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Dysfunctional Beliefs and Cognitive Performance across Symptom Dimensions in Childhood and Adolescent OCD

Although etiological and maintenance cognitive factors have proved effective in predicting the disease course in youths with OCD, their contribution to symptom severity and specific OCD dimensions has been scarcely examined. In a cohort of children and adolescents with OCD (N = 41; mean age = 14; ag...

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Autores principales: Piras, Federica, Banaj, Nerisa, Ciullo, Valentina, Piras, Fabrizio, Ducci, Giuseppe, Demaria, Francesco, Vicari, Stefano, Spalletta, Gianfranco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9821226/
https://www.ncbi.nlm.nih.gov/pubmed/36615019
http://dx.doi.org/10.3390/jcm12010219
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author Piras, Federica
Banaj, Nerisa
Ciullo, Valentina
Piras, Fabrizio
Ducci, Giuseppe
Demaria, Francesco
Vicari, Stefano
Spalletta, Gianfranco
author_facet Piras, Federica
Banaj, Nerisa
Ciullo, Valentina
Piras, Fabrizio
Ducci, Giuseppe
Demaria, Francesco
Vicari, Stefano
Spalletta, Gianfranco
author_sort Piras, Federica
collection PubMed
description Although etiological and maintenance cognitive factors have proved effective in predicting the disease course in youths with OCD, their contribution to symptom severity and specific OCD dimensions has been scarcely examined. In a cohort of children and adolescents with OCD (N = 41; mean age = 14; age range = 10–18 yrs.), we investigated whether certain dysfunctional beliefs and cognitive traits could predict symptom severity, and whether they were differentially associated with specific symptom dimensions. We found that self-oriented and socially prescribed perfectionism and intolerance to uncertainty were associated with higher obsession severity, which was not uniquely related to any neuropsychological variable. Greater severity of obsessions and compulsions about harm due to aggression/injury/violence/natural disasters was predicted by excessive concerns with the expectations of other people. Severity in this dimension was additionally predicted by decreasing accuracy in performing a problem-solving, non-verbal reasoning task, which was also a significant predictor of severity of obsessions about symmetry and compulsions to count or order/arrange. Apart from corroborating both the belief-based and neuropsychological models of OCD, our findings substantiate for the first time the specificity of certain dysfunctional beliefs and cognitive traits in two definite symptom dimensions in youth. This bears important clinical implications for developing treatment strategies to deal with unique dysfunctional core beliefs, and possibly for preventing illness chronicity.
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spelling pubmed-98212262023-01-07 Dysfunctional Beliefs and Cognitive Performance across Symptom Dimensions in Childhood and Adolescent OCD Piras, Federica Banaj, Nerisa Ciullo, Valentina Piras, Fabrizio Ducci, Giuseppe Demaria, Francesco Vicari, Stefano Spalletta, Gianfranco J Clin Med Article Although etiological and maintenance cognitive factors have proved effective in predicting the disease course in youths with OCD, their contribution to symptom severity and specific OCD dimensions has been scarcely examined. In a cohort of children and adolescents with OCD (N = 41; mean age = 14; age range = 10–18 yrs.), we investigated whether certain dysfunctional beliefs and cognitive traits could predict symptom severity, and whether they were differentially associated with specific symptom dimensions. We found that self-oriented and socially prescribed perfectionism and intolerance to uncertainty were associated with higher obsession severity, which was not uniquely related to any neuropsychological variable. Greater severity of obsessions and compulsions about harm due to aggression/injury/violence/natural disasters was predicted by excessive concerns with the expectations of other people. Severity in this dimension was additionally predicted by decreasing accuracy in performing a problem-solving, non-verbal reasoning task, which was also a significant predictor of severity of obsessions about symmetry and compulsions to count or order/arrange. Apart from corroborating both the belief-based and neuropsychological models of OCD, our findings substantiate for the first time the specificity of certain dysfunctional beliefs and cognitive traits in two definite symptom dimensions in youth. This bears important clinical implications for developing treatment strategies to deal with unique dysfunctional core beliefs, and possibly for preventing illness chronicity. MDPI 2022-12-28 /pmc/articles/PMC9821226/ /pubmed/36615019 http://dx.doi.org/10.3390/jcm12010219 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Piras, Federica
Banaj, Nerisa
Ciullo, Valentina
Piras, Fabrizio
Ducci, Giuseppe
Demaria, Francesco
Vicari, Stefano
Spalletta, Gianfranco
Dysfunctional Beliefs and Cognitive Performance across Symptom Dimensions in Childhood and Adolescent OCD
title Dysfunctional Beliefs and Cognitive Performance across Symptom Dimensions in Childhood and Adolescent OCD
title_full Dysfunctional Beliefs and Cognitive Performance across Symptom Dimensions in Childhood and Adolescent OCD
title_fullStr Dysfunctional Beliefs and Cognitive Performance across Symptom Dimensions in Childhood and Adolescent OCD
title_full_unstemmed Dysfunctional Beliefs and Cognitive Performance across Symptom Dimensions in Childhood and Adolescent OCD
title_short Dysfunctional Beliefs and Cognitive Performance across Symptom Dimensions in Childhood and Adolescent OCD
title_sort dysfunctional beliefs and cognitive performance across symptom dimensions in childhood and adolescent ocd
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9821226/
https://www.ncbi.nlm.nih.gov/pubmed/36615019
http://dx.doi.org/10.3390/jcm12010219
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