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Beliefs in obsessive-compulsive disorder

G Steketee1, R O Frost, I Cohen

  • 1School of Social Work, Boston University, MA 02215, USA.

Journal of Anxiety Disorders
|January 8, 1999
PubMed
Summary
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Individuals with obsessive-compulsive disorder (OCD) exhibit heightened OCD-related beliefs compared to other anxiety disorders and controls. Uncertainty significantly predicts OCD symptom severity, warranting further research into these belief domains.

Area of Science:

  • Psychology
  • Psychiatry
  • Cognitive Behavioral Therapy

Background:

  • Obsessive-compulsive disorder (OCD) is hypothesized to be linked with specific belief systems.
  • These include beliefs about responsibility for harm, thought control, threat overestimation, intolerance of uncertainty, and anxiety consequences.
  • Understanding these beliefs is crucial for OCD etiology, maintenance, and treatment.

Purpose of the Study:

  • To compare OCD-related beliefs in individuals with OCD, other anxiety disorders (AD), and healthy controls.
  • To examine the convergent and discriminant validity of these belief domains.
  • To identify specific belief domains that predict OCD symptom severity.

Main Methods:

  • A study involving 62 subjects with OCD, 45 with AD, and 34 controls.

Related Experiment Videos

  • Utilized three distinct measures to assess OCD-related beliefs.
  • Employed regression analyses to determine the predictive power of cognitive measures on OCD severity.

    • Main Results:

    • Subjects with OCD scored significantly higher on two general belief measures compared to AD and control groups.
    • OCD subjects demonstrated higher scores across all six specific belief domains: responsibility, control, threat estimation, uncertainty intolerance, anxiety consequences, and coping capacity.
    • Intolerance of uncertainty emerged as the strongest predictor of OCD symptom severity in regression analyses.

    Conclusions:

    • Specific belief domains are significantly elevated in individuals with OCD.
    • Intolerance of uncertainty is a key cognitive factor associated with OCD symptom severity.
    • Further investigation into OCD-relevant belief domains is essential for advancing understanding and treatment of the disorder.