Functional links of obsessive, dysmorphic, hypochondriac, and eating-disorders related mental intrusions

Pascual-Vera, Belén; Belloch, Amparo

doi:10.1016/j.ijchp.2017.09.001

Cited by 18 publications

(21 citation statements)

References 41 publications

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“…These findings agree with those found in studies on OCD, eating disorders, and body dysmorphic‐related intrusive thoughts in community samples. The results of these studies indicate that people always do something to alleviate the discomfort caused by intrusive cognitions, regardless of their frequency and the discomfort they cause (Belloch, Roncero & Perpiñá, 2012, 2016; García‐Soriano & Belloch, 2013; Giraldo‐O'Meara & Belloch, 2018; Pascual‐Vera et al , 2019; Pascual‐Vera & Belloch, 2018b). It is important to note that the consequences associated with the illness‐ITs were more negative for women than for men, a result that agrees with studies reporting that women with IAD use more reassurance‐seeking than men (MacSwain et al , 2009).…”

Section: Discussionmentioning

confidence: 99%

Illness‐related intrusive thoughts and illness anxiety disorder

et al. 2020

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Introduction Intrusive thoughts about health threats (illness‐ITs) are a potential cognitive risk factor for the development and maintenance of illness anxiety disorder (IAD). This study analyzes the dimensionality of illness‐ITs from normalcy to psychopathology, and it evaluates whether the appraisals instigated by the Its mediate between these thoughts and IAD symptoms. Methods Two groups of individuals participated in the study and completed the Illness Intrusive Thoughts Inventory and the Whiteley Index. The first group was composed of 446 non‐clinical community participants. Of them, 264 individuals (68.6% women; Mage = 30.03 [SD = 13.83]) reported having experienced an upsetting illness‐IT in the past three months and were then included in the main analyses. The second group included 31 patients with a current main diagnosis of IAD based on DSM‐5 criteria (51.6% women; Mage = 32.74 [SD = 9.69]). Their severity was assessed with the Hypochondriasis Yale‐Brown Obsessive‐Compulsive Scale ‐Modified version, with scores ranging from 15 to 58 (M = 46.12, SD = 9.41). Results Illness‐ITs are common in both non‐clinical individuals and in patients with IAD, and they instigate dysfunctional emotional, cognitive, and behavioral consequences, although with greater intensity in patients than in non‐clinical individuals. The relationship between illness‐ITs and IAD is mediated by overestimation of threat and thought‐action fusion‐probability appraisals. Conclusion Illness‐ITs are a dimensional cognitive experience. The way they are appraised facilitates their escalation into symptoms of IAD. Practitioner points Provides support for the cognitive explanatory model of IAD and its usefulness in clinical practice. Indicates that the way people interpret and react to naturally occurring intrusive thoughts about illness seems to be a vulnerability marker for developing an illness anxiety disorder. Emphasizes that the meaning that patients with IAD ascribe to their intrusive thoughts about illnesses must be a main target in the cognitive‐behavioral treatment of IAD. Suggests that the importance of intrusive thoughts in IAD does not lie in the frequency with which they are experienced, but in the way, they are appraised/interpreted, which is what determines whether they become a clinically significant symptom. Indicates that the relationship between illness intrusive thoughts and IAD symptoms in non‐clinical individuals is based on: overestimating the negative consequences of experiencing an illness intrusive thought; and the appraisal that having such a thought would increase its likelihood of coming true. Shows that the frequency of illness‐related intrusive cognitions is associated with worse cognitive and behavioral consequences.

