Fear of self and unacceptable thoughts in obsessive-compulsive disorder

Melli, Gabriele, Aardema, Frederick and Moulding, Richard 2016, Fear of self and unacceptable thoughts in obsessive-compulsive disorder, Clinical psychology and psychotherapy, vol. 23, no. 3, pp. 226-235, doi: 10.1002/cpp.1950.

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Title Fear of self and unacceptable thoughts in obsessive-compulsive disorder
Author(s) Melli, Gabriele
Aardema, Frederick
Moulding, RichardORCID iD for Moulding, Richard orcid.org/0000-0001-7779-3166
Journal name Clinical psychology and psychotherapy
Volume number 23
Issue number 3
Start page 226
End page 235
Total pages 10
Publisher Wiley
Place of publication Chichester, Eng.
Publication date 2016-05
ISSN 1063-3995
Keyword(s) obsessive-compulsive disorder
fear of self
obsessive beliefs
unacceptable thoughts
Summary Cognitive-behavioural models have linked unacceptable or repugnant thoughts in obsessive-compulsive disorder (OCD) with vulnerable self-themes and fear-of-self concerns. To investigate this notion, Aardema and coworkers recently developed and validated the Fear of Self-Questionnaire (FSQ) in non-clinical samples, finding it had strong internal inconsistency, and good divergent and convergent validity, including strong relationships to obsessional symptoms and with other processes implicated in cognitive models of OCD (e.g., obsessive beliefs and inferential confusion). The current article describes two studies that aim to replicate and extend these findings in clinical OCD and non-clinical samples. Study 1 investigated the psychometric properties of an Italian translation of the FSQ in a non-clinical sample (n=405). Results of confirmatory factor analysis supported the unidimensionality of the scale; the FSQ also showed very good internal consistency and temporal stability. Study 2 investigated the role of fear of self in OCD symptoms, and unacceptable thoughts and repugnant obsessions in particular, using a clinical OCD sample (n=76). As expected, fear of self was a unique, major predictor of unacceptable thoughts independent of negative mood states and obsessive beliefs. Moreover, even when considered with obsessive beliefs, anxiety and depression, the feared self was the only unique predictor of obsessionality, providing support for the notion that self-themes could explain why some intrusions convert into obsessions, whereas others do not. Implications for current cognitive-behavioural models are discussed.
Language eng
DOI 10.1002/cpp.1950
Field of Research 1701 Psychology
1702 Cognitive Science
170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 970117 Expanding Knowledge in Psychology and Cognitive Sciences
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, John Wiley & Sons
Persistent URL http://hdl.handle.net/10536/DRO/DU:30076638

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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