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Cognitive Beliefs Across the Symptom Dimensions of Pediatric Obsessive-Compulsive Disorder: Type of Symptom Matters

The cognitive model of obsessive-compulsive disorder (OCD) posits that dysfunctional cognitive beliefs are crucial to the onset and maintenance of OCD; however, the relationship between these cognitive beliefs and the heterogeneity of OCD symptoms in children and adolescents remains unknown. We exam...

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Autores principales: Cervin, Matti, McNeel, Morgan M., Wilhelm, Sabine, McGuire, Joseph F., Murphy, Tanya K., Small, Brent J., Geller, Daniel A., Storch, Eric A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9397538/
https://www.ncbi.nlm.nih.gov/pubmed/35227401
http://dx.doi.org/10.1016/j.beth.2021.08.001
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author Cervin, Matti
McNeel, Morgan M.
Wilhelm, Sabine
McGuire, Joseph F.
Murphy, Tanya K.
Small, Brent J.
Geller, Daniel A.
Storch, Eric A.
author_facet Cervin, Matti
McNeel, Morgan M.
Wilhelm, Sabine
McGuire, Joseph F.
Murphy, Tanya K.
Small, Brent J.
Geller, Daniel A.
Storch, Eric A.
author_sort Cervin, Matti
collection PubMed
description The cognitive model of obsessive-compulsive disorder (OCD) posits that dysfunctional cognitive beliefs are crucial to the onset and maintenance of OCD; however, the relationship between these cognitive beliefs and the heterogeneity of OCD symptoms in children and adolescents remains unknown. We examined how the major belief domains of the cognitive model (inflated responsibility/threat estimation, perfectionism/intolerance of uncertainty, importance/control of thoughts) and dysfunctional metacognitions were related to OCD symptoms across the following dimensions: doubting/checking, obsessing, hoarding, washing, ordering, and neutralization. Self-report ratings from 137 treatment-seeking youth with OCD were analyzed. When cognitive beliefs and symptom dimensions were analyzed in tandem, inflated responsibility/threat estimation and dysfunctional metacognitions were uniquely related to doubting/checking, obsessing, and hoarding and perfectionism/intolerance of uncertainty to ordering. Cognitive beliefs explained a large proportion of variation in doubting/checking (61%) and obsessing (46%), but much less so in ordering (15%), hoarding (14%), neutralization (8%), and washing (3%). Similar relations between cognitive beliefs and symptom dimensions were present in children and adolescents. Cognitive beliefs appear to be relevant for pediatric OCD related to harm, responsibility, and checking, but they do not map clearly onto contamination and symmetry-related symptoms. Implications for OCD etiology and treatment are discussed.
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spelling pubmed-93975382022-08-23 Cognitive Beliefs Across the Symptom Dimensions of Pediatric Obsessive-Compulsive Disorder: Type of Symptom Matters Cervin, Matti McNeel, Morgan M. Wilhelm, Sabine McGuire, Joseph F. Murphy, Tanya K. Small, Brent J. Geller, Daniel A. Storch, Eric A. Behav Ther Article The cognitive model of obsessive-compulsive disorder (OCD) posits that dysfunctional cognitive beliefs are crucial to the onset and maintenance of OCD; however, the relationship between these cognitive beliefs and the heterogeneity of OCD symptoms in children and adolescents remains unknown. We examined how the major belief domains of the cognitive model (inflated responsibility/threat estimation, perfectionism/intolerance of uncertainty, importance/control of thoughts) and dysfunctional metacognitions were related to OCD symptoms across the following dimensions: doubting/checking, obsessing, hoarding, washing, ordering, and neutralization. Self-report ratings from 137 treatment-seeking youth with OCD were analyzed. When cognitive beliefs and symptom dimensions were analyzed in tandem, inflated responsibility/threat estimation and dysfunctional metacognitions were uniquely related to doubting/checking, obsessing, and hoarding and perfectionism/intolerance of uncertainty to ordering. Cognitive beliefs explained a large proportion of variation in doubting/checking (61%) and obsessing (46%), but much less so in ordering (15%), hoarding (14%), neutralization (8%), and washing (3%). Similar relations between cognitive beliefs and symptom dimensions were present in children and adolescents. Cognitive beliefs appear to be relevant for pediatric OCD related to harm, responsibility, and checking, but they do not map clearly onto contamination and symmetry-related symptoms. Implications for OCD etiology and treatment are discussed. 2022-03 2021-08-20 /pmc/articles/PMC9397538/ /pubmed/35227401 http://dx.doi.org/10.1016/j.beth.2021.08.001 Text en https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Cervin, Matti
McNeel, Morgan M.
Wilhelm, Sabine
McGuire, Joseph F.
Murphy, Tanya K.
Small, Brent J.
Geller, Daniel A.
Storch, Eric A.
Cognitive Beliefs Across the Symptom Dimensions of Pediatric Obsessive-Compulsive Disorder: Type of Symptom Matters
title Cognitive Beliefs Across the Symptom Dimensions of Pediatric Obsessive-Compulsive Disorder: Type of Symptom Matters
title_full Cognitive Beliefs Across the Symptom Dimensions of Pediatric Obsessive-Compulsive Disorder: Type of Symptom Matters
title_fullStr Cognitive Beliefs Across the Symptom Dimensions of Pediatric Obsessive-Compulsive Disorder: Type of Symptom Matters
title_full_unstemmed Cognitive Beliefs Across the Symptom Dimensions of Pediatric Obsessive-Compulsive Disorder: Type of Symptom Matters
title_short Cognitive Beliefs Across the Symptom Dimensions of Pediatric Obsessive-Compulsive Disorder: Type of Symptom Matters
title_sort cognitive beliefs across the symptom dimensions of pediatric obsessive-compulsive disorder: type of symptom matters
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9397538/
https://www.ncbi.nlm.nih.gov/pubmed/35227401
http://dx.doi.org/10.1016/j.beth.2021.08.001
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