Fear of Self and Unacceptable Thoughts in Obsessive-Compulsive Disorder

Clinical Psychology & Psychotherapy
Gabriele MelliRichard Moulding

Abstract

Cognitive-behavioural models have linked unacceptable or repugnant thoughts in obsessive-compulsive disorder (OCD) with vulnerable self-themes and fear-of-self concerns. To investigate this notion, Aardema and coworkers recently developed and validated the Fear of Self-Questionnaire (FSQ) in non-clinical samples, finding it had strong internal inconsistency, and good divergent and convergent validity, including strong relationships to obsessional symptoms and with other processes implicated in cognitive models of OCD (e.g., obsessive beliefs and inferential confusion). The current article describes two studies that aim to replicate and extend these findings in clinical OCD and non-clinical samples. Study 1 investigated the psychometric properties of an Italian translation of the FSQ in a non-clinical sample (n = 405). Results of confirmatory factor analysis supported the unidimensionality of the scale; the FSQ also showed very good internal consistency and temporal stability. Study 2 investigated the role of fear of self in OCD symptoms, and unacceptable thoughts and repugnant obsessions in particular, using a clinical OCD sample (n = 76). As expected, fear of self was a unique, major predictor of unacceptable thoughts independ...Continue Reading

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Citations

Jan 18, 2017·Clinical Psychology & Psychotherapy·Gabriele MelliAntonio Pinto
Jul 1, 2020·Journal of Clinical Psychology·Jedidiah SievSabine Wilhelm
Dec 15, 2018·The British Journal of Clinical Psychology·Frederick AardemaLouis-Philippe Baraby

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