Obsession subtypesrelationships with obsessive-compulsive symptoms, dysfunctional beliefs and thought control strategies
- Belloch Fuster, Amparo
- Morillo, Carmen
- García Soriano, Gemma
ISSN: 1136-5420
Année de publication: 2006
Volumen: 11
Número: 2
Pages: 65-78
Type: Article
D'autres publications dans: Revista de psicopatología y psicología clínica
Résumé
Obsessive themes can be classified into two main categories: autogenous obsessions and reactive obsessions. The first comprise highly unacceptable and unrealistic thoughts, including aggressive, sexual and repulsive concerns, that can be conceptualised as «pure obsessions» (PO), whereas the second relate to relatively realistic doubts or thoughts with common themes dealing with contamination, mistakes or accidents, associated with overt actions taken to prevent the occurrence of negative outcomes, that can be conceptualised as obsessions plus compulsions (O-C). In this study, the differences between PO and O-C in 39 Obsessive-Compulsive Disordered (OCD) outpatients are examined. Results: the O-C subtype associated with higher OCD severity and obsessive-compulsive symptom measures, whereas the PO subtype related to harming impulses only. PO also showed a significant relationship with dysfunctional beliefs as to responsibility. overestimation of threat and meta-cognitive beliefs (thought-action fusion, importance of thoughts and the control over them), as well as with a tendency to the concealment of obsessions. O-C only related to worry as a thought control strategy.
Références bibliographiques
- Abramowitz, J., Franklin, M., Schwartz, S.A., & Furr, J.M. (2003). Symptom presentation and outcome of cognitive-behavioral therapy for obsessive-compulsive disorder. Journal of Consulting and Clinical Psychology, 71, 1049-1057.
- Abramowitz, J.S., Whiteside, S., Lynam, D., & Kalsy, S. (2003). Is thought action fusion specific of obsessive compulsive disorder? a mediating role of negative affect Behaviour Research and Therapy, 41, 1069-1079.
- American Psychiatríc Associatíon (2000). Diagnostic and Statistical Manual of Mental Disorders (fourth edition- Text revision). Washington, D.C.: American Psychiatric Association.
- Amir, N., Freshman, M., Ramsey, B., Neary, E., & Brigidi, B. (2001). Thought-action fusion in individuals with CXIID symptoms. Behaviour Research and Therapy, 39, 765-776.
- Antony, M.M., Purdon, C.L., Huta, V., & Swinson, R.P. (1998). Dimensions of perfectionism across the anxiety disorders. Behaviour Research and Therapy, 36,1143- 1154.
- Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive Therapy of Depression. New York: Guilford Press.
- Belloch, A., Cabedo, E., Morillo, C , Lucero, M., & Carrió, C. (2003). Designing a new instrument to assess dysfunctional beliefs of the obsessive-compulsive disorder: preliminary results of the Obsessive Beliefs Inventory. International Journal of Clinical and Health Psychology, 3, 235-250
- Belloch, A., Morillo, C , Lucero, M., Cabedo, E., & Ciurió, C. (2004). Intrusive thoughts in non-clinical subjects: the role of frequency and unpleasantness on appraisal ratings and control strategies. Clinical Psychology and Psychotherapy, 7/, 100-110.
- Belloch, A., Morillo, C , & García-Soriano, G. (submitted). The Influence of obsessional subtypes: testing the autogenous/reactive model of obsessions.
- Bums, G.L., Keortge, S.G., Formea, G.M., & Stemberg, L.G. (1996). Revision of the Padua Inventory of obsessive compulsive disorder symptoms &: Distinctions between worry, obsessions and compulsions. Behaviour Research and Therapy, 34,163-173.
- Cabedo, E., Belloch, A., Morillo, C , Giménez, A., & Carrió, C. (2004). Increasing dysfunctional beliefs as obsessionality increases. International Journal of Clinical and Health Psychology, 4, 465-479.
- Calamari, J.E., Wiegartz, RS., & Janeck, A.S. (1999). Obsessive-compulsive disorder subgroups: a symptom based clustering approach. Behaviour Research and Therapy,37. 113-125.
- Calamari, J.E., Wiegartz, RS., Riemann, B.C., Cohén, R.J., Oreer, A., Jacobi, D.M., et al. (2004). Obsessive-compulsive disorder subtypes: an attempted replication and extension of a symptom-based taxonomy. Behaviour Research and Therapy, 42,647-670.
- Carr, A.T. (1971). Compulsive neurosis: Two psychological studies. Bulletin of the British Psychological Society, 24, 256-257.
