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Cognitive Therapy and Research

, Volume 39, Issue 1, pp 41–50 | Cite as

Metacognition, Responsibility, and Perfectionism in Obsessive–Compulsive Disorder

  • Torun Grøtte
  • Stian Solem
  • Patrick A. Vogel
  • Ismail Cüneyt Güzey
  • Bjarne Hansen
  • Samuel G. Myers
Original Article

Abstract

In Wells’ (1997) metacognitive model of obsessive–compulsive disorder (OCD), two types of metacognitive beliefs are considered central: thought-fusion beliefs and beliefs about rituals. According to the model, non-metacognitive beliefs such as responsibility and perfectionism, linked to OCD in other theories, are by-products of the perseverative thinking and behaviors (the cognitive attentional syndrome) activated by metacognitive beliefs. If this is the case, changes in metacognition should be a better independent predictor of changes in obsessive–compulsive symptoms following treatment than changes in non-metacognitive beliefs. This study aimed to test this in a sample of 108 in-patients with OCD, who completed an intensive (3 weeks) multimodal treatment package consisting of behavioral, cognitive, and metacognitive ingredients. Results indicated that obsessive–compulsive symptoms, cognitive, and metacognitive beliefs were significantly reduced during treatment, and treatment responders had larger reductions in these beliefs than non-responders. Metacognitive belief change emerged as a better independent predictor of recovery than cognitive belief change. These results add to the growing body of empirical support for the importance of metacognitions in OCD.

Keywords

Metacognition Obsessive–compulsive disorder Perfectionism Responsibility 

Notes

Conflict of Interest

Torun Grøtte, Stian Solem, Patrick A. Vogel, Ismail Cüneyt Güzey, Bjarne Hansen, and Samuel G. Myers declare that they have no conflict of interest.

Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study.

Animal Rights

No animal studies were carried out by the authors for this article.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Torun Grøtte
    • 1
  • Stian Solem
    • 2
    • 3
  • Patrick A. Vogel
    • 2
  • Ismail Cüneyt Güzey
    • 3
    • 4
  • Bjarne Hansen
    • 5
    • 6
  • Samuel G. Myers
    • 7
  1. 1.St. Olav University HospitalTrondheimNorway
  2. 2.Department of PsychologyNorwegian University of Science and TechnologyTrondheimNorway
  3. 3.Division of Psychiatry, Department of Research and DevelopmentSt. Olav University HospitalTrondheimNorway
  4. 4.Department of Neuroscience, Faculty of MedicineNorwegian University of Science and TechnologyTrondheimNorway
  5. 5.Department of PsychiatryHaukeland University HospitalBergenNorway
  6. 6.Faculty of PsychologyUniversity of BergenBergenNorway
  7. 7.Hadassah University HospitalJerusalemIsrael

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