What's control got to do with it? A systematic review of control beliefs in obsessive-compulsive disorder

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical Psychology Review Pub Date : 2023-12-05 DOI:10.1016/j.cpr.2023.102372

Andrea Sandstrom, Sandra Krause, Catherine Ouellet-Courtois, Kenneth Kelly-Turner, Adam S. Radomsky

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Abstract

Current conceptualizations of control-related beliefs in Obsessive-Compulsive Disorder (OCD) have largely been limited to beliefs about the need to control thoughts. Although growing evidence supports the notion of considering broader control-related constructs in this disorder, there has been limited research aimed at integrating findings across studies, making it difficult to determine how different control-related beliefs may influence OCD symptoms. The current review sought to systematically analyze findings from all studies investigating the relationship between control beliefs and OCD. The systematic search identified 157 eligible articles that assessed the relationship between control beliefs and OCD symptoms. Results suggested that certain control beliefs (e.g., importance of/need to control of thoughts, sense of control, beliefs about losing control) may be more closely associated with OCD than others (e.g., locus of control, and desire for control). In general, control beliefs were positively associated with OCD, with effect sizes ranging from small to large depending on the symptom domain. Based on limited studies, the only control belief which demonstrated specificity to OCD was ICT. Findings support the importance of integrating additional control beliefs in conceptualizations of OCD and provide evidence to support the benefits of targeting these beliefs in cognitive behavioural therapy.

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控制有什么用？强迫症患者控制信念的系统回顾

目前关于强迫症（OCD）中控制相关信念的概念大多局限于需要控制思想的信念。尽管越来越多的证据支持在这种障碍中考虑更广泛的控制相关概念，但旨在整合不同研究结果的研究却很有限，因此很难确定不同的控制相关信念会如何影响强迫症症状。本次综述试图系统分析所有调查控制信念与强迫症之间关系的研究结果。系统性检索发现了 157 篇符合条件的评估控制信念与强迫症症状之间关系的文章。结果表明，某些控制信念（如控制思想的重要性/必要性、控制感、失去控制的信念）与强迫症的关系可能比其他信念（如控制定位和控制欲望）更为密切。一般来说，控制信念与强迫症呈正相关，效果大小因症状领域而异，从大到小不等。根据有限的研究，唯一与强迫症有特异性的控制信念是信息和通信技术。研究结果表明，在强迫症的概念中纳入额外的控制信念非常重要，并提供证据支持在认知行为疗法中针对这些信念进行治疗的益处。

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.