Moving beyond an exclusive focus on harm avoidance in obsessive compulsive disorder: considering the role of incompleteness

Behavior Therapy
Ashley S Pietrefesa, Meredith E Coles

Abstract

Cognitive-behavioral conceptualizations of obsessive compulsive disorder (OCD) have predominantly viewed compulsions as being motivated by harm avoidance. However, sensations of things being incomplete or not "just right" may also underlie compulsions in OCD. Preliminary research suggests that distinguishing between harm avoidance and incompleteness in OCD may have practical utility, but the research on this topic is very limited to date. The current study further addressed the role of incompleteness in OCD. A confirmatory factor analysis provided evidence for harm avoidance and incompleteness as separate constructs in a student sample. Supporting the benefits of considering incompleteness in addition to harm avoidance, self-reported levels of both constructs were significantly correlated with all domains of OCD symptoms and perfectionism assessed. Further, some evidence for unique relationships was found (e.g., incompleteness with ordering and personally prescribed perfectionism; harm avoidance with obsessing). The role of incompleteness in OCD warrants greater attention.

References

Jan 1, 1992·Psychopathology·S Khanna, D Mukherjee
Jan 1, 1985·Behaviour Research and Therapy·G S SteketeeE B Foa
Jan 1, 1985·Behaviour Research and Therapy·P M Salkovskis
Jan 1, 1995·The American Journal of Psychiatry·E B FoaS A Rasmussen
Apr 1, 1994·The British Journal of Psychiatry : the Journal of Mental Science·J C HolzerL H Price
May 1, 1994·The American Journal of Psychiatry·J F LeckmanD J Cohen
Apr 1, 1996·Behaviour Research and Therapy·F Tallis
Feb 1, 1997·The British Journal of Psychiatry : the Journal of Mental Science·E C MiguelM A Jenike
Apr 1, 1997·Behaviour Research and Therapy·R O Frost, G Steketee
Aug 1, 1997·Behaviour Research and Therapy·N AmirE B Foa
Sep 23, 1997·Behaviour Research and Therapy·S Rachman
Apr 29, 1998·Journal of the American Academy of Child and Adolescent Psychiatry·M E FranklinE B Foa
Jul 22, 1998·Behaviour Research and Therapy·S Rachman
Jul 14, 1999·Behaviour Research and Therapy·P M Salkovskis
Mar 25, 2000·The Journal of Clinical Psychiatry·E C MiguelJ F Leckman
Apr 13, 2000·Behaviour Research and Therapy·P M SalkovskisS Thorpe
Sep 15, 2000·The Psychiatric Clinics of North America·N AttiullahS A Rasmussen
Jun 8, 2002·Behaviour Research and Therapy·S Rachman
May 7, 2003·Behaviour Research and Therapy·Meredith E ColesJosée Rhéaume
Mar 23, 2004·Behaviour Research and Therapy·Cara W J VerdellenCees A L Hoogduin
Jun 5, 2004·Behaviour Research and Therapy·A S Radomsky, S Rachman
Sep 25, 2004·Journal of Clinical Psychology·Laura J Summerfeldt
Jan 5, 2005·Behaviour Research and Therapy·Meredith E ColesGail Steketee
Mar 27, 2007·Journal of Psychiatric Research·Meredith E ColesJane L Eisen

❮ Previous
Next ❯

Citations

Apr 9, 2010·Journal of Abnormal Child Psychology·Janette MooreFrancis A O'Neill
Mar 21, 2013·Journal of Anxiety Disorders·Jesse R CougleHan-Joo Lee
May 21, 2013·Psychiatry Research·Eleanor Crossley, Andrea Eugenio Cavanna
Jul 16, 2013·Psychiatry Research·Matthew Neal, Andrea Eugenio Cavanna
Apr 1, 2015·Journal of Behavior Therapy and Experimental Psychiatry·Laura J SummerfeldtMichael Reynolds
May 10, 2011·Journal of Anxiety Disorders·Jesse R CougleKirsten A Hawkins
Jul 14, 2010·Journal of Anxiety Disorders·Heather M ChikBradley C Riemann
Apr 13, 2010·Progress in Neuro-psychopharmacology & Biological Psychiatry·Kevin D BeckRichard J Servatius
Sep 27, 2014·Journal of Personality Assessment·Gioia BottesiGiulio Vidotto
May 18, 2010·Journal of Anxiety Disorders·Eric A StorchWayne K Goodman
Aug 3, 2010·Behaviour Research and Therapy·Alberto PertusaDavid Mataix-Cols
Jun 9, 2016·Journal of Anxiety Disorders·Nicholas J SibravaSteven A Rasmussen
May 27, 2016·Child Psychiatry and Human Development·Michelle RozenmanJohn Piacentini
Apr 23, 2011·The Australian and New Zealand Journal of Psychiatry·Vladan StarcevicAnthony Hannan
Sep 7, 2016·Journal of Central Nervous System Disease·Amy M RappJoseph F McGuire
May 14, 2020·Brain and Behavior·Lucas J B van OudheusdenAnton J L M van Balkom
Jan 1, 2014·Journal of Cognitive Psychotherapy·Meredith E ColesMuniya Khanna
Mar 11, 2017·Child Psychiatry and Human Development·Marina JiujiasLayla Hall
Jan 19, 2021·Biological Psychology·Clara DominkeSimone Schütz-Bosbach

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.

Auditory Perception

Auditory perception is the ability to receive and interpret information attained by the ears. Here is the latest research on factors and underlying mechanisms that influence auditory perception.