Fear of self, doubt and obsessive compulsive symptoms

Nikodijevic, Alexandra, Moulding, Richard, Anglim, Jeromy, Aardema, Frederick and Nedeljkovic, Maja 2015, Fear of self, doubt and obsessive compulsive symptoms, Journal of behavior therapy and experimental psychiatry, vol. 49, pp. 164-172, doi: 10.1016/j.jbtep.2015.02.005.

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Title Fear of self, doubt and obsessive compulsive symptoms
Author(s) Nikodijevic, Alexandra
Moulding, RichardORCID iD for Moulding, Richard orcid.org/0000-0001-7779-3166
Anglim, JeromyORCID iD for Anglim, Jeromy orcid.org/0000-0002-1809-9315
Aardema, Frederick
Nedeljkovic, Maja
Journal name Journal of behavior therapy and experimental psychiatry
Volume number 49
Start page 164
End page 172
Total pages 9
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2015
ISSN 1873-7943
Keyword(s) beliefs
inferential confusion
obsessive compulsive disorder
Summary BACKGROUND AND OBJECTIVES: Following observations in the literature that obsessions often contain or imply negative evaluative information about the self, Aardema et al. (2013) recently developed a measure of feared-self relevant to OCD. The current study aimed to provide further examination of the relevance of such feared self-beliefs to obsessive compulsive processes - in particular whether they partially underlie doubt in OCD-relevant situations. METHOD: Nonclinical participants (N = 463; 291 females; Mage = 25.17, SD = 7.47), were presented with three vignettes, related to washing, checking and non-OCD relevant themes, which assessed doubt through providing alternating sensory and possibility-based information. RESULTS: Higher levels of OCD symptoms and feared-self beliefs both significantly predicted both higher baseline levels of doubt and greater fluctuation in levels of doubt in both the contamination and checking scenarios, and to a much lesser extent in the control scenario. Feared-self beliefs did not predict fluctuation in doubt over-and-above OCD symptoms, consistent with a mediation model. LIMITATIONS: The main limitation was the use of a non-clinical sample, although this allowed sufficient participant numbers to test hypotheses. CONCLUSIONS: The findings provided further experimental support for reasoning processes in OCD, and suggested that feared self-beliefs may make individuals vulnerable to experiencing doubt. Additionally, these results suggested that individuals with high OCD symptoms and those with high feared self-beliefs are unable to recognise the improbable nature of possibility-based statements. Implications for treatment and theory are discussed.
Language eng
DOI 10.1016/j.jbtep.2015.02.005
Field of Research 170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 920410 Mental Health
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2015, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30070814

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