Symptom dimensions in obsessive–compulsive disorder: From normal cognitive intrusions to clinical obsessions

García‐Soriano, Gemma; Belloch, Amparo; Morillo, Carmen; Clark, David A.

doi:10.1016/j.janxdis.2010.11.012

Cited by 67 publications

(53 citation statements)

References 54 publications

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“…The consistent finding that thoughts of disease and contamination are least often endorsed by nonclinical individuals (Belloch et al, 2004;Purdon & Clark, 1993) suggests that they are not prevalent in the general population, but that when they occur they do cause distress. Furthermore, in a comparison of intrusive thoughts rated as most disturbing by nonclinical (age range 16-60 years, mean¼ 29.47) and clinical groups (age range 18-54 years, mean¼35.83 years), García-Soriano et al (2011) demonstrated that the clinical group reported a greater proportion of their most upsetting thought from the contamination and superstition subscales. These findings support the conclusion that there is something uniquely upsetting about contamination thoughts, which may constitute a difference between nonclinical and clinical intrusive thoughts in terms of content.…”

Section: Themesmentioning

confidence: 96%

“…Therefore the reported prevalence rates may not represent thoughts comparable to clinical obsessions. García-Soriano, Belloch, Morillo, and Clark (2011) developed The Obsessional Intrusive Thoughts Inventory to address this shortcoming; the forty-eight items exclude intrusive thoughts of nonclinical origin. The authors reported endorsement of these items by a nonclinical sample, indicating that obsessive intrusive thoughts are experienced by the general population.…”

Section: Prevalence Of Nonclinical Intrusive Thoughtsmentioning

confidence: 99%

“…The difference in intrusive thought frequency between nonclinical individuals and OCD patients (e.g. García-Soriano et al, 2011;Morillo, Belloch, & García-Soriano, 2007) highlights the importance of distinguishing between incidence and frequency.…”

Section: Prevalence Of Nonclinical Intrusive Thoughtsmentioning

confidence: 99%

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A review of obsessive intrusive thoughts in the general population

Berry

Laskey

2012

Journal of Obsessive-Compulsive and Related Disorders

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a b s t r a c tIntrusive thoughts feature as a key factor in our current understanding of Obsessive-Compulsive Disorder (OCD). Cognitive theories of OCD assume that the interpretation of normal intrusive thoughts leads to the development and maintenance of the disorder. Research that supports the role of beliefs and appraisals in maintaining distress in OCD is based on the supposition that clinical obsessions are comparable to normal intrusive thoughts. This paper reviews research investigating the occurrence of intrusive thoughts in a nonclinical population, in order assess if these thoughts are comparable to obsessions. The prevalence of intrusive thoughts with obsessive content is assessed, as well as other aspects of these thoughts, such as triggers, appraisals and response strategies. Through critique of literature in this field, this paper goes on to discuss the implications for future research.

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Section: Themesmentioning

confidence: 96%

Section: Prevalence Of Nonclinical Intrusive Thoughtsmentioning

confidence: 99%

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A review of obsessive intrusive thoughts in the general population

Berry

Laskey

2012

Journal of Obsessive-Compulsive and Related Disorders

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“…While the distinction between autogenous and reactive types of OCD has received further empirical support (García-Soriano, Belloch, Morillo, & Clark, 2011), the positive relationship between autogenous obsessions and depression is less consistent. For example, Lee et al (2005) found higher levels of guilt in their sample of OCD patients with autogenous obsessions compared to those with reactive obsessions, but they failed to find higher levels of depression.…”

Section: Ocd-related Factorsmentioning

confidence: 99%

Obsessive-compulsive disorder and comorbid depression: The role of OCD-related and non-specific factors

Yap

Mogan

Kyrios

2012

Journal of Anxiety Disorders

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Although comorbid depression is a predictor of poor treatment response in obsessive-compulsive disorder (OCD), there is limited understanding of factors that contribute to depression severity in OCD. The current study examines the influence of OCD-related factors (autogenous obsessions and obsessional beliefs) and non-specific factors (avoidance and anxiety) on depression severity in a sample of OCD patients. There were 56 participants with only OCD and 46 with OCD and comorbid depression. Self-report questionnaires measuring depression, OCD-related factors, and non-specific factors were completed. Although there were no significant differences between the two groups on these variables, depression severity was positively correlated with anxiety, avoidance, obsessional beliefs, and autogenous obsessions in the whole sample. When entered into a multiple regression model to predict depression severity, these factors accounted for 51% of the variance. While OCD-related factors remained significant predictors after controlling for non-specific factors, the non-specific factors made the most significant contributions to the model. Our findings suggest that in addition to dealing with autogenous obsessions, addressing anxiety and avoidance might lead to improvements in the treatment of OCD with comorbid depression.

