Acta Medica Iranica 2015. 53(5):301-310.

A comparative study of obsessive beliefs in obsessive-compulsive disorder, anxiety disorder patients and a normal group.
Giti Shams, Irena Milosevic

Abstract


Cognitive models of obsessive-compulsive disorder (OCD) posit that specific kinds of dysfunctional beliefs underlie the development of this disorder. The aim of present study was to determine whether these beliefs are endorsed more strongly by OCD patients than by those with other anxiety disorders and by community samples. A battery of questionnaires, including the OBQ-44, MOCI, BDI-II, BAI, STAI, used to assess obsessive-compulsive symptoms, depression and anxiety in 39 OCD patients (OC), 46 anxious patients (AC) and 41 community controls (CC). Compared to CCs and ACs, OC patients more strongly endorsed beliefs related to importance and control of thoughts. Both OC and AC patients scored higher than CC participants did on belief domains about responsibility/threat estimation and perfectionism/certainty. Therefore, the domain that seems to be specific to OCD is a set of beliefs that revolves around the contention that it is possible and necessary to control one's thoughts. Results regarding group differences on particular items of the OBQ-44 indicated that 21 items discriminated between the OC and CC groups and 7 items discriminated between the OC and AC groups, suggesting that these items are more specific to the OC group. Additional research warranted because it is plausible that these cognitive factors relate differently to OCD phenomena across different cultures.

Keywords


Obsessive-compulsive disorder; PersianOBQ-44: Cognition; Beliefs

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References


Foa EB, Huppert JD, Leiberg S, et al. The Obsessive- Compulsive Inventory: Development and validation short version. Psycholol Assess 2000;14(4):485-96.

McKay D, Abramowitz J, Calamari J, et al. A critical valuation of obsessive-compulsive disorder subtypes: Symptoms versus mechanisms. Clin Psychol Rev 2004; 24(3):283-313.

Salkovskis PM. Obsessional-compulsive problems: A cognitive-behavioral analysis. Behav Res Ther 1985; 23(5):571-83.

Salkovskis PM, Westbrook D. Behavior therapy, and obsessional ruminations: Can failure be turned into success? Behav Res Ther 1989;27(2):149-60.

Taylor S, Kyrios M, Thordarson DS, et al. Development and validation of instruments for measuring intrusions and beliefs in obsessive compulsive disorder. In: Frost RO, Steketee G, editors. Cognitive approaches to obsessions and compulsions: Theory, research, and treatment. 1st ed. Oxford, UK: Elsevier; 2002: p. 117-37.

Rachman S. A cognitive theory of obsessions. Behve Res Ther 1997; 36(4):385-401.

Rachman SJ, Hodgson R J, editors. Obsessions and compulsions (Century psychology series). 1st ed. New Jersey: Prentice Hall, Inc; 1980: p.

Obsessive Compulsive Cognitions Working Group. Cognitive assessment of obsessive-Compulsive disorder. Behav Res Ther 1997; 35(7):667-81.

Obsessive Compulsive Cognitions Working Group. Development and initial validation of the Obsessive Beliefs Questionnaire and the Interpretation of Intrusions Inventory. Behve Res Ther 2001;39(8):987-1006.

Obsessive Compulsive Cognitions Working Group. Psychometric validation of the Obsessive Beliefs Questionnaire and Interpretation of Intrusions Inventory: Part I. Behve Res Ther 2003;41(8):863-78.

Obsessive Compulsive Cognitions Working Group. Psychometric validation of the Obsessive Beliefs Questionnaire and Interpretation of Intrusions Inventory-- Part II: Factor analysis and testing of a belief version. Behve Res Ther 2005;43(11):1527-42.

Julien D, O’Connor KP, Aardema F, et al. The specificity of belief domains in obsessive-compulsive disorder subtypes. Personal and Individ Diffe 2006;41:1205-16.

Myers SG, Fisher PL, Wells A. Belief domains of the Obsessive Beliefs Questionnaire-44 (OBQ-44) and their specific relationship with obsessive compulsive Symptoms. J Anxiety Disord 2008; 22(3):475-84.

Tolin DF, Woods CM, Abramowitz JS. The relationship between obsessive beliefs and obsessive-compulsive symptoms. Cog Ther Res 2003; 2:657-69.

Tolin DF, Worshunsky P, Matlby N. Are “obsessive” beliefs specific to OCD? A comparison across anxiety disorders. Behave Res Ther 2006; 44(4):469-80.

