Skip to main content
Log in

Preliminary Psychometric Evidence for Distinct Affective and Cognitive Mechanisms Mediating Contamination Aversion

  • Published:
Journal of Psychopathology and Behavioral Assessment Aims and scope Submit manuscript

Abstract

Contamination aversion is implicated in a range of psychological disorders, such as obsessive-compulsive disorder and health anxiety. Despite broad implications, the core mechanisms mediating contamination aversion are mixed and have not clearly been elucidated. The present studies are psychometric investigations of the components of contamination aversion and tests of the different mechanisms that mediate the severity of these components. In Study 1, items from existing measures of contamination aversion were compiled into one measure and administered to a large sample of nonclinical participants (N = 1,286). Exploratory factor analyses demonstrated a two-factor structure, with one factor comprised of items related to intrinsically (direct) contaminated objects and the other factor comprised of items related to extrinsically (indirect) contaminated objects. In Study 2, items were added and confirmatory factor analyses supported a two-factor model in another large nonclinical sample (N = 612). In Study 3 (N = 471), structural modeling demonstrated distinct relations between the two factors and affective and cognitive constructs. Affective constructs related more to aversions toward more directly contaminated objects and situations while cognitive constructs related more to aversions toward more indirectly contaminated objects and situations. The present studies help clarify and articulate the unique roles of cognition and affect in specific contamination aversions, and, as such, have important implications for conceptual modeling of contamination-related psychopathology.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Notes

  1. A list of all items comprising the initial 59-item CAS is available upon request from the first author.

References

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

    Article  PubMed  Google Scholar 

  • Adams, T., Cisler, J., Brady, R., & Lohr, J. (2012). The effects of cognitive and affective priming on law of contagion appraisals. Journal of Experimental Psychopathology, 3, 470–478.

    Article  Google Scholar 

  • Arbuckle, J. L. (2007). AMOS (Version 7) [Computer software]. Chicago: SPSS.

  • Armstrong, T., & Olatunji, B. O. (2010). Orienting and maintenance of gaze in contamination-based OCD: biases for disgust and fear cues. Behavior Research and Therapy 48, 402–408.

    Google Scholar 

  • Burns, G. L., Keortge, S. G., Formea, G. M., & Sternberger, 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.

    Article  PubMed  Google Scholar 

  • Cisler, J. M., & Olatunji, B. O. (2010). Components of attentional biases in contamination fear: evidence for difficulty in disengagement. Behaviour Research and Therapy, 48, 74–78.

    Article  PubMed  Google Scholar 

  • Cisler, J. M., Olatunji, B. O., Sawchuk, C. N., & Lohr, J. M. (2008). Specificity of emotional maintenance processes among contamination fears and blood-injection-injury fears. Journal of Anxiety Disorders, 22, 915–923.

    Article  PubMed  Google Scholar 

  • Cisler, J. M., Olatunji, B. O., & Lohr, J. M. (2009a). Disgust, fear, and the anxiety disorders: a critical review. Clinical Psychology Review, 29, 34–46.

    Article  PubMed  Google Scholar 

  • Cisler, J. M., Olatunji, B. O., & Lohr, J. M. (2009b). Disgust sensitivity and emotion regulation potentiate the effect of disgust propensity on spider fear, blood-injection-injury fear, and contamination fear. Journal of Behavior Therapy and Experimental Psychiatry, 40, 219–229.

    Article  PubMed  Google Scholar 

  • Cisler, J. M., Adams, T. G., Brady, R. E., Bridges, A. J., Lohr, J. M., & Olatunji, B. O. (2010a). Unique affective and cognitive processes in contamination appraisals: implications for contamination fear. Journal of Anxiety Disorders, 25, 28–35.

    Article  Google Scholar 

  • Cisler, J. M., Olatunji, B. O., Feldner, M. T., & Forsyth, J. P. (2010b). Emotion regulation and the anxiety disorders: an integrative review. Journal of Psychopathology and Behavioral Assessment, 32, 68–82.

    Article  Google Scholar 

  • Cisler, J. M., Brady, R. E., Olatunji, B. O., & Lohr, J. M. (2010c). Disgust and obsessive beliefs in contamination-related OCD. Cognitive Therapy and Research 34, 439–448.