- Carr, A.T. (1974). Compulsive neurosis: A review of the literature. Psychological Bulletin, 81, 311-318.
- Carrió, C. (2004). Efectos a largo plazo del tratamiento cognitivo en un caso de trastorno obsesivo-compulsivo. Revista de Psicopatologia y Psicología Clínica, 9, 99-122.
- Clark, D. A., & Purdon, C. L. (1995). The assessment of unwanted intrusive thoughts: A review and critique of the literature. Behaviour Research and Therapy, 33, 967-976.
- Clark, D. A., Purdon, C. L., & Wang, A. (2003). The Meta- Cognitive Beliefs Questionnaire: development of a measure of obsessional belie&. Behaviour Research and Therapy, 41, 655-669.
- Denys, D., de Geus, F., van Megen, H.J., & Westnberg, H.G.M. (2004). Use of factor analysis to detect potential phenotypes in obsessive-compulsive disorder. Psychiatry Research, 128, 273-280.
- Di Nardo, RA., Brown, T.A., & Barlow, D.H. (1994). Anxiety Disorders Interview Schedule for DSM-IV: Lifetime versión (ADIS-IV-L). New York: Graywind Publications Incorporated.
- Emmelkamp, R, & Aardema, A. (1999). Meta-cognition, specific obsessive-compulsive beliefs and obsessive ompulsive behaviour. Clinical Psychology and Psychotherapy, 6, 319-145.
- Faull, M., Joseph, S., Meaden, A., & Lawrence, T. (2004). Obsessive beliefs and their relation to obsessive-compulsive symptoms. Clinical Psychology and Psychotherapy, 11, 158-167.
- Foa, E.B., Sacks, M.B., Tolin, D.R, Preworski, A., & Amir, N. (2002). Inflated perception of responsibility for harm in OCD patients with and without checking compulsions: a replication and extension. Journal of Anxiety Disorders, 16, 443-453.
- Frost, R.O., & Steketee, G. (2000). Issues in the treatment of compulsive hoarding. Cognitive and Behavioral Practice,6, 397-407.
- Giménez, A., Morillo, C, Belloch, A., Garrió, C, &. Cabedo, E. (2004). Creencias disfuncionales asociadas a síntomas obsesivo-compulsivos: una aproximación a la especificidad. Revista de Psicopatología y Psicología Clínica, 9, 1-17.
- Goodman, W.K., Price, L.H., Rasmussen, S.A., & Mazure, C. (1989a). The Yale-Brown Obsessive-Compulsive Scale (1): Development, use and reliability. Archives of General Psychiatry, 46, 1006-1011.
- Goodman, W.K., Price, L.H., Rasmussen, S.A., & Mozure, C. (1989b). The Yale-Brown Obsessive-Compulsive Scale (II): Validity. Archives of General Psychiatry, 46, 1012-1016.
- Guidano, V, & Liotti, G. (1983). Cognitive processes and emotional disorders. New Yolk: Guilford
- Hazlett-Stevens, H., Zucker, B.G., & Craske, M.C. (2002). The relationship of thought-action fusion to pathological worry and generalized anxiety disorder. Behaviour Research and Therapy, 40, 1199-1204
- Hewitt, P.L., & Flett, G.L. (1991). Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60, 456-470.
- Hodgson, R.J., & Rachman, S. (1977). Obsessional compulsive complaints, Behaviour Research and Therapy, 15, 389-395.
- Holaway, R.M., Heimberg, R.G., & Coles, M.E. (2006). A comparison of intolerance to uncertainty in analogue obsessive-compulsive disorder and generalized anxiety disorder. Journal of Anxiety Disorders, 20, 158-174.
- Hollon, S. D., & Kendall, R C. (1980). Cognitive self-statements in depression: development of an automatic thoughts questionnaire. Cognitive Therapy and Research, 4, 383-395.
- Ibáñez, I., Olmedo, E., Peftate, W., & González, M. (2002). Obsesiones y compulsiones: estructura del Inventario de Padua. International Journal of Clinical and Health Psychology. 2, 263-288.
- Kozak, M.J., Foa, E.B., & McCarthy, R (1987). Asessement of Obsessive compulsive disorder. In C. Last, & M. Hersen (Eds.), Handbook of anxiety disorders (pp. 87-108). New York: Pergamon Press.
- Kyrios, M., Steketee, G., Frost, R.O., & Oh, S. (2002). .Cognitions in compulsive hoarding. In R.O. Frost & G. Steketee (Eds.). Cognitive approaches to obsessions and compulsions. Theory, Assessment and Treatment (pp. 269-288). Oxford: Elsevier.