Wu KD, Carter SA. Further investigation of the Obsessive Beliefs Questionnaire: Factor structure and specificity of relations with OCD symptoms. J of Anxiety Disord 2008;22(5):824-36.

Wu KD, Cortesi GT. Relations between perfectionism and obsessive–compulsive Symptoms: Examination of specificity among the dimensions. J Anxiety Disord 2009; 23(3):393-400.

Sica C, Cosadeschi D, Sanavio E, et al. A study of the psychometric properties of the obsessive beliefs inventory and interpretations of intrusions inventory on clinical Italian individuals. J Anxiety Disord 2004; 188(3):291-307.

Julien D, Careau Y, O'Connor KP, et al. Specificity of belief domains in OCD: Validation of the French version of the Obsessive Beliefs Questionnaire and a comparison across samples. J Anxiety Disord 2008; 22(6):1029-41.

Shams G, kharamghadiri N, Esmaili Y, et al. Psychometric properties of the Persian version of the obsessive beliefs questionnaire in an Iranian population, Acta Med Iran 2014;52(1):66-75.

Woods CM, Tolin DF, Abramowitz JS. Dimensionality of the Obsessive Beliefs Questionnaire (OBQ). J Psychopathol Behav Assess 2004;26(2):113-25.

Taylor S, Abramowitz JS, Makay D, et al. Do dysfunctional beliefs play a role in all type of obsessivecompulsive Disorder? J Anxiety Disord 2006;20(1):216-28.

Foa EB, Kozak MJ. DSM-IV field trial: Obsessivecompulsive disorder. Am J Psychiatry 1995;152(1):90-6.

Clark DA, Beck AT. Manual for the Clark-Beck Obsessive Compulsive Inventory. San Antonio, TX: Psychol Corp; 2002.

Emmelkamp PMG, Aardema A. Metacognition, specific obsessive-compulsive beliefs and obsessive-compulsive behavior. Clin Psychol and Psychother 1999;6(2):139-45.

American Psychiatric Association, editor. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994.

Ghassemzadeh H, Khamseh A, Ebrahimkhani N. Symptoms of obsessive-compulsive disorder in a sample of Iranian patients. Int J Soc Psychiatry 2002;48(1):20-8.

Ghassemzadeh H, Khamseh A, Ebrahimkhani N. Demographic variables and clinical features of obsessivecompulsive disorder in Iran: A second report. In: Ling BE, editors. Obsessive-compulsive disorder research. New York: Nova Science Publishers; 2005: p. 243-71.

Speilberger CD, Gorsuch RL, Simos G, et al. Manual for the State Trait Anxiety Inventory. Palo Alto, CA: Consult Psychol Press; 1983: p.

Panahi-Shahri M. Validation and normative data of State- Trait Anxiety Inventory-Persian in Iranian student sample [Dissertation]. Tarbiat Modarres Univ., 1993.

Beck AT, Steer RA, Brown GK, editors. Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychol Corp; 1996.

Beck AT, Epstein N, Brown G , Steer RA . An inventory for measuring clinical anxiety: Psychometric properties. JConsult and Clin Psychol 1988; 56: 893-897.

Kaviani H, Mousavi AS. Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI) in an Iranian population. Tehran Univ Med J 2008;66(2): 136-40.

Salkovskis PM, Forrester E. Responsibility. In: Frost RO, Steketee G, editors. Cognitive Approaches to Obsessionsb and Compulsions: Theory, Assessment and Treatment. Amsterdam, Netherlands: Pergamon/Elsevier Science; 2002: p. 45-61.

Salkovskis PM, Wroe AL, Gledhill A, et al. Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder. Behav Res Ther 2000;38(4):347-72.

Purdon CL, Clark DA. The need to control thoughts. In Frost RO, Steketee G, editors. Cognitive approaches to obsessions and compulsions: Theory, assessment and treatment. Oxford, UK: Elsevier; 2002: p. 29-43.

Janet P, editor. Les obsessionset psychasthenie. 2nd ed. Paris: Bailliere; 1908.

Okasha A, Saad A, Khalili AH, et al. Phenomenology of OCD: A transcultural study. Compr Psychiatry 1994;35(3):191-7.

Rasmussen SA, Tsuang MT. Epidemiological and clinical findings of sign features to the design of neuropharmachologic studies of obsessive-compulsive disorders a. Psychopharmachol Bull 1986; 22:723-33.

Tukel R, Polat A, Ozdemir O, et al. Comorbid conditions in obsessive-compulsive disorder. Compr Psychiatry 2002; 43(3):204-9.


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