A Preliminary Investigation of Pathways to Inflated Responsibility Beliefs in Children with Obsessive Compulsive Disorder

Collins, Lindsey M.; Coles, Meredith E.

doi:10.1017/s1352465817000844

Cited by 9 publications

(8 citation statements)

References 6 publications

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“…An overvalued sense of responsibility has been most consistently associated with OCD. [28] Salkovskis et al . [29] proposed that experiencing heightened responsibility, overprotective parents and rigid rules, and thinking that one influenced or caused a negative life event act as “pathways” to the development of inflated responsibility beliefs, thereby increasing risk for OCD.…”

Section: Discussionmentioning

confidence: 99%

“…[29] proposed that experiencing heightened responsibility, overprotective parents and rigid rules, and thinking that one influenced or caused a negative life event act as “pathways” to the development of inflated responsibility beliefs, thereby increasing risk for OCD. In fact, overvalued sense of responsibility has been proposed as a target for both prevention and management in OCD;[28] cognitive restructuring techniques to address this phenomenon would also help facilitate insight into illness. These phenomena are understudied in children.…”

Section: Discussionmentioning

confidence: 99%

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Clinical profile of obsessive-compulsive disorder in children and adolescents: A multicentric study from India

Sharma

Grover

Dan

et al. 2019

Indian J Psychiatry

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Context:Data from the Western countries suggest that obsessive-compulsive disorder (OCD) in children and adolescents is associated with male preponderance, comorbid neurodevelopmental disorders, and high family loading. However, data are limited from the developing countries with respect to the demographic and clinical characteristics of OCD in children and adolescents.Aims:To study the demographic and clinical characteristics of children and adolescents (age ≤18 years) with OCD.Setting and Design:This was a cross-sectional study, conducted in outpatient treatment setting, across six centers in India.Materials and Methods:Participants were assessed using a semi-structured pro forma for sociodemographic information, clinical characteristics, the Children's Yale Brown Obsessive Compulsive Scale (CYBOCS), Structured Clinical Interview for Diagnostic and Statistical Manual, 5th Edition Research Version, Children's Depression Rating Scale, and Family Interview for Genetic Studies.Results:The sample was largely male with a moderate illness severity. Nearly 75% of the sample had illness onset before the age of 14 years. Aggressive, contamination-related obsessions and washing, checking, and repeating compulsions were the most common symptoms. CYBOCS assessment revealed that >2/3rd of children and adolescents endorsed avoidance, pathological doubting, overvalued sense of responsibility, pervasive slowness, and indecisiveness. Family history and comorbidity rates were low. OC-related disorders were present in about 10% of the sample.Conclusions:This study suggests that the clinical characteristics of OCD in children and adolescents in developing countries differ on certain aspects as reported from developed countries.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Clinical profile of obsessive-compulsive disorder in children and adolescents: A multicentric study from India

Sharma

Grover

Dan

et al. 2019

Indian J Psychiatry

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“…early experiences (Briggs and Price, 2009), critical incidents (Rhéaume et al, 1998), responsibility assumptions and beliefs (Abramowitz et al, 2003;Romero-Sanchiz et al, 2015), misinterpretation of intrusive thoughts (Abramowitz et al, 2006), neutralizing actions (Salkovskis et al, 1997), attention bias (Amir et al, 2009), counterproductive safety strategies (Abramowitz et al, 2001) and mood changes (Purdon, 2001). In addition, there is also support for the proposed relational pathways within the model, with early experiences and critical incidents being linked to the formation and activation of maladaptive beliefs around responsibility Collins and Coles, 2018) and the misinterpretation of intrusions having a crucial mediating role between maladaptive beliefs and symptoms of OCD (Pleva and Wade, 2006). However, these pathways have typically been examined in isolation and have not been concurrently examined in a comprehensive test of the model.…”

Section: Introductionmentioning

confidence: 94%

Modelling OCD: a test of the inflated responsibility model

Mitchell

Hanna

Dyer³

2019

Behav. Cogn. Psychother.