- Ladouceur, R., Rhéaume,!, Freeston, M.H., Aublet, F, Jean, K., Lachance, S., et al. (1995). Experimental manipulations of responsibility: An analogue test for models of obsessive-compulsive disorder. Behaviour Research and Therapy, 33, 937-946.
- Leckman, J.E, Grice, D.E., Boardman, J., Zhang, H., Vítale, A., Bondi, C , Alsobrook, J., et al. (1997). Symptoms of obsessive-compulsive disorder. American Journal of Psychiatry, 154, 911-917.
- Lee, H.J., & Kwon, S.M. (2003). Two different types of obsessions: autogenous obsessions and reactive obsessions. Behaviour Research and Therapy, 41, 11-29
- Lee, H-J., & Tekh, M J. (2005). Autogenous/reactive obsessions and their relationship with OCD symptoms and schizotypal personality features. Journal of Anxiety Disorders, 19. 793-805.
- Lee, H-J., Lee, S-H., Kim, H-S., Kwon, S-M., & Teích, M.J. (2005). A comparison of autogenous/reactive obsessions and worry in a nonclinical population: a test of the continuum hypothesis. Behaviour Research and Therapy, 43, 999-1010.
- Lopatka, C , & Rachman, S. (1995). Perceived responsibility and compulsive checking: an experimental analysis. Behaviour Research and Therapy, 33, 673-684.
- Lucero, M. (2002). Pensamientos intrusivos en población general (Intrusive thoughts in general population). Un versity of Valencia. Doctoral Dissertation Thesis.
- Luciano, J.V., Belloch, A., Algarabel, S., Tomás, J.M., Moñllo, C , & Lucero, M. Thought suppression and strategies to control unwanted thoughts: A confirmatory factor-analytic study in a Spanish non-clinical sample. European Journal of Psychological Assessment.
- Marks, I. (1987). Fears, phobias and rituals. Panic, anxiety and their disorders. New York: Oxford University Press.
- Mataix, D., Rauch, S.L., Matizo, P.A., Jenije, M.A., & Baer, L. (1999). Use of factor-analyzed symptom dimensions to predict outcome with serotonin reuptake inhibitors and placebo in the treatment of obsessive-compulsive disorder. American Journal of Psychiatry, 156, 1409-1416.
- Mataix, D., Rosario, M.C, & Leckman, J.E (2005). A multidimensional model of Obsessive-Compulsive Disorder. American Journal of Psychiatry, 162, 228- 238.
- Meyer, T.J., Miller, M.L., Metzger, R.L., & Borkovec, T.D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28,487-495.
- Morillo, C , Giménez, A., Belloch, A., Lucero, M., Garrió, C , & Cabedo, E. (2003). Pensamientos intrusos en obsesivos subclinicos: contenidos, valoraciones y estrategias de control. Revista de Psicopatología y Psicología Clínica. 8,23-38.
- Newth, S., & Rachman, S. (2001). The concealment of obsessions. Behaviour Research and Therapy, 39,457- 464.
- Obsessive Compulsive Cognitions Working Group (1997). Cognitive assessment of obsessive-compulsive disorder. Behaviour Research and Therapy, 35, 667-681.
- Obsessive Compulsive Cognitions Working Group (2001). Development and initial validation of the Obsessive Beliefs Questionnaire and Ú« Interpretation Intrusions Inventory. Behaviour Research and Therapy. 39, 987- 1005.
- Purdon, C , & Clark, D. (1993). Obsessive intrusive thoughts in non-clinical subjects. Part I. Content and relation with depressive, anxious, and obsessional symptoms. Behaviour Research and Therapy, 31, 713-720.
- Purdon, C , & Clark, D. (1994). Obsessive Intrusive thoughts in non-clinical subjects. Part II. Cognitive appraisal, emotional response and thought control strategies. Behaviour Research and Therapy, 32,403-410.
- Rachman, S. (1993). Obsessions, responsibility and guilt. Behaviour Research and Therapy, 31, 149-154.
- Rachman, S. (1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 35, 793-802.
- Rachman, S. (1998). A cognitive theory of obsessions: elaborations. Behaviour Research and Therapy, 36, 385-401.
- Rachman, S. (2002). A cognitive theory of compulsive checking. Behaviour Research and Therapy, 40, 625- 639.
- Rachman, S. (2003). The treatment of Obsessions. New York: Oxford University Press.