    Google Scholar 

  • Clark, D. M. (1986). A cognitive approach to panic. Behaviour Research and Therapy, 24, 461–470.

    Article  PubMed  Google Scholar 

  • Cougle, J. R., Wolitzky-Taylor, K. B., Lee, H., & Telch, M. J. (2007). Mechanisms of change in ERP treatment of compulsive hand washing: does primary threat make a difference? Behaviour Research and Therapy, 45, 1449–1459.

    Article  PubMed  Google Scholar 

  • Cudeck, R. (2000). Exploratory factor analysis. In H. E. A. Tinsley & S. D. Brown (Eds.), Handbook of applied multivariate statistics and mathematical modeling (pp. 265–296). San Diego: Academic.

    Chapter  Google Scholar 

  • Curtis, V., Aunger, R., & Rabie, T. (2004). Evidence that disgust evolved to protect from risk of disease. Proceedings of the Royal Society of London, Series B: Biological Sciences, 271, 131–133.

    Article  Google Scholar 

  • Deacon, B., & Olatunji, B. O. (2007). Specificity of disgust sensitivity in the prediction of behavioral avoidance in contamination fear. Behaviour Research and Therapy, 45, 2110–2120.

    Article  PubMed  Google Scholar 

  • Denys, D., de Geus, F., van Megen, H. J. G. M., & Westenberg, H. G. M. (2004). Symptom dimensions in obsessive-compulsive disorder: factor analysis on a clinician-rated scale and a self-report measure. Psychopathology, 37, 181–189.

    Article  PubMed  Google Scholar 

  • Duncan, L. A., Schaller, M., & Park, J. H. (2009). Perceived vulnerability to disease: development and validation of a 15-item self-report instrument. Personality and Individual Differences, 47, 541–546.

    Article  Google Scholar 

  • Floyd, F. J., & Widaman, K. F. (1995). Factor analysis in the development and refinement of clinical assessment instruments. Psychological Assessment, 7, 286–299.

    Article  Google Scholar 

  • Foa, E. B., Kozak, M. J., Salkovskis, P. M., Coles, M. E., & Amir, N. (1998). The validation of a new obsessive-compulsive scale: the obsessive-compulsive inventory. Psychological Assessment, 10, 206–214.

    Article  Google Scholar 

  • Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., et al. (2002). The obsessive-compulsive inventory: development and validation of a short version. Psychological Assessment, 14, 485–496.

    Article  PubMed  Google Scholar 

  • Fornell, C., & Larcker, F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18, 39–50.

    Article  Google Scholar 

  • Frazer, J. G. (1922). The golden bough. New York: Macmillan. Bartleby.com, 2000. www.bartleby.com/196/.

    Google Scholar 

  • Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., et al. (1989). The yale-brown obsessive compulsive scale. I. Development, use, and reliability. Archives of General Psychiatry, 46, 1006–1011.

    Article  PubMed  Google Scholar 

  • Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 36, 41–54.

    Google Scholar 

  • Gross, J. J. (1998). The emerging field of emotion regulation: an integrative review. Review of General Psychology, 2, 271–299.

    Article  Google Scholar 

  • Gross, J. J. (1999). Emotion regulation: past, present, future. Cognition and Emotion, 13, 551–573.

    Article  Google Scholar 

  • Haidt, J., McCauley, C., & Rozin, P. (1994). Individual differences in sensitivity to disgust: A scale sampling seven domains of disgust elicitors. Personality and Individual Differences, 16, 701–713.

    Google Scholar 

  • Hodgson, R., & Rachman, S. (1977). Obsessional compulsive complaints. Behaviour Research and Therapy, 15, 389–395.

    Article  PubMed  Google Scholar 

  • Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.

    Google Scholar 

  • Jones, M. K., & Menzies, R. G. (1997). The cognitive mediation of obsessive–compulsive handwashing. Behaviour Research and Therapy, 35, 843–850.

    Article  PubMed  Google Scholar 

  • Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: Guilford Press.

