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Related Experiment Videos

Too much thinking about thinking?: Metacognitive differences in obsessive-compulsive disorder.

Amy S Janeck1, John E Calamari, Bradley C Riemann

  • 1Department of Psychology, The University of British Columbia, 2136 West Mall, BC, V6T 1ZA, Vancouver, Canada. ajaneck@cortex.psych.ubc.ca

Journal of Anxiety Disorders
|March 5, 2003
PubMed
Summary

Cognitive self-consciousness (CSC) uniquely differentiates obsessive-compulsive disorder (OCD) patients from those with generalized anxiety. This awareness of thinking may contribute to OCD development by increasing negative appraisals of intrusive thoughts.

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Area of Science:

  • Psychology
  • Cognitive Neuroscience
  • Psychiatry

Background:

  • Cognitive models identify negative appraisals of intrusive thoughts as core to obsessive-compulsive disorder (OCD).
  • Metacognitive processes are increasingly emphasized in cognitive theories of OCD.
  • Previous research identified cognitive self-consciousness (CSC) as a key differentiator between OCD and generalized anxiety disorder (GAD).

Purpose of the Study:

  • To evaluate the relative importance of different cognitive processes in OCD.
  • To assess the differentiating power of an expanded cognitive self-consciousness (CSC) scale in OCD.
  • To compare CSC with other measures of thought appraisals and beliefs in OCD patients.

Main Methods:

  • Administered an expanded CSC scale to 30 OCD patients and 25 anxious comparison (OAD) patients.

Related Experiment Videos

  • Utilized two state-of-the-art measures of thought appraisals and beliefs.
  • Analyzed scores to differentiate between OCD and OAD groups, controlling for other cognitive measures.

    • Main Results:

    • Scores on the expanded CSC scale reliably differentiated OCD patients from the OAD group.
    • CSC remained a significant differentiator even after controlling for thought appraisal and belief measures.
    • This suggests CSC's unique role in distinguishing OCD.

    Conclusions:

    • Cognitive self-consciousness (CSC) is a crucial metacognitive factor in obsessive-compulsive disorder (OCD).
    • Excessive reflection on cognitive processes (high CSC) may heighten negative appraisals of intrusive thoughts.
    • This heightened awareness and appraisal may increase the likelihood of developing OCD.