The contribution of inferential confusion and fear of self to psychological models of obsessive-compulsive symptoms: A dimensional approach

IF 1.9 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2024-04-01 DOI:10.1016/j.jocrd.2024.100875

Nicholas S. Myers , Emily K. Juel , Joseph B. Friedman , Heidi J. Ojalehto , Maya E. Tadross , Chase M. DuBois , Amitai Abramovitch , Dean McKay , Jonathan S. Abramowitz

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Abstract

Current psychological models of obsessive-compulsive disorder account for a surprisingly small degree of variability in obsessive-compulsive (OC) symptoms in statistical models. The current study examined whether constructs from the inference-based approach to OCD (i.e., inferential confusion and fear of self) explain OC symptom dimensions above and beyond what is explained by the prevailing cognitive appraisal model. Undergraduate participants (N = 339) completed a battery of self-report questionnaires assessing OC symptoms, obsessive beliefs, inferential confusion, and fear of self. Results revealed that both psychological models together accounted for about one quarter of the variance in OC symptoms. The inference-based approach concepts most closely aligned with responsibility, symmetry, and unacceptable thoughts, and added explanatory value to appraisal models of these symptom domains. Limitations and future directions are discussed.

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推理混乱和自我恐惧对强迫症状心理模型的贡献：维度方法

目前的强迫症心理学模型在统计模型中对强迫症（OC）症状变异性的解释程度之小令人惊讶。本研究考察了基于推理的强迫症方法（即推理混乱和对自我的恐惧）中的建构物是否能解释超出主流认知评估模型所能解释的强迫症症状维度。本科生参与者（N = 339）完成了一系列自我报告问卷，评估强迫症症状、强迫观念、推理混乱和自我恐惧。结果显示，两种心理模型加在一起约占 OC 症状变异的四分之一。基于推理的方法概念与责任感、对称性和不可接受的想法最为接近，为这些症状领域的评估模型增加了解释价值。本文讨论了研究的局限性和未来发展方向。

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来源期刊

Journal of Obsessive-Compulsive and Related Disorders PSYCHIATRY-

CiteScore

4.00

自引率

5.60%

发文量

审稿时长

47 days

期刊介绍： Journal of Obsessive-Compulsive and Related Disorders (JOCRD) is an international journal that publishes high quality research and clinically-oriented articles dealing with all aspects of obsessive-compulsive disorder (OCD) and related conditions (OC spectrum disorders; e.g., trichotillomania, hoarding, body dysmorphic disorder). The journal invites studies of clinical and non-clinical (i.e., student) samples of all age groups from the fields of psychiatry, psychology, neuroscience, and other medical and health sciences. The journal''s broad focus encompasses classification, assessment, psychological and psychiatric treatment, prevention, psychopathology, neurobiology and genetics. Clinical reports (descriptions of innovative treatment methods) and book reviews on all aspects of OCD-related disorders will be considered, as will theoretical and review articles that make valuable contributions. Suitable topics for manuscripts include: -The boundaries of OCD and relationships with OC spectrum disorders -Validation of assessments of obsessive-compulsive and related phenomena -OCD symptoms in diverse social and cultural contexts -Studies of neurobiological and genetic factors in OCD and related conditions -Experimental and descriptive psychopathology and epidemiological studies -Studies on relationships among cognitive and behavioral variables in OCD and related disorders -Interpersonal aspects of OCD and related disorders -Evaluation of psychological and psychiatric treatment and prevention programs, and predictors of outcome.