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Affective forecasting accuracy in obsessive compulsive disorder.

Dianne M Hezel1, S Evelyn Stewart2, Bradley C Riemann3

  • 1Department of Psychology, Harvard University, William James Hall, 33 Kirkland Street, Cambridge, MA 02138, USA.

Behavioural and Cognitive Psychotherapy
|March 28, 2019
PubMed
Summary

People with obsessive compulsive disorder (OCD) do not inaccurately predict their emotional responses. Affective forecasting errors were not linked to risk assessment in this study on OCD and social anxiety.

Keywords:
affective forecastingcognitive biasesobsessive compulsive disorderrisk aversionsocial anxiety disorder

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Cognitive Neuroscience

Background:

  • Individuals with obsessive compulsive disorder (OCD) exhibit cognitive biases, including threat overestimation and risk aversion.
  • Research suggests OCD patients overestimate negative event severity and underestimate coping abilities.
  • The impact of OCD on affective forecasting accuracy remains unclear.

Purpose of the Study:

  • To investigate affective forecasting accuracy in individuals with OCD.
  • To examine the relationship between affective forecasting and risk assessment in various behaviors.

Main Methods:

  • A comparative study involving 41 individuals with OCD, 42 non-anxious controls, and 40 individuals with social anxiety.
  • Participants completed an affective forecasting task to predict emotional responses to future events.
  • Risk-taking behavior was assessed using a self-report measure.

Main Results:

  • Affective forecasting accuracy did not significantly differ across the OCD, non-anxious, and socially anxious groups.
  • No substantial evidence was found linking affective forecasting errors to risk assessment across diverse situations.
  • The study did not find a correlation between OCD, social anxiety, and the ability to predict emotional impact.

Conclusions:

  • Affective forecasting inaccuracies are unlikely to be a core feature of obsessive compulsive disorder (OCD) or social anxiety disorder.
  • While affective forecasting may not drive OCD, overestimating negative event impact has implications for exposure therapy.
  • Findings suggest current therapeutic approaches may need to consider cognitive biases beyond forecasting accuracy.