Excessive Reassurance Seeking and Cognitive Confidence in Obsessive-Compulsive Disorder
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Repeatedly questioning others about perceived threats, or excessive reassurance seeking (ERS), occurs across various psychiatric disorders, including obsessive-compulsive disorder (OCD; Parrish 2009). Three ERS domains have been consistently identified: ERS in response to general, decision-related, and social threats. We sought to examine whether (1) specific ERS domains are common in OCD, (2) ERS correlates with OCD symptom severity, (3) ERS levels impact the likelihood of having primary checking compulsions, and (4) ERS correlates with cognitive confidence. Participants were OCD patients (n = 35) and non-psychiatric controls (n = 34) who completed diagnostic and/or self-report measures. OCD patients reported significantly greater ERS than controls across all domains. ERS correlated positively with symptom severity. High decision-related ERS was found to increase the likelihood of checking as a primary symptom. Decision-related ERS correlated negatively with decision-making confidence and overall cognitive confidence. These findings greatly enhance our understanding of ERS in OCD. Implications for psychological interventions are discussed.
KeywordsExcessive reassurance seeking Obsessive-compulsive disorder Cognitive confidence Decision-making confidence
- Banca, P., Vestergaard, M. D., Rankov, V., Baek, K., Mitchell, S., Lapa, T., et al. (2015). Evidence accumulation in obsessive-compulsive disorder: the role of uncertainty and monetary reward on perceptual decision-making thresholds. Neuropsychopharmacology, 40(5), 1192–1202.CrossRefPubMedPubMedCentralGoogle Scholar
- Beck, A. T., & Steer, R. A. (1993). Beck anxiety inventory manual. San Antonio: The Psychological Corporation.Google Scholar
- First, M. B., Spitzer, R. L., & Gibbon, M. (1996). Structured clinical interview for DSM-IV axis I disorders, clinical version (SCID-CV). Washington, DC: American Psychiatric Press, Inc..Google Scholar
- First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2014). Structured clinical interview for DSM-5 disorders–research version (SCID-5-RV). Arlington: American Psychiatric Association.Google Scholar
- Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Sydney: Psychology Foundation.Google Scholar
- Nie, N. H., Bent, D. H., & Hull, C. H. (1970). SPSS: statistical package for the social sciences. New York: McGraw-Hill.Google Scholar
- Parrish, C. L. (2009). An investigation of excessive reassurance seeking in OCD. (Doctoral Dissertation). Department of Psychology, Concordia University. Retrieved from http://ezproxy.nottingham.ac.uk/login??url, http://search.proquest.com/docview/607047743?accountid=8018\n, http://sfx.nottingham.ac.uk/sfx_local/?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&genre=dissertations+&+theses&sid=ProQ:ProQuest.
- Rector, N. A., Katz, D., Quilty, L. C., Laposa, J. M., Collimore, K., & Kay, T. (2018). Reassurance seeking in the anxiety disorders: Psychometric validation and treatment sensitivity. Manuscript in preparation.Google Scholar
- Sheehan, D. V. (2014). The Mini-International Neuropsychiatric Interview, Version 7.0 for DSM-5 (M.I.N.I. 7.0). Medical Outcomes Systems Inc.Google Scholar
- Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The Mini-International Neuropsychiatric Interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(Suppl 20), 22–33.PubMedGoogle Scholar
- Shin, N. Y., Lee, T. Y., Kim, E., & Kwon, J. S. (2013). Cognitive functioning in obsessive-compulsive disorder: a meta-analysis. Psychological Medicine, 44(6), 1121–1130.Google Scholar