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Background: The Salkovskis (1999) model of obsessive compulsive disorder (OCD), which emphasizes the role of inflated responsibility, has proven highly influential in both the understanding and treatment of OCD. Aims: This study aimed to empirically test several core processes of this model. Method: The individual components of the model were measured using multiple indicators in a sample of undergraduate students (n = 170), and confirmatory factor analyses were used to ascertain the most reliable, valid and theoretically consistent latent variables. Structural equation modelling was used to test proposed relations between latent constructs in the model. Results: The inflated responsibility model was a good fit for the data in the present sample. As predicted by the model, misinterpretations of intrusive thoughts as indicating personal responsibility fully mediated the relationships between responsibility beliefs and counterproductive safety strategies, neutralizing actions and mood changes. Conclusions: The Salkovksis (1999) inflated responsibility model of OCD is empirically supported in the present sample of undergraduate students, lending support to the proposed mechanisms in the model and supporting prior evidence.

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“…A large amount of observational and experimental studies in clinical and non-clinical adult samples demonstrated the association between obsessive beliefs and OCD [16], but not all the studies supported this relationship [17]. Moreover, some of the so-called obsessive beliefs may not be speci c of OCD, i.e., they are also associated with anxiety or depressive symptoms or disorders, and some beliefs may be more strongly related to OCD than other [18][19].…”

Section: Introductionmentioning

confidence: 99%

“…The speci city of In ated Responsibility beliefs to OCD was investigated through a meta-analysis of 58 studies (n = 15678) including studies in children or adolescents [17]. The results showed a medium effect size of this association, although there was a signi cant difference between the effect sizes in adult versus child-adolescent samples: In ated Responsibility beliefs appeared more strongly endorsed by adults than by children/adolescents [16]. In addition, this domain was more strongly associated with OCD than with depressive disorders, but equally with anxiety disorders [16].…”

Section: Introductionmentioning

confidence: 99%

Obsessive beliefs and subtypes of obsessive-compulsive symptoms amongst immigrant children and early adolescents

Pozza¹,

Coluccia²,

Casale³

et al. 2021

Preprint

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Background. Vulnerability factors for obsessive-compulsive (OC) features in immigrant youth are under-studied. The migration process can have a highly stressful impact on the psychological wellbeing of the individual and it may represent a precipitating factor for different forms of psychopathology. Little is known about the occurrence of OC traits. Unlike other European countries, immigration to Italy is a recent phenomenon. In community children/early adolescents, this study compared OC general symptoms/subtypes and vulnerability cognitive factors amongst Italian natives, first- and second-generation immigrants, and examined whether such vulnerability factors moderate the relation between immigrant status and OC symptoms/subtypes, beyond socio-demographic/clinical variables. Methods. Two hundred sixty-eight children/early adolescents (99 natives, 82 and 87 first- and second-generation immigrants respectively) completed the Obsessive Belief Questionnaire-Child Version, Obsessive Compulsive Inventory-Child Version, Spence’s Children Anxiety Scale, Children’s Depression Inventory.Results. As compared with the other groups, first-generation immigrants had the highest levels of perfectionism and threat overestimation. Both first- and second-generation immigrants had higher doubting – checking traits than natives. First-generation immigrants with higher threat overestimation showed lower obsessing traits. Conclusions. Community screening programs for OC features should consider immigrant youth as a vulnerable group and, potentially, the target of an early intervention.

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A Preliminary Investigation of Pathways to Inflated Responsibility Beliefs in Children with Obsessive Compulsive Disorder

Abstract: Results provide initial support for the theory proposed by Salkovskis et al. (1999) as applied to youth with OCD. Future studies are needed to further assess the model in early-onset OCD.

Cited by 9 publications

References 6 publications

Clinical profile of obsessive-compulsive disorder in children and adolescents: A multicentric study from India

Clinical profile of obsessive-compulsive disorder in children and adolescents: A multicentric study from India

Modelling OCD: a test of the inflated responsibility model

Obsessive beliefs and subtypes of obsessive-compulsive symptoms amongst immigrant children and early adolescents

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