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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...

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Autores principales: Sinha, Reema, Mahour, Pooja, Sharma, Eesha, Mehta, Urvakhsh M., Agarwal, Manu
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
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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.
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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
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