The Relationship between Self-ambivalence and Obsessive Compulsive Disorder Symptoms: The Mediating Role of Relevant Beliefs in Obsessive Compulsive Disorder

Document Type : Original Article

Authors

Department of Clinical Psychology, Faculty of Education and Psychology, University of Shiraz, Shiraz, Iran

Abstract

Abstract

Introduction: Based on the cognitive model, Obsessive-Compulsive Disorder (OCD) is maintained by various belief factors. Despite much support for this hypothesis, little is understood about the role of self-concept in the maintenance or treatment of OCD. Researchers believe that individuals who are ambivalent about their self-worth, use OCD-related beliefs and behaviors to restore self-esteem. The present study investigates the association between self-ambivalence and OCD-related beliefs and symptoms. Also, it is expected that OCD-relevant beliefs mediate the association between self-ambivalence and OCD symptoms.
Method: Non-clinical participants (280) were recruited for this research. Each participant completed the self-reported versions of the Yale–Brown Obsessive Compulsive Scale (Y-BOCS), the Self-Ambivalence Scale (Y-BOCS), and the Obsessive Beliefs Questionnaire-44)OBQ-44). The data were analyzed using path analysis in SPSS 18.
Results: Findings revealed that self-ambivalence had a significant positive correlation with OCD-relevant beliefs and OCD symptoms. The OCD-relevant beliefs also showed a significant positive association with OCD symptoms.  Analysis of the data revealed that OCD-beliefs mediated the relationship between self-ambivalence and OCD-symptoms.
Conclusion: Results indicate that individuals who are ambivalent about their self-worth, develop a morally and socially ideal self and relevant beliefs to resolve the self-ambivalence. These beliefs create a vulnerability for developing OCD. To conclude, interventions addressing the self-ambivalence and OCD-relevant beliefs can be effective in the prevention and treatment of OCD.

