The contribution of guilt sensitivity in the prediction of obsessive-compulsive disorder symptom dimensions: Replication and extension |
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| Affiliation: | 1. University of North Carolina at Chapel Hill, United States;2. Rogers Memorial Hospital, United States;1. San Francisco VA Health Care System, San Francisco, CA, USA;2. University of California – San Francisco, San Francisco, CA, USA;3. White River Junction Veterans Affairs Medical Center, White River Junction, VT, USA;4. Geisel School of Medicine at Dartmouth, Hanover, NH, USA;1. Department of Psychology, Florida State University, 1107 W Call Street, Tallahassee, FL 32304, USA;2. School of Psychology, University of Southern Mississippi, 118 College Dr., Hattiesburg, MS 39406, USA;3. School of Medicine, Louisiana State University, New Orleans, LA 70112, USA;4. Southeast Louisiana Veterans Healthcare System, 2400 Canal Street, New Orleans, LA 70119, USA;5. Department of Psychological & Brain Sciences, Texas A&M University, 4235 TAMU, College Station, TX 77843, USA;6. Department of Psychology, University of Nevada Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV 89154, USA;7. Department of Psychology, Ohio University, Porter 200, Athens, OH 45701, USA;1. Amsterdam UMC, University of Amsterdam, Department of Psychiatry, Amsterdam Public Health Research Institute and Amsterdam Neuroscience Research Institute, Amsterdam, the Netherlands;2. Program for Research and Care on Violence and PTSD (PROVE), Department of Psychiatry, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil;3. Department of Clinical Psychology, Utrecht University, Utrecht, the Netherlands;4. Department of Psychology, University of Montana, Missoula, MT, United States;5. ARQ National Psychotrauma Centre, Diemen, the Netherlands;1. Psychology Department, Texas State University, San Marcos, TX, USA;2. Psychiatry and Behavioral Sciences, Baylor College of Medicine; Psychology Houston, PC, Director, Houston, TX, USA;3. University of Utrecht, Utrecht, Netherlands;4. McLean Hospital, Harvard Medical School, Belmont, MA, USA;5. McLean Hospital, Harvard Medical School, Director, Belmont, MA, USA;1. Leuven Institute of Criminology, Catholic University of Leuven, Belgium;2. Maastricht University, the Netherlands;3. University of Bari Aldo Moro, Italy;4. University of Portsmouth, UK;5. University de Nimes, France |
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| Abstract: | BackgroundObsessive-compulsive disorder (OCD) is associated with particular cognitive processes, such as beliefs about the importance of intrusive thoughts. The present study examined the explanatory power of guilt sensitivity to OCD symptom dimensions after controlling for well-established cognitive predictors.Methods164 patients with OCD completed self-reported measures of OCD and depressive symptoms, obsessive beliefs, and guilt sensitivity. Bivariate correlations were examined, and latent profile analysis (LPA) was used to generate groups based on symptom severity scores. Differences in guilt sensitivity were examined across latent profiles.ResultsGuilt sensitivity was most strongly associated with unacceptable thoughts and responsibility for harm OCD symptoms, and moderately with symmetry. After controlling for depression and obsessive beliefs, guilt sensitivity added explanatory power to the prediction of unacceptable thoughts. LPA identified 3 profiles; profile-based subgroups significantly differed from one another in terms of guilt sensitivity, depression, and obsessive beliefs.ConclusionsGuilt sensitivity is relevant to various OCD symptom dimensions. Above and beyond depression and obsessive beliefs, guilt sensitivity contributed to the explanation of repugnant obsessions. Theory, research, and treatment implications are discussed. |
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| Keywords: | Guilt sensitivity Obsessive-compulsive disorder Symptom dimensions Latent profile analysis Experiential avoidance |
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