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The relationship between symptom dimensions and cognitive features in obsessive compulsive disorder

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Abstract

In this study, it was aimed to determine the cognitive differences specific to symptom dimensions of obsessive-compulsive disorder (OCD) and investigate the relationship between symptom dimensions and cognitive features. The study included 100 OCD patients and 100 controls who applied to the Psychiatry Clinic of Diskapi Training and Research Hospital. Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Dimensional Obsession Compulsion Scale (DOCS), Anxiety Sensitivity Index-3 (ASI-3), Obsessive Beliefs Questionnaire-44 (OBQ-44), Cognitive Fusion Questionnaire (CFQ) was used to evaluate the patients. A significant positive correlation between DOCS contamination and other cognitive features except ASI-physical and ASI-social. A significant positive correlation was found between all other sub-dimensions and all cognitive features examined. In the hierarchical regression analysis, ASI-cognitive and OBQ-responsibility for DOCS-harm avoidance; ASI-cognitive, OBQ-responsibility, CFQ for DOCS-unacceptable thoughts; ASI-cognitive, and CFQ for DOCS-symmetry were found to be a significant predictor. Our results were shown that some cognitive features were more closely related to some symptom dimensions and even predicted symptom dimensions.

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Data Availability

The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

Our study obtained the approval of the Diskapi Training and Research Hospital Ethics Committee (55/17 approval number).

References

  • Abbott, M. J., & Rapee, R. M. (2004). Post-event rumination and negative self-appraisal in social phobia before and after treatment. Journal of Abnormal Psychology, 113(1), 136.

    Article  PubMed  Google Scholar 

  • Abramowitz, J. S., Deacon, B. J., Olatunji, B. O., Wheaton, M. G., Berman, N. C., Losardo, D., … Hale, L. R. (2010). Assessment of obsessive-compulsive symptom dimensions: Development and evaluation of the dimensional obsessive-compulsive scale. Psychological Assessment, 22(1), 180–198.

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-V). Arlington, VA. P. 237–238.

  • Batum Panayirci, P. (2012). Perceived parental rearing styles, Metacognitive Beliefs, Obsessive Beliefs and Thought Control Strategies As Predictors of Obsessive Compulsive Symptoms: Test Of A Metacognitive Model, Ph.D. Dissertation, Ankara.

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893–897.

    Article  PubMed  Google Scholar 

  • Brakoulias, V., Starcevic, V., Berle, D., Milicevic, D., Hannan, A., & Martin, A. (2014). The relationship between obsessive-compulsive symptoms and cognitions in obsessivecompulsive disorder. Psychiatric Quarterly, 85, 133–142.

    Article  PubMed  Google Scholar 

  • De Berardis, D., Fornaro, M., Valchera, A., Cavuto, M., Perna, G., Di Nicola, M., ... & Tomasetti, C. (2018). Eradicating suicide at its roots: Preclinical bases and clinical evidence of the efficacy of ketamine in the treatment of suicidal behaviors. International Journal of Molecular Sciences, 19(10), 2888.

  • Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319–345.

    Article  PubMed  Google Scholar 

  • Emmelkamp, P. M. G., & Aardema, A. (1999). Metacognition, specific obsessive compulsive beliefs and obsessive-compulsive behaviour. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice., 6(2), 139–145.

    Article  Google Scholar 

  • Ferrari, J. R. (1995). Perfectionism cognitions with nonclinical and clinical samples. Journal of Social Behavior and Personality, 10, 143–156.

    Google Scholar 

  • Freeston, M. H., Ladouceur, R., Rhéaume, J., Letarte, H., Gagnon, F., & Thibodeau, N. (1994). Self-report of obsessions and worry. Behaviour Research and Therapy, 32(1), 29–36.

    Article  PubMed  Google Scholar 

  • Freeston, M. H., Rhéaume, J., & Ladouceur, R. (1996). Correcting faulty appraisals of obsessional thoughts. Behaviour Research and Therapy, 34(5–6), 433–446.

    Article  PubMed  Google Scholar 

  • Fresco, D. M., Frankel, A. N., Mennin, D. S., Turk, C. L., & Heimberg, R. G. (2002). Distinct and overlapping features of rumination and worry: The relationship of cognitive production to negative affective states. Cognitive Therapy and Research, 26(2), 179–188.

    Article  Google Scholar 

  • Gillanders, D. T., Bolderston, H., Bond, F. W., Dempster, M., Flaxman, P. E., Campbell, L., ... Remington, B. (2014). The development and initial validation of the cognitive fusion questionnaire. Behavior Therapy, 45(1), 83–101.

