Is worry a thought control strategy relevant to obsessive-compulsive disorder?
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Updated: Jun 17, 2026

Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging
Published on: March 14, 2025
1Northern Illinois University, DeKalb, IL 60115, United States.
Abstract:
Thought control strategies are implicated in the development and maintenance of obsessive-compulsive disorder (OCD). Regarding one strategy - worry - extant data provide equivocal conclusions as to its relevance to OCD. The current study examined whether worry is an OCD-relevant thought control strategy using data from a large (N=376) nonclinical sample. This investigation tested whether worry interacted with obsessive beliefs (perfectionism/certainty; responsibility/threat estimation; importance/control of thoughts) to predict the occurrence of ego-dystonic intrusive thoughts. As expected, worry did interact with obsessive beliefs to predict more reported intrusions. Contrary to expectations, worry interacted with all three assessed belief dimensions. These results provide support for conceptualizing worry as an OCD-relevant thought control strategy, which has both conceptual and therapeutic implications.
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