Dysfunctional Belief Domains Related to Obsessive-Compulsive Disordera Further Examination of their Dimensionality and Specificity
- Belloch Fuster, Amparo 2
- Morillo, Carmen 3
- Luciano Devis, Juan Vicente 1
- García Soriano, Gemma 2
- Cabedo, Elena 3
- Carrió Rodríguez, M.C. 3
- 1 Servicio de Salud Mental San Boi de Llobregat
-
2
Universitat de València
info
- 3 Agencia Valenciana de Salud
ISSN: 1138-7416
Año de publicación: 2010
Volumen: 13
Número: 1
Páginas: 376-388
Tipo: Artículo
Otras publicaciones en: The Spanish Journal of Psychology
Resumen
Hay un consenso internacional sobre la existencia de ciertas creencias disfuncionales que subyacen al desarrollo y/o al mantenimiento del trastorno obsesivo-compulsivo (TOC). No obstante, temas tales como la dimensionalidad de tales creencias y si son específicas del TOC, siguen pendientes de resolución. Este artículo examina estos aspectos mediante dos estudios diferentes: Estudio 1: Se realizaron análisis factoriales confirmatorios (573 sujetos no clínicos) del Inventario Español de Creencias Obsesivas-Revisado (ICO-R), que fue diseñado para evaluar creencias disfuncionales relacionadas con el TOC. La mejor solución factorial posible fue la de 8 factores: responsabilidad; importancia de los pensamientos; fusión pensamiento-acción probabilidad; fusión pensamiento-acción, moralidad; importancia de controlar los pensamientos; sobrestimar el peligro; intolerancia a la incertidumbre; y perfeccionismo. Estudio 2: El ICO-R se administró, junto con otros cuestionarios de síntomas, a 75 pacientes TOC, 22 deprimidos, y 25 pacientes con trastornos de ansiedad no-TOC. Los resultados indican que, si bien los pacientes TOC difieren de la población no clínica en todas las subescalas del ICO-R, ninguno de los dominios de creencias es específico del TOC, dado que estos pacientes no se diferenciaron de los otros dos grupos en ninguna de las subescalas del ICO-R.
Información de financiación
This research was mainly supported by the SEJ2006/03893-PSIC grant from the Spanish Ministerio de Ciencia y Tecnología (Prof. Dr. Amparo Belloch, Main Researcher).Financiadores
Referencias bibliográficas
- Abramowitz, J. S., Whiteside, S., Lynam, D., & Kalsy, S. (2003). Is thought-action fusion specific to obsessive-compulsive disorder?: a mediating role of negative affect Behaviour Research and Therapy, 41, 1069-1079. (Pubitemid 36952360)
- American Psychological Association, APA (1994). DSM-IVManual diagnóstico y estadistico de los trastornos mentales. Barcelona: Masson.
- Anholt, G. E., Emmelkamp, P. M. G., Cath, D. C., van Oppen, P., Nelissen, H., & Smit, J. H. (2004). Do patients with OCD and pathological gambling have similar dysfunctional cognitions?. Behaviour Research and Therapy, 42, 529-537. (Pubitemid 38368903)
- Beck, A. T. & Steer, R. A. (1993). Beck Depression Inventory. Manual. San Antonio, TX: The Psychological Corporation.
- Belloch, A., Cabedo, E., Morillo, C., Lucero, M., & Carrió, C (2003). Development of an instrument to assess dysfunctional beliefs in 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., & García-Soriano, G. (2009). Strategies to control unwanted intrusive thoughts: which are relevant and specific in obsessive-compulsive disorder? Cognitive Therapy and Research 33, 75-89.
- Bentler, P. M. (1995). EQS structural equations program manual. Encino, CA: Multivariate Software.
- Buhr, K., & Dugas, M. J. (2002). The intolerance of uncertainty scale: psychometric properties of the English version. Behaviour Research and Therapy, 40, 931-945. (Pubitemid 34786749)
- Burns, G. L., Keortge, S. G., Formea, G. M., & Sternberg, 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). Strength of dysfunctional beliefs in relation to the increased obsessionality. International Journal of Clinical and Health Psychology, 4, 465-479.
- Calamari, J. E., Cohen, R. J., Rector, N. A., Szacun-Shimizu, K., Riemann, B. C., & Norberg, M. M. (2006). Dysfunctional beliefbased obsessive-compulsive disorder subgroups. Behaviour Research and Therapy, 44, 1347-1360. (Pubitemid 44093431)
- Clark, D. A. (2004). Cognitive-behavioral therapy for OCD. New York: Guilford Press.
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York: Academic Press.
