bosley ◽

Raja Mogallapu ◽

...

Keyword(s):

Anxiety Disorder ◽

Social Anxiety ◽

Obsessive Compulsive Disorder ◽

Social Anxiety Disorder ◽

Body Dysmorphic Disorder ◽

The Body ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Psychiatric Setting ◽

Significant Impairment

Body dysmorphic disorder is a chronic disorder involving imagined or partial appearance defects that lead to significant impairment in everyday life. It is quite prevalent but remains a clinically underdiagnosed psychiatric condition especially in the inpatient psychiatric setting. Onset of body dysmorphic disorder typically begins in adolescence with subclinical symptoms. Over time, symptoms progress to patients meeting the full Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) criteria. Severe cases of the body dysmorphic disorder are often camouflaged by concurrent diseases like major depressive disorder, obsessive-compulsive disorder, substance use disorder, and social anxiety disorder. Further, compounding the complexity of body dysmorphic disorder is a treatment of patients who present with coinciding suicidal ideations. Here, we present a unique case of a 40-year-old female admitted to an inpatient psychiatric unit for treatment of ongoing depression and suicidal symptoms. Early on in her inpatient course, she had symptoms of obsessive-compulsive disorder, social anxiety disorder, and alcohol use disorder. The constellation of symptoms prompted evaluation for body dysmorphic disorder and subsequent targeted treatment. This case report highlights the complexities associated with diagnosing body dysmorphic disorder, the importance of considering it a branch point for other psychiatric conditions, and the treatment for patients who present with coinciding suicidal behavior.

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