Indecisiveness as a predictor of quality of life in individuals with obsessive and compulsive traits

Taillefer, Stephanie E.; Liu, Jenny J. W.; Ornstein, Tisha J.; Vickers, Kristin S.

doi:10.1016/j.jocrd.2016.07.002

Cited by 16 publications

(13 citation statements)

References 63 publications

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“…Rated on the scale from 0 = ”None” to 4 = ”Extreme, unable to make any decisions”) correlated positively with severity of OCD (Y-BOCS: N = 39, Spearman’s r = 0.36, p = 0.02) and, at trend level, with severity of HD (SI-R: N = 18, Spearman’s r = 0.41, p = 0.09). This is consistent with the repeatedly reported association of both OCD and HD with self-reported difficulties in decision making (Frost and Shows, 1993,1993; Hunink et al, 2014,2014; Taillefer et al, 2016) and with previous findings showing that OCD and HD are clinically characterized by intolerance of uncertainty (Tolin et al, 2003; Mathes et al, 2017). …”

Section: Resultssupporting

confidence: 92%

“…However, recently, primary hoarding symptoms have led to development of HD as a distinct clinical diagnosis (Black and Grant, 2014). Pathological indecisiveness, doubt, and intolerance of uncertainty are often prominent sources of disability in individuals with OCD or HD (Reed, 1985,1985; Rasmussen and Eisen, 1992; Tolin et al, 2003; Taillefer et al, 2016). We employ the Risk & Ambiguity task (Levy et al, 2010), a behavioral task grounded in economic theory, to investigate value-based decision making under uncertainty in individuals with OCD and HD.…”

Section: Introductionmentioning

confidence: 99%

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Value-based decision making under uncertainty in hoarding and obsessive- compulsive disorders

Pushkarskaya

Tolin

Ruderman

et al. 2017

Psychiatry Research

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Difficulties in decision making are a core impairment in a range of disease states. For instance, both obsessive-compulsive disorder (OCD) and hoarding disorder (HD) are associated with indecisiveness, inefficient planning, and enhanced uncertainty intolerance, even in contexts unrelated to their core symptomology. We examined decision-making patterns in 19 individuals with OCD, 19 individuals with HD, 19 individuals with comorbid OCD and HD, and 57 individuals from the general population, using a well-validated choice task grounded in behavioral economic theory. Our results suggest that difficulties in decision making in individuals with OCD (with or without comorbid HD) are linked to reduced fidelity of value-based decision making (i.e. increase in inconsistent choices). In contrast, we find that performance of individuals with HD on our laboratory task is largely intact. Overall, these results support our hypothesis that decision-making impairments in OCD and HD, which can appear quite similar clinically, have importantly different underpinnings. Systematic investigation of different aspects of decision making, under varying conditions, may shed new light on commonalities between and distinctions among clinical syndromes.

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Section: Resultssupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Value-based decision making under uncertainty in hoarding and obsessive- compulsive disorders

Pushkarskaya

Tolin

Ruderman

et al. 2017

Psychiatry Research

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“…This is consistent with both the theoretical importance of decision-making in both disorders, and also previous research finding self-report indecision in OCD (Frost & Shows, 1993). Given the dearth of literature examining self-report indecision, this is an important area of future research, particularly given the previous finding that indecision significantly predicts quality-of-life in those with subclinical OCD symptoms (Taillefer, Liu, Ornstein, & Vickers, 2016).…”

Section: Self-report Indecisionmentioning

confidence: 99%

Neurocognitive and Dysfunctional Belief Candidate Endophenotypes of Obsessive-Compulsive and Related Disorders

Taillefer¹

2023

Preprint

Self Cite

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Background: The current dissertation examined neurocognitive and dysfunctional belief candidate endophenotypes (CEs) across the obsessive compulsive spectrum to elucidate general versus specific factors. This study included CEs from two etiological perspectives well established in the literature. Secondary analyses examined several CEs multidimensionally and examined the relationship between CEs and of QOL. Methods: A total of 77 participants took part in this study, divided into four groups; OCD (n = 21), Hoarding Disorder (HD; n = 16), Grooming Disorders which included both Trichotillomania and Excoriation Disorder (GD; n = 18), and control participants (n = 22). Participants completed a clinical interview and battery of neurocognitive tasks and questionnaires. Results: Those with HD performed worse than controls on measures of response inhibition and set-shifting. OCD continued to predict significant variance in number sequencing. Examination of dysfunctional belief CEs revealed specificity of Responsibility/Threat beliefs and Importance/Control of Thoughts beliefs to OCD. Perfectionism/Intolerance of Uncertainty appear to be broad CEs; however, differing specificity emerged depending on the measure utilized to measure the construct. Self-report indecision revealed specificity to OCD and HD. Differing patterns of QOL impairments emerged across the spectrum. A better understanding of CEs specificity has implications for diagnostic classification, etiology, course, and treatment.

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“…Nerozhodnosť pozitívne koreluje s neistou-ambivalentnou vzťahovou väzbou (Crone et al, 2019), perfekcionizmom (Frost, & Shows, 1993), nefunkčnou impulzivitou (Barkley-Levenson, & Fox, 2016), neuroticizmom (Bavoľár, 2018;Germejis, & Verschueren, 2011b) a vonkajším miestom kontroly (Santos, 2001). Bola zistená aj negatívna korelácia medzi nerozhodnosťou a sebaúctou (Germejis, & De Boeck, 2002;Jackson et al, 1999;Santos, 2001), kvalitou života (Taillefer et al, 2016) a vierou v slobodnú vôľu (Kokkoris et al, 2019). Nerozhodnosť sa tiež spája s obsedantno-kompulzívnou poruchou (Chiang, & Purdon, 2019), depresiou (Lewicka, 1997) a patologickým zhromažďovaním (Frost et al, 2011).…”

Section: Základné Súvislosti Nerozhodnosti úZkosti a Akademickej Prokrastinácieunclassified

Analýza vzájomných vzťahov medzi nerozhodnosťou, akademickou prokrastináciou a úzkosťou

Jurásová¹,

Čavojcová²

2021

E-psychologie

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The main aim of the research study was to explore the relationships between indecisiveness, academic procrastination and anxiety. The research sample consisted of 296 university students (mean age=21,06; SD=1,52), who completed the Slovak adaptations of the Indecisiveness Scale, the Lay's Procrastination Scale for Students and the Beck Anxiety Inventory. A significant moderate correlation was found between indecisiveness and anxiety, as well as a significant strong correlation between indecisiveness and academic procrastination. A significant but very weak relationship was found between academic procrastination and anxiety. Indecisiveness explained more variance in academic procrastination than anxiety. Indecisiveness was predicted by procrastination and anxiety to a similar degree. No gender differences were detected in the levels of indecisiveness or academic procrastination.

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Indecisiveness as a predictor of quality of life in individuals with obsessive and compulsive traits

Cited by 16 publications

References 63 publications

Value-based decision making under uncertainty in hoarding and obsessive- compulsive disorders

Value-based decision making under uncertainty in hoarding and obsessive- compulsive disorders

Neurocognitive and Dysfunctional Belief Candidate Endophenotypes of Obsessive-Compulsive and Related Disorders

Analýza vzájomných vzťahov medzi nerozhodnosťou, akademickou prokrastináciou a úzkosťou

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