Keywords

References

References
1.   Kyrios M, Nelson B, Ahern C, Fuchs T, Parnas J. The self in psychopathology. Psychopathology. 2015;48(5):275.
2.   Beck AT. The self in understanding and treating psychological disorders: Cambridge University Press; 2016.
3.   Vater A, Schröder-Abé M, Weißgerber S, Roepke S, Schütz A. Self-concept structure and borderline personality disorder: Evidence for negative compartmentalization. Journal of behavior therapy and experimental psychiatry. 2015;46:50-8.
4.   Fassnacht DB, Ahern C, Haymes N, Turnell A, Kyrios M. The self in psychological disorders: The example of obsessive-compulsive spectrum disorders. Innovations and Future Directions in the Behavioural and Cognitive Therapies. 2016:63.
5.   Guidano VF. Complexity of the self: A developmental approach to psychopathology and therapy: Guilford Press; 1987.
6.   Guidano VF, Liotti G. Cognitive processes and emotional disorders: A structural approach to psychotherapy: Guilford Press; 1983.
7.   Melli G, Aardema F, Moulding R. Fear of self and unacceptable thoughts in obsessive–compulsive disorder. Clinical psychology & psychotherapy. 2016;23(3):226-35.
8.   Ahern C, Kyrios M, Moulding R. Self-based concepts and obsessive-compulsive phenomena. Psychopathology. 2015;48(5):287-92.
9.   Bhar SS, Kyrios M. An investigation of self-ambivalence in obsessive-compulsive disorder. Behaviour research and therapy. 2007;45(8):1845-57.
10. Bhar SS, Kyrios M, Hordern C. Self-Ambivalence in the Cognitive-Behavioural Treatment of Obsessive-Compulsive Disorder. Psychopathology. 2015;48(5):349-56.
11. Seah R, Fassnacht D, Kyrios M. Attachment anxiety and self-ambivalence as vulnerabilities toward Obsessive Compulsive Disorder. Journal of obsessive-compulsive and related disorders. 2018;18:40-6.
12. Wilhelm S, Berman NC, Keshaviah A, Schwartz RA, Steketee G. Mechanisms of change in cognitive therapy for obsessive compulsive disorder: Role of maladaptive beliefs and schemas. Behaviour research and therapy. 2015;65:5-10.
13. Wolters L, Prins PJ, Garst G, Hogendoorn SM, Boer F, Vervoort L, et al. Mediating Mechanisms in Cognitive Behavioral Therapy for Childhood OCD: The Role of Dysfunctional Beliefs. Child Psychiatry & Human Development. 2019;50(2):173-85.
14. Abramowitz JS, Lackey GR, Wheaton MG. Obsessive–compulsive symptoms: The contribution of obsessional beliefs and experiential avoidance. Journal of Anxiety Disorders. 2009;23(2):160-6.
15. Reuman L, Buchholz J, Abramowitz JS. Obsessive beliefs, experiential avoidance, and cognitive fusion as predictors of obsessive-compulsive disorder symptom dimensions. Journal of contextual behavioral science. 2018;9:15-20.
16. Tolin DF, Worhunsky P, Maltby N. Are “obsessive” beliefs specific to OCD?: A comparison across anxiety disorders. Behaviour Research and Therapy. 2006;44(4):469-80.
17. Mahmod-Aliloo M, Hashemi T, Ashrafian P. Prediction of washing obsessive-compulsive tendency through
obsessive beliefs. Journal of Behavioral Sciences. 2014;7(4):331-5.
18. Salkovskis PM. Obsessional-compulsive problems: A cognitive-behavioural analysis. Behaviour research and therapy. 1985;23(5):571-83.
19. Rachman S. A cognitive theory of obsessions: Elaborations. Behaviour research and therapy. 1998;36(4):385-401.
20. Rachman S. A cognitive theory of obsessions.  Behavior and Cognitive Therapy Today: Elsevier; 1998. p. 209-22.
21. Group OCCW. Cognitive assessment of obsessive-compulsive disorder. Behaviour Research and Therapy. 1997;35(7):667-81.
22. Stevens JP. Applied multivariate statistics for the social sciences: Routledge; 2012.
23. Baer L, Brown-Beasley MW, Sorce J, Henriques AI. Computer-assisted telephone administration of a structured interview for obsessive-compulsive disorder. The American Journal of Psychiatry. 1993.
24. Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL, et al. The Yale-Brown obsessive compulsive scale: I. Development, use, and reliability. Archives of general psychiatry. 1989;46(11):1006-11.
25. Steketee G, Frost R, Bogart K. The Yale-Brown obsessive compulsive scale: Interview versus self-report. Behaviour Research and Therapy. 1996;34(8):675-84.
26. Dadfarnian S, Moosavian E. Analysis of the Psychometric Properties of Self-Ambivalence Scale. . 2017.Under print.
27. Group OCCW. Psychometric validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory: Part I. Behaviour Research and Therapy. 2003;41(8):863-78.
28. Group OCCW. Psychometric validation of the obsessive belief questionnaire and interpretation of intrusions inventory—Part 2: Factor analyses and testing of a brief version. Behaviour Research and Therapy. 2005;43(11):1527-42.
29. Shams G, Esmaili Y, Karamghadiri N, Ebrahimhkani N, Yousefi Y, McKay D. Psychometric properties of the Persian language version of Obsessive Beliefs Questionnaire (OBQ-44) in Iranian general population. Acta Medica Iranica. 2014:66-75.
30. Summerfeldt L, Richter M, Antony M, Swinson R, editors. Beyond types: Examining the evidence for a dimensional model of OCD. M Pato (Chair), Subtypes of obsessive-compulsive disorder Symposium presented at the 153rd Annual Meeting of the American Psychiatric Association, Chicago, IL; 2000.
31. Salkovskis P, Freeston MH. Obsessions, compulsions, motivation, and responsibility for harm. Australian Journal of Psychology. 2001;53(1):1-6.
32. Purdon C, Clark DA. Metacognition and obsessions. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice. 1999;6(2):102-10.
33. Salkovskis P, Shafran R, Rachman S, Freeston MH. Multiple pathways to inflated responsibility beliefs in obsessional problems: Possible origins and implications for therapy and research. Behaviour Research and Therapy. 1999;37(11):1055-72.
34. Safran JD, Segal ZV, Hill C, Whiffen V. Refining strategies for research on self-representations in emotional disorders. Cognitive Therapy and Research. 1990;14(2):143-60.
35. Rogers CR. On becoming a person: A therapist's view of psychotherapy: Houghton Mifflin Harcourt; 1995.
36. Young J, Klosko J, Weishaar M. Schema therapy: A practitioner's guide Guilford Press. New York, NY. 2003.
37. Kohut H, Wolf E, S. The disorders of the self and their treatment: An outline. International Journal of Psycho-Analysis. 1978;59:413-25.
38.     Ghamari Givi H, Barahmand O, Sadegi-Movahed F. The investigation of the cognitive inhibition and recognition deficit in patients with obsessive-compulsive disorder. International Journal of Behavioral Sciences. 2013;4(6):315-21.
International Journal of Behavioral Sciences
Volume 13, Issue 3
November 2019
Pages 97-103

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