Cargando…
Obsessive belief and emotional appraisal correlates of symptom dimensions and impairment in obsessive–compulsive disorder
BACKGROUND: Obsessive–compulsive disorder (OCD) is a heterogeneous and debilitating illness. Symptom dimensions of OCD lend homogeneous avenues for research. Variations in one's appraisal of thoughts and emotions can influence symptom dimensions and impairment. However, little is known about th...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8363904/ https://www.ncbi.nlm.nih.gov/pubmed/34456347 http://dx.doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_1194_20 |
_version_ | 1783738433742569472 |
---|---|
author | Sinha, Reema Mahour, Pooja Sharma, Eesha Mehta, Urvakhsh M. Agarwal, Manu |
author_facet | Sinha, Reema Mahour, Pooja Sharma, Eesha Mehta, Urvakhsh M. Agarwal, Manu |
author_sort | Sinha, Reema |
collection | PubMed |
description | BACKGROUND: Obsessive–compulsive disorder (OCD) is a heterogeneous and debilitating illness. Symptom dimensions of OCD lend homogeneous avenues for research. Variations in one's appraisal of thoughts and emotions can influence symptom dimensions and impairment. However, little is known about the combined influence of these appraisals in OCD. A clear understanding of these relationships has putative treatment implications. AIM: The aim of the study is to examine the associations among obsessive beliefs, emotional appraisals, and OCD symptom dimensions in adults. MATERIALS AND METHODS: We examined 50 drug-naïve/drug-free adults with active OCD. Symptom dimensions and impairment were assessed using the Dimensional Yale–Brown Obsessive–Compulsive Severity Scale. Obsessive beliefs and emotional appraisals were studied using the Obsessive Beliefs Questionnaire-44 and Perception of Threat from Emotion Questionnaire. RESULTS: Tobit regression analysis showed the differential association of obsessive beliefs and symptom dimensions – perfectionism/certainty associated with contamination and responsibility/threat estimation associated with aggressive obsessions. Impairment was associated with dimensional symptom severities and with the perception of threat from anger. This association remained even after controlling for depression severity and obsessive beliefs. CONCLUSIONS: OCD symptom dimensions are heterogeneous in underlying obsessive beliefs. Emotional appraisals contribute significantly to impairment alongside symptom severity. Emotion-focused interventions must be included in the psychotherapeutic interventions for OCD. |
format | Online Article Text |
id | pubmed-8363904 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-83639042021-08-27 Obsessive belief and emotional appraisal correlates of symptom dimensions and impairment in obsessive–compulsive disorder Sinha, Reema Mahour, Pooja Sharma, Eesha Mehta, Urvakhsh M. Agarwal, Manu Indian J Psychiatry Original Article BACKGROUND: Obsessive–compulsive disorder (OCD) is a heterogeneous and debilitating illness. Symptom dimensions of OCD lend homogeneous avenues for research. Variations in one's appraisal of thoughts and emotions can influence symptom dimensions and impairment. However, little is known about the combined influence of these appraisals in OCD. A clear understanding of these relationships has putative treatment implications. AIM: The aim of the study is to examine the associations among obsessive beliefs, emotional appraisals, and OCD symptom dimensions in adults. MATERIALS AND METHODS: We examined 50 drug-naïve/drug-free adults with active OCD. Symptom dimensions and impairment were assessed using the Dimensional Yale–Brown Obsessive–Compulsive Severity Scale. Obsessive beliefs and emotional appraisals were studied using the Obsessive Beliefs Questionnaire-44 and Perception of Threat from Emotion Questionnaire. RESULTS: Tobit regression analysis showed the differential association of obsessive beliefs and symptom dimensions – perfectionism/certainty associated with contamination and responsibility/threat estimation associated with aggressive obsessions. Impairment was associated with dimensional symptom severities and with the perception of threat from anger. This association remained even after controlling for depression severity and obsessive beliefs. CONCLUSIONS: OCD symptom dimensions are heterogeneous in underlying obsessive beliefs. Emotional appraisals contribute significantly to impairment alongside symptom severity. Emotion-focused interventions must be included in the psychotherapeutic interventions for OCD. Wolters Kluwer - Medknow 2021 2021-08-07 /pmc/articles/PMC8363904/ /pubmed/34456347 http://dx.doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_1194_20 Text en Copyright: © 2021 Indian Journal of Psychiatry https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Sinha, Reema Mahour, Pooja Sharma, Eesha Mehta, Urvakhsh M. Agarwal, Manu Obsessive belief and emotional appraisal correlates of symptom dimensions and impairment in obsessive–compulsive disorder |
title | Obsessive belief and emotional appraisal correlates of symptom dimensions and impairment in obsessive–compulsive disorder |
title_full | Obsessive belief and emotional appraisal correlates of symptom dimensions and impairment in obsessive–compulsive disorder |
title_fullStr | Obsessive belief and emotional appraisal correlates of symptom dimensions and impairment in obsessive–compulsive disorder |
title_full_unstemmed | Obsessive belief and emotional appraisal correlates of symptom dimensions and impairment in obsessive–compulsive disorder |
title_short | Obsessive belief and emotional appraisal correlates of symptom dimensions and impairment in obsessive–compulsive disorder |
title_sort | obsessive belief and emotional appraisal correlates of symptom dimensions and impairment in obsessive–compulsive disorder |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8363904/ https://www.ncbi.nlm.nih.gov/pubmed/34456347 http://dx.doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_1194_20 |
work_keys_str_mv | AT sinhareema obsessivebeliefandemotionalappraisalcorrelatesofsymptomdimensionsandimpairmentinobsessivecompulsivedisorder AT mahourpooja obsessivebeliefandemotionalappraisalcorrelatesofsymptomdimensionsandimpairmentinobsessivecompulsivedisorder AT sharmaeesha obsessivebeliefandemotionalappraisalcorrelatesofsymptomdimensionsandimpairmentinobsessivecompulsivedisorder AT mehtaurvakhshm obsessivebeliefandemotionalappraisalcorrelatesofsymptomdimensionsandimpairmentinobsessivecompulsivedisorder AT agarwalmanu obsessivebeliefandemotionalappraisalcorrelatesofsymptomdimensionsandimpairmentinobsessivecompulsivedisorder |