Appraisals of and recommendations for managing intrusive thoughts: An empirical investigation

The present study investigated strategies for managing intrusive thoughts. Eighty undergraduate students read vignettes of intrusive thoughts - blasphemous, sexual, and violent - which varied in frequency of the thought (high or low) and who experienced the thought (self or other). Appraisal ratings of thoughts were completed and participants completed a response strategy survey where they indicated how much they would endorse various methods for dealing with the thoughts. Some response strategies were theorized to help with intrusive thoughts and some were theorized to be unhelpful. Measures of obsessive-compulsive tendencies were completed to determine relationships between beliefs and appraisals as well as responses to the intrusive thoughts. Results indicated the more distressing a thought was perceived to be, the more likely participants were to recommend unhelpful strategies. Conversely, the less distressing the thought was, the more likely participants were to recommend helpful strategies. Ratings of distress and patterns of responses were related to obsessive-compulsive beliefs as well. Findings are discussed in terms of their relationship to the cognitive behavioral model of OCD, intrusive thoughts, and how future work may serve to educate and reduce stigma related to these common yet distressing experiences.