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Section: Discussionmentioning

confidence: 99%

Illness‐related intrusive thoughts and illness anxiety disorder

et al. 2020

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“…Likewise, from the perspective of clinical implications, we can conclude that the implementation of interventions focused on parents of young children with OCD is needed not only to overcome their problem but also to reduce family accommodation, whose existence would constitute an almost insurmountable barrier for effective application of psychological treatment. The direct involvement of the child in the treatment is relevant, both in increasing their motivation and to encourage and intensify the security of parents in the handling of problematic behaviors that may arise during treatment in non-clinical contexts (Pascual-Vera & Belloch, 2018)…”

Section: Discussionmentioning

confidence: 99%

Family involvement and treatment for young children with Obsessive-Compulsive Disorder: Randomized control study

Rosa‐Alcázar

Alcázar

Olivares-Olivares

et al. 2019

International Journal of Clinical and Health Psychology

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() Background/Objective The aim of this paper was to evaluate the diferential efficacy of cognitive behavioral family treatment in children under 8 years of age with Obsessive-Compulsive Disorder (OCD) in the reduction of obsessive-compulsive responses and secondary outcomes in three treatment conditions: (a) Treatment of parents and child, (b) Treatment of mother and child, and (c) Treatment of mother. Method Forty-four children with obsessive-compulsive disorder, aged 5.2-7.9 years old and their parents, were randomized to one of three groups in a 1:1:1 ratio. Seventy-five percent was male and 100% Caucasian (White-European). Treatment involved 12 individual sessions of is Cognitive-Behavioral Family-Based Treatment delivered. Results The three conditions produced clinical improvements in post-test and follow-up in the primary (symptom severity OCD) and secondary outcomes. The results showed no intergroup differences in variables related to OCD symptom severity, although statistically significant differences were found in groups in Internalizing and Externalizing problem, mother and fathers accomodation. Conclusions The most efficient condition was that including a greater number of family members even when there was high family accommodation. The direct involvement of the child in the psychological treatment was important in achieving better results.

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“…All these self-report instruments follow the structure of the Revised Obsessional Intrusions Inventory (ROII; Purdon & Clark, 1993) and the International Intrusive Thoughts Interview Schedule (IITIS; Clark et al, 2014, Moulding et al, 2014, Radomsky et al, 2014), which assess the frequency of UMIs with obsessional contents as well as their functional consequences. Pilot studies of the QUIT were conducted in Spanish and Portuguese community samples ( n = 438; Pascual-Vera and Roncero, 2017, Pascual-Vera and Belloch, 2018a, Pascual-Vera and Belloch, 2018b) and in Turkish university students ( n =259; Akin & Inozu, 2018).…”

Section: Methodsmentioning

confidence: 99%

The cross-cultural and transdiagnostic nature of unwanted mental intrusions

Pascual-Vera

Akın

Belloch

et al. 2019

International Journal of Clinical and Health Psychology

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Background/Objective Unwanted mental intrusions (UMIs), typically discussed in relation to Obsessive-Compulsive Disorder (OCD), are highly prevalent, regardless of the specific nationality, religion, and/or cultural context. Studies have also shown that UMIs related to Body Dysmorphic Disorder (BDD), Illness anxiety/Hypochondriasis (IA-H), and Eating Disorders (EDs) are commonly experienced. However, the influence of culture on these UMIs and their transdiagnostic nature has not been investigated. Method Participants were 1,473 non-clinical individuals from seven countries in Europe, the Middle-East, and South America. All the subjects completed the Questionnaire of Unpleasant Intrusive Thoughts, which assesses the occurrence and discomfort of four UMI contents related to OCD, BDD, IA-H, and EDs, and symptom questionnaires on the four disorders. Results Overall, 64% of the total sample reported having experienced the four UMIs. The EDs intrusions were the most frequently experienced, whereas hypochondriacal intrusions were the least frequent but the most disturbing. All the UMIs were significantly related to each other in frequency and disturbance, and all of them were associated with clinical measures of OCD, BDD, IA-H, and EDs. Conclusions UMIs are a common phenomenon across different cultural contexts and operate transdiagnostically across clinically different disorders.

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Functional links of obsessive, dysmorphic, hypochondriac, and eating-disorders related mental intrusions

Cited by 18 publications

References 41 publications

Illness‐related intrusive thoughts and illness anxiety disorder

Illness‐related intrusive thoughts and illness anxiety disorder

Family involvement and treatment for young children with Obsessive-Compulsive Disorder: Randomized control study

The cross-cultural and transdiagnostic nature of unwanted mental intrusions

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