  • Hellberg, S. N., Buchholz, J. L., Twohig, M. P., & Abramowitz, J. S. (2020). Not just thinking, but believing: Obsessive beliefs and domains of cognitive fusion in the prediction of OCD symptom dimensions. Clinical Psychology & Psychotherapy, 27(1), 69–78.

    Article  Google Scholar 

  • Julien, D., O’Connor, K. P., Aardema, F., & Todorov, C. (2006). The specificity of belief domains in obsessive-compulsive disorder. Personality and Individual Differences, 41, 1205–1216.

    Article  Google Scholar 

  • Karno, M., Golding, J. M., Sorenson, S. B., & Burnam, M. A. (1988). The epidemiology of obsessive-compulsive disorder in five US communities. Archives of General Psychiatry, 45(12), 1094–1099.

    Article  PubMed  Google Scholar 

  • Konkan, R., Şenormancı, Ö., Güçlü, O., Aydın, E., & Sungur, M. Z. (2012). Obsessive compulsive disorder and obsessive beliefs. Anatolian Journal of Psychiatry, 13(2).

  • Mataix-Cols, D., Rosario-Campos, M. C., & Leckman, J. F. (2005). A multidimensional model of obsessive-compulsive disorder. American Journal of Psychiatry, 162(2), 228–238.

    Article  PubMed  Google Scholar 

  • McKay, D., Abramowitz, J. S., Calamari, J. E., Kyrios, M., Radomsky, A. S., Sookman, D., … Wilhelm, S. (2004). A critical evaluation of obsessive-compulsive disorder subtypes: Symptoms versus mechanisms. Clinical Psychology Review, 24(3), 283–313.

  • Melli, G., Aardema, F., & Moulding, R. (2016). Fear of self and unacceptable thoughts in obsessive–compulsive disorder. Clinical Psychology & Psychotherapy, 23(3), 226–235.

    Article  Google Scholar 

  • Mowrer, O. H. (1960). Learning theory and behaviour. Wiley.

    Book  Google Scholar 

  • Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 77(5), 1061–1072.

    Article  Google Scholar 

  • Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3(5), 400–424.

    Article  PubMed  Google Scholar 

  • Obsessive Compulsive Cognitions Working Group. (1997). Cognitive assessment of obsessive-compulsive disorder. Behaviour Research and Therapy, 35(7), 667–681.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Obsessive Compulsive Cognitions Working Group. (2005). Psychometric validation of the obsessive belief questionnaire and interpretation of intrusions inventory–part 2: Factor analyses and testing of a brief version. Behaviour Research and Therapy, 43(11), 1527–1542.

    Article  Google Scholar 

  • Poli, A., Melli, G., Ghisi, M., Bottesi, G., & Sica, C. (2017). Anxiety sensitivity and obsessive-compulsive symptom dimensions: Further evidence of specific relationships in a clinical sample. Personality and Individual Differences, 109, 130–136.

    Article  Google Scholar 

  • Pompili, M., Rihmer, Z., Akiskal, H., Amore, M., Gonda, X., Innamorati, M., ... & Girardi, P. (2012). Temperaments mediate suicide risk and psychopathology among patients with bipolar disorders. Comprehensive Psychiatry, 53(3), 280–285.

  • Rachman, S. J., Hodgson, R., & Marks, I. M. (1971). The treatment of chronic obsessive–compulsive neurosis. Behaviour Research and Therapy, 9, 237–247.

    Article  PubMed  Google Scholar 

  • Raines, A. M., Oglesby, M. E., Capron, D. W., & Schmidt, N. B. (2014). Obsessive compulsive disorder and anxiety sensitivity: Identification of specific relations among symptom dimensions. Journal of Obsessive-Compulsive and Related Disorders, 3(2), 71–76.

    Article  Google Scholar 

  • Raines, A. M., Vidaurri, D. N., Portero, A. K., & Schmidt, N. B. (2017). Associations between rumination and obsessive-compulsive symptom dimensions. Personality and Individual Differences, 113, 63–67.

    Article  Google Scholar 

  • Reuman, L., Jacoby, R. J., & Abramowitz, J. S. (2016). Cognitive fusion, experiential avoidance, and obsessive beliefs as predictors of obsessive-compulsive symptom dimensions. International Journal of Cognitive Therapy, 9(4), 313–326.

    Article  Google Scholar 

  • Reuman, L., Buchholz, J., & Abramowitz, J. S. (2018). Obsessive beliefs, experiential avoidance, and cognitive fusion as predictors of obsessive-compulsive disorder symptom dimensions. Journal of Contextual Behavioral Science, 9, 15–20.