    Google Scholar 

  • Laposa, J. M., & Rector, N. A. (2009). Cognitive bias to symptom and obsessive belief threat cues in obsessive-compulsive disorder. The Journal of Nervous and Mental Disease, 197, 599–605.

    Article  PubMed  Google Scholar 

  • McKay, D., & Moretz, M. W. (2009). The intersection of disgust and contamination fear. In B. Olatunji & D. Mckay (Eds.), Disgust and its disorders: Theory, assessment, and treatment implications (pp. 211–227). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • McKay, D., & Tsao, S. D. (2005). A treatment most foul: handling disgust in cognitive-behavior therapy. Journal of Cognitive Psychotherapy, 19, 355–367.

    Article  Google Scholar 

  • Moretz, M. W., & Mckay, D. (2008). Disgust sensitivity as a predictor of obsessive-compulsive contamination sympotoms and associated cognitions. Journal of Anxiety Disorders, 22, 707–715.

    Article  PubMed  Google Scholar 

  • Nemeroff, C., & Rozin, P. (1994). The contagion concept in adult thinking in the United States: transmission of germs and of interpersonal influence. Ethos, 22, 158–186.

    Article  Google Scholar 

  • Oaten, M., Stevenson, R. J., & Case, T. I. (2009). Disgust as a disease-avoidance mechanism. Psychological Bulletin, 135, 303–321.

    Article  PubMed  Google Scholar 

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

    Article  Google Scholar 

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

    Article  Google Scholar 

  • Ochsner, K. N., & Gross, J. J. (2008). Cognitive emotion regulation: insights from social cognitive and affective neuroscience. Current Directions in Psychological Science, 17, 153–158.

    Article  Google Scholar 

  • Olatunji, B. O., & Broman-Fulks, J. J. (2009). Latent structure of aversion: taxometric exploration. Journal of Anxiety Disorders, 23, 87–92.

    Article  PubMed  Google Scholar 

  • Olatunji, B. O., & McKay, D. (2007). Disgust and psychiatric illness: have we remembered? The British Journal of Psychiatry, 190, 457–459.

    Article  PubMed  Google Scholar 

  • Olatunji, B. O., & Sawchuk, C. N. (2005). Disgust: characteristic features, social manifestations, and clinical implications. Journal of Social and Clinical Psychology, 24, 932–962.

    Article  Google Scholar 

  • Olatunji, B. O., Sawchuk, C. N., Lohr, J. M., & de Jong, P. J. (2004). Disgust domains in the prediction of contamination fear. Behaviour Research and Therapy, 42, 93–104.

    Article  PubMed  Google Scholar 

  • Olatunji, B. O., Lohr, J. M., Sawchuk, C. N., & Tolin, D. F. (2007). Multimodal assessment of disgust in contamination-related obsessive-compulsive disorder. Behaviour Research and Therapy, 45, 263–276.

    Article  PubMed  Google Scholar 

  • Olatunji, B. O., Williams, N., Lohr, J. M., Connolly, K., Cisler, J., & Meunier, S. (2007). Structural differentiation of disgust from trait anxiety in the prediction of specific anxiety disorder symptoms. Behaviour Research and Therapy, 45, 3002–3017.

    Article  PubMed  Google Scholar 

  • Olatunji, B. O., Williams, N. L., Tolin, D. F., Abramowitz, J. S., Sawchuk, C. N., Lohr, J. M., et al. (2007). The disgust scale: item analysis, factor structure, and suggestions for refinement. Psychological Assessment, 19, 281–297.

    Article  PubMed  Google Scholar 

  • Olatunji, B. O., Cisler, J., McKay, D., & Phillips, M. L. (2010). Is disgust associated with psychopathology? Emerging research in the anxiety disorders. Psychiatry Research, 175, 1–10.

    Article  PubMed  Google Scholar 

  • Rachman, S. (2004). Fear of contamination. Behavior Research and Therapy, 42, 1227–1255.

    Article  Google Scholar 

  • Rachman, S. (2006). Fear of contamination: Assessment and treatment. New York: Oxford University Press Inc.

