Beliefs about losing control and other OCD-related cognitions: An experimental investigation

IF 1.7 4区医学 Q3 PSYCHIATRY Journal of Behavior Therapy and Experimental Psychiatry Pub Date : 2023-11-02 DOI:10.1016/j.jbtep.2023.101919

Andrea Sandstrom, Adam S. Radomsky

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Abstract

Background and objectives

Cognitive theories of obsessive-compulsive disorder (OCD) suggest that dysfunctional beliefs influence symptoms. However, well-established belief domains do not fully explain OCD symptomatology, suggesting other cognitive mechanisms may be involved. An additional belief domain which may play a role in OCD is beliefs about losing control. Indeed, these beliefs have been found to be associated with OCD symptoms. However, the relationships between beliefs about losing control and other OCD phenomena, including other relevant dysfunctional beliefs, is unclear. The aim of this study was to examine the relationships between beliefs about losing control and appraisals hypothesized to be relevant to OCD.

Methods

A total of 163 participants completed the experimental protocol, wherein they received false (positive or negative) feedback regarding the likelihood they may lose control and completed a vignette task asking them to read hypothetical scenarios relevant to OCD concerns (checking, and aggressive thoughts). Vignettes were followed by questions and prompts used to measure OCD-relevant appraisals.

Results

Based on MANOVAs, beliefs about losing control had a significant impact on appraisals in the checking, F (151) = 5.55, p = .001, and aggressive thoughts, F (151) = 2.898, p = .037, vignettes. However, planned comparison indicated that in the aggressive thoughts vignettes, this effect was in the opposite direction than was hypothesized.

Limitations

The losing control induction may have inadvertently influenced participants’ beliefs about the utility of thought control.

Conclusions

Findings provide preliminary evidence for an association between beliefs about losing control and OCD-relevant appraisals.

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关于失去控制的信念和其他强迫症相关认知：一项实验调查。

背景和目的：强迫症的认知理论表明，功能失调的信念会影响症状。然而，公认的信念域并不能完全解释强迫症症状，这表明可能涉及其他认知机制。另一个可能在强迫症中发挥作用的信念领域是关于失去控制的信念。事实上，这些信念已经被发现与强迫症症状有关。然而，关于失去控制的信念与其他强迫症现象，包括其他相关的功能失调信念之间的关系尚不清楚。本研究的目的是检验关于失控的信念与被假设与强迫症相关的评估之间的关系。方法：共有163名参与者完成了实验方案，其中他们接收到关于他们可能失去控制的可能性的错误（积极或消极）反馈并且完成了要求他们阅读与强迫症担忧相关的假设场景（检查和攻击性思维）的小插曲任务。Vignets之后是用于衡量强迫症相关评估的问题和提示。结果：基于MANOVA，关于失去控制的信念对检查中的评估有显著影响，F（151）=5.55，p=.001，以及攻击性思维，F（151=2.898，p=.037，小插曲。然而，有计划的比较表明，在攻击性思维的小插曲中，这种影响与假设的方向相反。局限性：失控诱导可能无意中影响了参与者对思维控制效用的信念。结论：研究结果为失去控制的信念与强迫症相关评估之间的联系提供了初步证据。

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来源期刊

Journal of Behavior Therapy and Experimental Psychiatry Multiple-

CiteScore

3.60

自引率

5.60%

发文量

期刊介绍： The publication of the book Psychotherapy by Reciprocal Inhibition (1958) by the co-founding editor of this Journal, Joseph Wolpe, marked a major change in the understanding and treatment of mental disorders. The book used principles from empirical behavioral science to explain psychopathological phenomena and the resulting explanations were critically tested and used to derive effective treatments. The second half of the 20th century saw this rigorous scientific approach come to fruition. Experimental approaches to psychopathology, in particular those used to test conditioning theories and cognitive theories, have steadily expanded, and experimental analysis of processes characterising and maintaining mental disorders have become an established research area.