    Article  Google Scholar 

  • Rhéaume, J., Freeston, M. H., Dugas, M. J., Letarte, H., & Ladouceur, R. (1995). Perfectionism, responsibility and obsessive-compulsive symptoms. Behaviour Research and Therapy, 33(7), 785–794.

    Article  PubMed  Google Scholar 

  • Skoog, G., & Skoog, I. (1999). A 40-year follow-up of patients with obsessive-compulsive disorder. Archives of General Psychiatry, 56(2), 121–127.

    Article  PubMed  Google Scholar 

  • Taylor, S. (Ed.). (2014). Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety. Routledge.

    Google Scholar 

  • Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., ... Cardenas, S. J. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the anxiety sensitivity Index-3. Psychological Assessment, 19(2), 176–188.

  • Tolin, D. F., Worhunsky, P., & Maltby, N. (2006). Are “obsessive” beliefs specific to OCD?: A comparison across anxiety disorders. Behaviour Research and Therapy, 44(4), 469–480.

    Article  PubMed  Google Scholar 

  • Tukel, R., Polat, A., Ozdemir, O., Aksut, D., & Turksoy, N. (2002). Comorbid conditions in obsessive-compulsive disorder. Comprehensive Psychiatry, 43(3), 204–209.

    Article  PubMed  Google Scholar 

  • Tumkaya, S., Karadag, F., & Oguzhanoglu, N. K. (2015). Relationship between obsessive beliefs and symptoms in patients with obsessive compulsive disorder. Archives of Neuropsychiatry, 52, 54–58.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wahl, K., Ertle, A., Bohne, A., Zurowski, B., & Kordon, A. (2011). Relations between a ruminative thinking style and obsessive–compulsive symptoms in non-clinical samples. Anxiety, Stress, and Coping, 24(2), 217–225.

    Article  PubMed  Google Scholar 

  • Watkins, E. R., Scott, J., Wingrove, J., Rimes, K., Bathurst, N., Steiner, H., ... Malliaris, Y. (2007). Rumination-focused cognitive behaviour therapy for residual depression: A case series. Behaviour Research and Therapy, 45(9), 2144–2154.

  • Wheaton, M. G., Abramowitz, J. S., Berman, N. C., Riemann, B. C., & Hale, L. R. (2010). The relationship between obsessive beliefs and symptom dimensions in obsessive compulsive disorder. Behaviour Research and Therapy, 48(10), 949–954.

    Article  PubMed  Google Scholar 

  • Wheaton, M. G., Deacon, B. J., McGrath, P. B., Berman, N. C., & Abramowitz, J. S. (2012a). Dimensions of anxiety sensitivity in the anxiety disorders: Evaluation of the ASI-3. Journal of Anxiety Disorders, 26(3), 401–408.

    Article  PubMed  Google Scholar 

  • Wheaton, M. G., Mahaffey, B., Timpano, K. R., Berman, N. C., & Abramowitz, J. S. (2012b). The relationship between anxiety sensitivity and obsessive-compulsive symptom dimensions. Journal of Behavior Therapy and Experimental Psychiatry, 43(3), 891–896.

    Article  PubMed  Google Scholar 

  • Wu, K. D., & Cortesi, G. T. (2009). Relations between perfectionism and obsessive–compulsive symptoms: Examination of specificity among the dimensions. Journal of Anxiety Disorders, 23(3), 393–400.

    Article  PubMed  Google Scholar 

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Funding

The authors did not receive support from any organization for the submitted work.

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Authors and Affiliations

  1. Departmant of Psychiatry, SBU Diskapi Yildirim Beyazit Research and Teaching Hospital, 06110, Ankara, Turkey

    Basak Sahin

  2. Departmant of Psychiatry, SBU Diskapi Yildirim Beyazit Research and Teaching Hospital, Ankara, Turkey

    Yasir Safak & Kadir Ozdel

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  1. Basak Sahin
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  2. Yasir Safak
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Contributions

Basak Sahin: Conceptualization, Methodology, Resources, Investigation, Writing- Original draft preparation.

Yasir Safak: Conceptualization, Methodology, Data curation, Software, Formal analysis, Rewiev.

Kadir Ozdel: Conceptualization, Supervision, Software, Validation, Project administration, Editing.

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Correspondence to Basak Sahin.

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Sahin, B., Safak, Y. & Ozdel, K. The relationship between symptom dimensions and cognitive features in obsessive compulsive disorder. Curr Psychol 42, 13288–13300 (2023). https://doi.org/10.1007/s12144-021-02540-7

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