- Rachman, S.J., & Hodgson, R.J. (1980). Obsessions and compulsions. New York: Prentice Hall.
- Rachman, S., & Shafran, R. (1998). Cognitive and behavioural features of OCD. In R. Swinson, M.A. Antony, S. Rachman, & M.A. Richter (eds.) Obsessive-compulsive disorder: theory, research and treatment (pp. 51-78). New York: Guilford Press,
- Rasmussen, S., & Eisen, J.L. (1989). Clinical features and phenomenology of obsessive compulsive disorder. Psychiatric Annals, 19, 67-73.
- Rassin, E., Diepstraten, R, Merckelbach, H., & Muris, P. (2001a). Thought-action fusion and thought suppression in obsessive-compulsive disorder. Behaviour Research and Therapy, 39, 757-764.
- Rassin, E., Merckelbach, H., Muris, R, & Schmidt, H. (2001b). The thought-action fusion scale: further evidence for its reliability and validity. Behaviour Research and Therapy, 39, 537-544.
- Rhéaume, J., Freeston, M.H., Dugas, M.J., Letarte, H., & Ladouceur, R. (1995). Perfectionism, responsibility, and obsessive-compulsive symptoms. Behaviour Research and Therapy, 33, 785-794.
- Salkovskis, P.M. (1985). Obsessional-compulsive problems: a cognitive-behavioural analysis. Behaviour Research and Therapy, 23, 571-583.
- Salkovskis, P.M. (1989). Cognitive-behavioral factors and the persistence of intrusive thoughts in obsessional problems. Behaviour Research and Therapy, 27, 677-682.
- Salkovskis, P.M. (1999). Understanding and treating obsessive-compulsive disorder Behaviour Research and Therapy, 37, 29-52.
- Salkovskis, P.M., Wroe, A.L., Gledhill, A., Morrison, N., Forrester, E., Richards, et al. (2000). Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder. Behaviour Research and Therapy, 38, 347-372.
- Sandin, B., & Chorot, R (1991). Adaptación española del Penn State Worry Questionnaire (PSWQ). (Spanish adaptation of the Penn State Worry Questionnaire). Madrid: UNED,
- Shafran, R., & Mansell, W. (2001). Perfectionism and psychopathology. Clinical Psychology Review, 21, 879- 906.
- Shafran, R., & Rachman, S. (2004). Thought-action fusion: a review. Journal behaviour Therapy and Experimental Psychiatry, 35, 87-107.
- Shafran, R., Thordarson, D.S., & Rachman, S. (1996). Thought-action fusion in obsessive compulsive disorder. Journal of Anxiety Disorder, 10, 379-391.
- Sookman, D., & Pinard, G. (2002). Overestimation of threat and intolerance of uncertainty in obsessive compulsive disorder. In R.O. Frost & G. Steketee (eds.). Cognitive approaches to obsessions and compulsions. Theory, Assessment and Treatment. (pp. 63-89). Oxford: Elsevier.
- Stein, M., Forde, D., Anderson, G., & Walker, J. (1997). Obsessive compulsive disorder in community: an epidemiological! survey with clinical reappraisal. American Journal of Psychiatry, 154, 1120-1126.
- Summerfeldt, L.J., Richter, M.A., Antony, M.M., & Swinson, R.R (1999). Symptom structure in obsessive-compulsive disorder: a confirmatory factor-analytic study. Behavior Research and Therapy, 37, 297-311.
- Taylor, S.E., Abramowitz, J.S., McKay, D., Calamari, J.E., Sookman, D., Kyrios, M., et al. (2006). Do dysfunctional beliefs play a role in all types of obsessive-compulsive disorder?. Journal of Anxiety Disorders, 20, 85- 97.
- Thordarson D.S., & Shafran, R. (2002). Importance of Thoughts. In R.O. Frost & G. Steketee (Eds.X Cognitive Approaches to Obsessions and Compulsions: Theory, Assessment and Treatment (pp. 15-28). Oxford: Elsevier.
- Tolin, D.E, Woods, C.M., & Abramowitz, J.S.(2003). Relationship between obsessive beliefs and obsessive compulsive symptoms. Cognitive Therapy and Research, 27, 657-669.
- Wegner, D.M., & Zanakos, S. (1994). Chronic thought suppression. Journal of Personality and Social Psychology. 62, 615-640.
- Wells, A., & Davies, M.I. (1994). The thought control questionnaire; A measure of individual Differences in the control of unwanted thoughts. Behaviour Research and Therapy, 32, 871-878