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“…En los últimos años, hemos dedicado algunos esfuerzos a analizar este tipo de experiencias mentales no solo en personas con TOC (p.ej., García-Soriano et al, 2011;Morillo et al, 2007), sino también en relación con la Depresión Mayor (Giménez y Belloch, 2002) y en personas con trastornos de la Conducta Alimentaria (Perpiñá, Roncero y Belloch, 2008;Perpi-ñá et al, 2011). Como es natural, algunas de las características asociadas a las IM difi eren en función del trastorno en que aparecen.…”

Section: Dimensiones Específi Casunclassified

Propuestas para un enfoque transdiagnóstico de los trastornos mentales y del comportamiento: Evidencia, utilidad y limitaciones = Proposals for a transdiagnostic perspective of mental and behavioural disorders: Evidence, usefulness, and limitations

Fuster

2012

RPPC

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Resumen: Las elevadas tasas de comorbilidad y covariación entre los diversos trastornos mentales constituyen una de las limitaciones más importantes de los actuales sistemas de diagnóstico psiquiátrico, que además están basados en categorías definidas por sus características clínicas y no en supuestos etiológicos. Estas limitaciones se ponen especialmente de manifiesto en el caso de los trastornos de ansiedad y depresivos, y se producen también en los trastornos alimentarios. La acumulación de evidencias sobre el solapamiento de síntomas ha llevado a sugerir la existencia de dimensiones patológicas comunes y compartidas entre los diferentes trastornos de ansiedad y depresivos y a proponer un enfoque transdiagnóstico para estos trastornos. Paralelamente, se han propuesto tratamientos transdiagnósticos para los trastornos emocionales, que se centran en las comunalidades observadas más que en sus diferencias. Este artículo analiza algunas de las dimensiones comunes a los trastornos emocionales que cuentan con evidencia empírica, así como su utilidad y limitaciones a la hora de avanzar en la comprensión de la psicopatología de esos trastornos y las implicaciones para un tratamiento transdiagnóstico.Palabras clave: Trastornos emocionales; tratamiento transdiagnóstico; terapia cognitivo-conductual; ansiedad; depresión. Proposals for a transdiagnostic perspective of mental and behavioural disorders:Evidence, usefulness, and limitations Abstract:The high rates of comorbidity and cross-sectional covariation between disorders are one of the main limitations of current psychiatric diagnostic approaches, which moreover are based on categories defined by clinical features rather than assumptions about etiology. These limitations are especially manifest as regards anxiety and depressive disorders, and also are evident in eating disorders. The accumulating evidence on symptom overlap has led several authors to suggest the existence of common and shared pathology dimensions across anxiety and depressive disorders, postulating a transdiagnostic approach to these disorders. At the same time, transdiagnostic treatments for emotional disorders have been proposed focusing on the observed commonalities instead of the differences. This article examines some of the empirically supported common dimensions of emotional disorders, their usefulness and limitations in further understanding the psychopathology of those disorders, and the implications of a transdiagnostic treatment.

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Symptom dimensions in obsessive–compulsive disorder: From normal cognitive intrusions to clinical obsessions

Cited by 67 publications

References 54 publications

A review of obsessive intrusive thoughts in the general population

A review of obsessive intrusive thoughts in the general population

Obsessive-compulsive disorder and comorbid depression: The role of OCD-related and non-specific factors

Propuestas para un enfoque transdiagnóstico de los trastornos mentales y del comportamiento: Evidencia, utilidad y limitaciones = Proposals for a transdiagnostic perspective of mental and behavioural disorders: Evidence, usefulness, and limitations

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