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1.
Previous research has demonstrated that comorbid obsessive–compulsive personality disorder (OCPD) in patients with obsessive–compulsive disorder (OCD) is associated with greater overall OCD severity, functional impairment, and poorer treatment outcomes ( [Coles et al., 2008] , [0145] and [0225] ). However, research has only examined the effects of OCPD categorically and has yet to thoroughly examine the impact of individual OCPD characteristics dimensionally. Thus, the present study sought to investigate the relationships between various OCPD-related dimensions (e.g., perfectionism, rigidity) and OCD symptomology and severity. The study recruited a sample of OCD patients (n = 51) in the OCD units of two residential treatment facilities. Findings yielded significant relationships between OCD severity and the following OCPD dimensions: flexibility, doubts about actions (a dimension of perfectionism), and hoarding. Interpretations of these results and the implications for diagnosis, prognosis, and treatment outcome are discussed. Furthermore, the current study provides insight into a unique perspective which leaves room for more symptom overlap and variability between OCD and OCPD.  相似文献   

2.
The cognitive model of OCD proposes that certain beliefs may contribute to the development and maintenance of this disorder. To date, however, it is not yet clear which beliefs are more relevant for explaining OCD symptomatology; moreover, their causal status is yet to be clearly established. In the effort to identify other constructs and processes related to OCD, the phenomenon labeled “not just right experiences” (NJREs) has received increasing attention. In this study, measures of NJREs (the NJRE-Q-R), OCD symptoms, general distress (i.e., anxiety, and depression), and perfectionism were administered to a large sample of college students and a small sample of OCD and non-OCD patients. The clinical sample also completed a measure of OC beliefs. Results showed that NJREs could be reliably measured through a self-report format in non-clinical and clinical Italian individuals. A specific association between NJREs severity and OCD symptoms was found in the non-clinical sample, after controlling for anxiety, depression, and perfectionism. The NJRE-Q-R Severity scale clearly discriminated OCD patients from patients with other anxiety disorders or depression. Lastly, the NJREs measure differentiated the clinical groups when OC beliefs were controlled, whereas OC beliefs did not discriminate among the groups after NJREs severity was controlled. The concept of NJREs may contribute to improve current psychological and biological model of OCD.  相似文献   

3.
PurposeTo compare patterns of temperament and character and the prevalence of Obsessive-Compulsive Personality Disorder (OCPD) and OCPD traits in parents of children with OCD and parents of healthy controls.MethodsTCI and SCID-II were administered to 63 parents of 32 children with OCD and 63 parents of age- and sex-matched controls with no psychiatric diagnosis. Interviewers were not blind to proband status. Personality dimension scores and frequencies of OCPD criteria in both groups were compared after excluding parents with a diagnosis of OCD. Relationships between TCI dimensions and OCPD symptoms in parents and the clinical characteristics of OCD children were also studied.ResultsParents of OCD children presented significantly higher scores in harm avoidance and lower scores in self-directedness, cooperativeness and reward dependence than parents of healthy children. A higher incidence of OCPD was found in parents of probands (p < 0.02). Hoarding, perfectionism and preoccupation with details were significantly more frequent in parents of OCD children. Counting, ordering and cleaning compulsions in OCD children predicted elevated odds of perfectionism and rigidity in their parents.ConclusionsThe existence of the dimensional personality profile associated with OCD in parents of children with OCD and the higher number of OCPD criteria in these parents in comparison to parents of healthy children highlight the importance of the role of personality factors in familial OCD.  相似文献   

4.
Perfectionism has long been considered an important cognitive variable in obsessive–compulsive disorder (OCD). However, little research has examined the components of perfectionism and their role in specific OCD symptoms. The current study is the first to examine the role of maladaptive perfectionism in predicting checking compulsions and “not just right” (NJR) obsessions. Using an undergraduate sample, linear structural relations were applied to these constructs. A mediational model was tested, where trait anxiety was hypothesized to mediate the relationship between obsessive–compulsive symptoms, as assessed with the Vancouver Obsessive–Compulsive Inventory (VOCI) and maladaptive perfectionism, as measured by four subscales of the Frost Multidimensional Perfectionism Scale (FMPS). Trait anxiety was assessed with the Spielberger State-Trait Anxiety Inventory (STAI). The results support the fully mediated model for checking and NJR compulsions. These findings suggest that perfectionism plays a specific role in certain forms of obsessive–compulsive symptoms, and that the model of OCD requires adjustment to account for this specificity.  相似文献   

5.
This study investigated the concurrent and longitudinal relations among children’s peer victimization, empathy, and emotional symptoms. The sample consisted of 175 children (85 girls, mean age = 6.1 years) recruited from kindergartens in Switzerland and followed for 1 year (Time 2). Parents and teachers reported on the children’s emotional symptoms, empathy, and victimization. Children reported their empathy and victimization experiences. Peer victimization was a predictor of emotional symptoms at Time 1; this association was stronger for children with average or high levels of empathy. Increases in peer victimization predicted increases in boys’ emotional symptoms, and increases in victimization were related to decreases in empathy. The results emphasize the role of negative peer relations and children’s social-emotional information processing for the development of emotional symptoms.  相似文献   

