Fear of self, doubt and obsessive compulsive symptoms

Journal of Behavior Therapy and Experimental Psychiatry
Alexandra NikodijevicMaja Nedeljkovic

Abstract

Following observations in the literature that obsessions often contain or imply negative evaluative information about the self, Aardema et al. (2013) recently developed a measure of feared-self relevant to OCD. The current study aimed to provide further examination of the relevance of such feared self-beliefs to obsessive compulsive processes - in particular whether they partially underlie doubt in OCD-relevant situations. Nonclinical participants (N = 463; 291 females; Mage = 25.17, SD = 7.47), were presented with three vignettes, related to washing, checking and non-OCD relevant themes, which assessed doubt through providing alternating sensory and possibility-based information. Higher levels of OCD symptoms and feared-self beliefs both significantly predicted both higher baseline levels of doubt and greater fluctuation in levels of doubt in both the contamination and checking scenarios, and to a much lesser extent in the control scenario. Feared-self beliefs did not predict fluctuation in doubt over-and-above OCD symptoms, consistent with a mediation model. The main limitation was the use of a non-clinical sample, although this allowed sufficient participant numbers to test hypotheses. The findings provided further experimen...Continue Reading

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Mar 17, 2015·Clinical Psychology & Psychotherapy·Gabriele MelliRichard Moulding
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