    Google Scholar 

  • Radomsky, A., & Rachman, S. (1999). Memory bias in obsessive-compulsive disorder (OCD). Behavior Research and Therapy, 37, 605–618.

    Article  Google Scholar 

  • Rozin, P., & Fallon, A. E. (1987). A perspective on disgust. Psychological Review, 94, 23–41.

    Article  PubMed  Google Scholar 

  • Rozin, P., Haidt, J., McCauley, C., Dunlop, L., & Ashmore, M. (1999). Individual differences in disgust sensitivity: comparisons and evaluations of paper-and-pencil versus behavioral measures. Journal of Research in Personality, 33, 330–351.

    Article  Google Scholar 

  • Sanavio, E. (1988). Obsessions and compulsions: the Padua Inventory. Behaviour Research and Therapy, 26, 169–177.

    Article  PubMed  Google Scholar 

  • Siegal, M., Fadda, R., & Overton, P. G. (2011). Contamination sensitivity and the development of disease-avoidant behaviour. Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences, 366, 3427–3432.

    Article  PubMed  Google Scholar 

  • Stopa, L., & Clark, D. M. (1993). Cognitive processes in social phobia. Behaviour Research and Therapy, 31, 255–267.

    Article  PubMed  Google Scholar 

  • Taylor, S., Zvolensky, M., Cox, B., Deacon, B., Heimberg, R., Ledley, D., et al. (2007). Robust dimensions of anxiety sensitivity: development and initial validation of the Anxiety Sensitivity Index—3. Psychological Assessment, 19, 176–188.

    Article  PubMed  Google Scholar 

  • Thordarson, D. S., Radomsky, A. S., Rachman, S., Shafran, R., Sawchuk, C. N., & Hakstian, R. A. (2004). The Vancouver Obsessional Compulsive Inventory (VOCI). Behaviour Research and Therapy, 42, 1289–1314.

    Article  PubMed  Google Scholar 

  • Tolin, D. F., Woods, C. M., & Abramowitz, J. S. (2003). Relationship between obsessive beliefs and obsessive-compulsive symptoms. Cognitive Therapy and Research, 27, 657–669.

    Article  Google Scholar 

  • Tolin, D. F., Worhunsky, P., & Maltby, N. (2004). Sympathetic magic in contamination-related OCD. Journal of Behavior Therapy and Experimental Psychiatry, 35, 193–205.

    Article  PubMed  Google Scholar 

  • Tolin, D. F., Brady, R. E., & Hannan, S. (2008). Obsessional beliefs and symptoms of obsessive-compulsive disorder in a clinical sample. Journal of Psychopathology and Behavioral Assessment, 30, 31–42.

    Article  Google Scholar 

  • Toronchuk, J. A., & Ellis, G. F. R. (2007). Disgust: sensory affect or primary emotional system. Cognition and Emotion, 21, 1799–1818.

    Article  Google Scholar 

  • Tsao, S. D., & Mckay, D. (2004). Behavioral avoidance tests and disgust in contamination fears: distinctions from trait anxiety. Behaviour Research and Therapy, 42, 207–216.

    Article  PubMed  Google Scholar 

  • van Overveld, W. J. M., de Jong, P. J., Peters, M. L., Cavanagh, K., & Davey, G. C. L. (2006). Disgust propensity and disgust sensitivity: separate constructs that are differentially related to specific fears. Personality and Individual Differences, 41, 1241–1252.

    Article  Google Scholar 

  • Wells, A. (1995). Meta-cognition and worry: a cognitive model of generalized anxiety disorder. Behavioural and Cognitive Psychotherapy, 23, 301–320.

    Article  Google Scholar 

  • Woody, S. R., & Teachman, B. A. (2000). Intersection of disgust and fear: normative and pathological views. Clinical Psychology: Science and Practice, 7, 291–311.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Thomas G. Adams.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Adams, T.G., Cisler, J.M., Brady, R.E. et al. Preliminary Psychometric Evidence for Distinct Affective and Cognitive Mechanisms Mediating Contamination Aversion. J Psychopathol Behav Assess 35, 375–388 (2013). https://doi.org/10.1007/s10862-013-9343-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10862-013-9343-8

Keywords

Navigation