6.
Dysfunctional beliefs in obsessive–compulsive disorder (OCD) and worry are thought to contribute to vulnerability and maintenance of pathological anxiety. In this study, five belief domains concerning responsibility/threat estimation, perfectionism, intolerance of uncertainty, importance/control of thoughts and thought–action fusion were examined to see whether they differentially predicted worry and obsession severity in patients with severe OCD. Correlational analysis revealed that perfectionism and intolerance of uncertainty were associated with worry, whereas beliefs in the importance and control of thoughts and thought–action fusion were associated with obsession severity when obsession severity and worry, respectively, were controlled. In regression analyses, thought–action fusion and intolerance of uncertainty predicted OCD severity. The relation between dysfunctional beliefs and specific subtypes of OCD symptoms was also examined. Specific relationships were identified, including perfectionism with ordering, obsessions with control/importance of thoughts and checking and washing with threat estimation.  相似文献   

7.
The aim of the current study was to further investigate the role of metacognitive beliefs implicated in Wells’ (1997) model of obsessive-compulsive disorder (OCD). The metacognitive domains of thought-fusion beliefs and beliefs about rituals were positively correlated with obsessive-compulsive symptoms in a community control sample (N = 269) and in an OCD sample (N = 57). The OCD sample had significantly more obsessive-compulsive symptoms as well as higher scores on the metacognitive constructs than the control sample. In order to perform a more stringent test of the metacognitive model of OCD and to explore the role of a third metacognitive construct, that of stop signals, a second study was conducted using a community control sample (N = 304). All three metacognitive constructs were positively correlated with obsessive-compulsive symptoms. Thought-fusion beliefs and beliefs about rituals predicted obsessive-compulsive symptoms, even when controlling for worry, threat, and non-metacognitive beliefs such as perfectionism/certainty and responsibility. Results of this study provide further evidence for the importance of metacognitions in OCD.  相似文献   

8.
The OCI-R is a psychometrically sound and valid self-report scale measuring the major symptoms of OCD on six dimensions: Checking, Washing, Ordering, Hoarding, Obsessing, and Neutralizing. Information is needed on its ability to discriminate OCD from depression. In this study, reliability and convergent, divergent, and known-groups validity of an authorized German version were examined in 381 patients with OCD, other anxiety and depressive disorders. Confirmatory factor analyses replicated the original six-factor structure in each sample. Moreover, results indicated good convergent, divergent, and known-groups validity for the full scale and the subscales in each sample, only a slight construct overlap between OCD and depression, anxiety, pathological worry, and perfectionism, and the relationships of the subscales with obsessive-compulsive personality features supported its construct validity. Previous findings for the original scale were replicated and extended in a different cultural context. However, the domains Neutralizing and Obsessions need further development.  相似文献   

9.
Obsessive-compulsive disorder (OCD) symptoms tend to be temporally stable in adults, but much less is known about their stability in young people. We examined the temporal stability of OCD symptoms in a clinical pediatric sample. As part of a naturalistic longitudinal study, 74 children and adolescents with OCD were assessed with the Children's Yale-Brown Obsessive Compulsive Scale on two separate occasions ranging from 1 to 11 years apart (average 5 years). Analysis of variance and multiple regression models examined changes within and between symptoms and symptom dimensions. Changes within individual symptom categories were observed in approximately 15–45% of the cases, depending on the specific symptom. In most of those cases, symptoms went from present to absent at follow-up rather than from absent to present. Changes were no longer significant when individuals who were in remission at follow-up were excluded. Multiple regression analyses indicated that the strongest predictor of a particular symptom dimension at follow-up was the presence of the same dimension at baseline. Shifts from one dimension to another were rare. The content of OCD symptoms is relatively stable across time in young people. Most changes observed were attributable to clinical improvement/remission and occurred within rather than between symptom dimensions.  相似文献   

10.
The Obsessive Beliefs Questionnaire-44 (OBQ-44) was developed by the Obsessive Compulsive Cognitions Working Group to measure beliefs considered important in the development and maintenance of obsessive-compulsive disorder (OCD). In this study an exploratory factor analysis of the questionnaire was conducted with a student population (n=238). Results indicated four factors: (1) perfectionism and intolerance of uncertainty, (2) importance and control of thoughts, (3) responsibility, and (4) overestimation of threat. All four factors were positively associated with obsessive-compulsive symptoms and worry. A series of regression analyses was run to test the relative contributions of cognitive and metacognitive factors. In doing so, we controlled for worry and general threat. The metacognitive dimension of importance and control of thoughts emerged as a consistent unique predictor of overall obsessive-compulsive symptoms. Exploratory analyses of predictors of obsessive-compulsive symptom subtypes showed that metacognition and perfectionism contributed to different symptom domains. The data suggests that particular beliefs may be important in OCD.  相似文献   

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