- Coles, M. E., & Horng, B. (2006) A prospective study of cognitive vulnerability to obsessive-compulsive disorder. Cognitive Therapy and Research, 30, 723-734. (Pubitemid 44952990)
- Dugas, M. J., Gagnon, F., Ladouceur, R., & Freeston, M. H. (1998). Generalized anxiety disorder: a preliminary test of a conceptual model. Behaviour Research and Therapy, 36, 215-226 (Pubitemid 28234081)
- 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. (Pubitemid 39409593)
- Foa, E. B., Huppert, J.D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., & Salkovskis, P. M. (2002). The ObsessiveCompulsive Inventory: development and validation of a short version. Psychological Assessment, 14, 485-496. (Pubitemid 35440493)
- Frost, R. O., Novara, C., & Rhéaume, J. (2003). Perfectionism in obsessive-compulsive disorder. In Frost, R. O., & Steketee, G. (Eds.). Cognitive approaches to obsessions and compulsions: Theory, assessment and treatment. Oxford: Pergamon.
- Frost, R. O., & Steketee, G. (1997). Perfectionism in obsessivecompulsive disorder patients. Behaviour Research and Therapy, 35, 291-296.
- Fullana, M. A., Tortella-Feliu, M., Caseras, X., Andión, O., Torrubia, B. A. R., & Mataix-Cols, D. (2005). Psychometric properties of the Spanish version of the Obsessive-Compulsive InventoryRevised in a non-clinical simple. Anxiety Disorders 19, 893-903. (Pubitemid 41501546)
- Gerbing, D. W., & Anderson, J. C. (1993). Monte Carlo evaluations of goodness-of-fit indices for structural equation models. In K. A. Bollen and J. S. Long (eds.), Testing structural equation models (pp. 40-65). Newbury Park, CA: Sage.
- Giménez, A., Morillo, C., Belloch, A., Carrió, C., & Cabedo, E. (2004). Creencias disfuncionales asociadas a síntomas obsesivocompulsivos: una aproximación a la especificidad. Revista de Psicopatologia y Psicología Clinica, 9, 1-18.
- Hu, L. T., & Bentler, P. M. (1995). Evaluating model fit. In R. H. Hoyle (Ed.), Structural equation modelling: Concepts, issues, and applications (pp. 76-99). Thousand Oaks, CA: Sage.
- Ibáñez, I., Olmedo, E., Peñate, W., & González, M (2002). Obsesiones y compulsiones: Estructura del Inventario de Padua. International Journal of Clinical & Health Psychology, 2, 263-288.
- Julien, D., O'Connor, K. P., & Aardema, F. (2007) Intrusive thoughts, obsessions, and appraisals in obsessive-compulsive disorder: a critical review. Clinical Psychology Review, 27, 366-383. (Pubitemid 46329873)
- Julien, D., O'Connor, K. P., Aardema, F., & Todorov, C. (2006). The specificity of belief domains in obsessive-compulsive symptom subtypes. Personality and Individual Differences, 41, 1205-1216. (Pubitemid 44340742)
- Kaplan, D. (2000). Structural equation modeling: foundations and extensions. Thousand Oaks, CA: Sage
- Luciano, J. V., Belloch, A., Morillo, C., & Garcia-Soriano, G. (2006). Confirmatory Factor Analysis of the Obsessive Beliefs Inventory-Revised (OBSI-R). EABCT 2006 Congress, Paris.
- Marsh, H. W., Balla, J. R., & Hau, K. T. (1996). An evaluation of incremental fit indices: A clarification of mathematical and empirical properties. In G. A. Marcoulides and R. E. Schumacker (Eds.), Advanced structural equation modeling: Issues and techniques (pp. 315-353). Mahwah, NJ: Erlbaum.
- Mataix-Cols, D., Sanchez-Turet, M., & Vallejo, J. (2002). A Spanish version of the Padua Inventory: Factor structure and psychometric properties. Behavioural and Cognitive Psychotherapy, 30, 25-36. (Pubitemid 34160226)
- Mathews, A. (1990). Why worry? The cognitive function of anxiety. Behaviour Research and Therapy, 28, 455-468.
- McFall, M. E., & Wollersheim, J. P. (1979). Obsessivecompulsive neurosis: A cognitive-behavioral formulation and approach to treatment. Cognitive Therapy and Research, 3, 333-348.
- 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., Belloch, A., & Garcia-Soriano, G. (2007). Clinical obsessions in obsessive-compulsive patients and obsessionrelevant intrusive thoughts in non-clinical, depressed and anxious subjects: Where are the differences?. Behaviour Research and Therapy, 45, 1319-1333. (Pubitemid 46590120)
- Myers, S. G., Fisher, P. L., & Wells, A. (2008). Belief domains of the Obsessive Beliefs Questionnaire-44 (OBQ-44) and their specific relationship with obsessive-compulsive symptoms. Journal of Anxiety Disorders, 22, 475-484.
- 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 the interpretation of intrusions inventory. Behaviour Research and Therapy, 39, 987-1006.
- Obsessive-Compulsive Cognitions Working Group. (2003). Psychometric validation of the Obsessive Beliefs Questionnaire and the Interpretation of Intrusions Inventory: Part I. Behaviour Research and Therapy, 41, 863-878.
- Obsessive-Compulsive Cognitions Working Group. (2005). Psychometric validation of the Obsessive Beliefs Questionnaire and the Interpretation of Intrusions InventoryPart II: Factor analyses and testing of a brief version. Behaviour Research and Therapy, 43, 1527-1542.
- Rachman, S. J. (1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 35, 793-802.
- Rassin, E., Merckelbach, H., Muris, P., & Schmidt, H. (2001). The thought-action fusion scale: further evidence for its reliability and validity. Behaviour Research and Therapy, 39, 537-544. (Pubitemid 32237241)
- Salkovskis, P. M. (1999). Understanding and treating obsessivecompulsive disorder. Behaviour Research and Therapy, 37, 29-52.
- Salkovskis, P. M., Wroe, A. L., Gledhill, A., Morrison, N., Forrester, E., Richards, C., Reynolds, M., & Thorpe, S. (2000). Responsibility attitudes and interpretations are characteristics of obsessive compulsive disorder. Behaviour Research and Therapy, 38, 347-372. (Pubitemid 30089698)
- Sanavio, E. (1988). Obsessions and compulsions: The Padua Inventory. Behaviour Research and Therapy, 26, 169-177.
- Sandin, B., & Chorot, P. (1991). Adaptación española del Penn State Worry Questionnaire. Madrid: UNED.
- Sanz, J., & Vázquez, C. (1998). Fiabilidad, validez y datos normativos del Inventario para la depresión de Beck. Psicothema, 10, 303-318. (Pubitemid 128546114)
- Seisdedos, N. (1988). Cuestionario de Ansiedad Estado-Rasgo. Adaptación española. Madrid: TEA.
- Shafran, R., Thordason, D. S., & Rachman, S. (1996). Thoughtaction fusion in obsessive-compulsive disorder. Journal of Anxiety Disorders, 10, 379-391.
- Sookman, D., & Pinard, J. (2003). Overestimation of threat and intolerance of uncertainty in obsessive-compulsive disorder. In Frost, R.O., & Steketee, G. (Eds.). Cognitive approaches to obsessions and compulsions: Theory, assessment and treatment. Oxford: Pergamon.
- Spielberger, G D., Gorsuch, R. L., & Lushene, R. E. (1970). STAI, Manual for the State-Trait Anxiety Inventory (Self evaluation Questionnaire). Palo Alto, California: Consulting Psychologist Press.
- Taylor, S., Abramowitz, J. S., McKay, D., Calamari, J. E., Sookman, D., Kyrios, M., Wilhelm, S., & Carmin, C. (2006). Do dysfunctional beliefs play a role in all types of obsessivecompulsive disorder? Anxiety Disorders, 20, 85-97. (Pubitemid 41735189)
- Taylor, S., McKay, D., & Abramowitz, J. S. (2005). Hierarchical structure of dysfunctional beliefs in obsessive-compulsive disorder. Cognitive Behaviour Therapy, 34, 216-228. (Pubitemid 43123591)
- Tolin, D. F., Worhunsky, P., & Maltby, N. (2006). Are "obsessive" beliefs specific to OCD?: A comparison across anxiety disorders. Behaviour Research and Therapy, 44, 469-480. (Pubitemid 43220450)
- Vázquez, C., & Sanz, J. (1999). Fiabilidad y validez de la versión española del Inventario para la Depresión de Beck en pacientes con trastornos mentales (Reliability and validity of the Spanish version of the Beck Depression Inventory in patients with psychological disorders). Clínica y Salud, 10, 59-81.
- Woods, C. M., Tolin, D. F., & Abramowitz, J. A. (2004). Dimensionality of the Obsessive Beliefs Questionnaire (OBQ). Journal of Psychopathology and Behavioral Assessment, 26, 113-125.
- Wu, K. D., & Carter, S. A. (2008). Further investigation of the Obsessive Beliefs Questionnaire: factor structure and specificity of relations with OCD symptoms. Journal of Anxiety Disorders, 22, 824-836.
- Yorulmaz, O., Yilmaz, A. E., & Gençöz, T. (2004). Psychometric properties of the thought-action fusion scale in a Turkish sample. Behaviour Research and Therapy, 42, 1203-1214. (Pubitemid 39179913)