Too much thinking about thinking?: metacognitive differences in obsessive–compulsive disorder

Janeck, Amy S.; Calamari, John E.; Riemann, Bradley C.; Heffelfinger, Susan

doi:10.1016/s0887-6185(02)00198-6

Cited by 128 publications

(95 citation statements)

References 44 publications

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“…CartwrightHatton and Wells (1997), Wells and Papageorgiou (1998), Janeck et al (2002), and Hermans et al (2003) have demonstrated correlations between dimensions of the MCQ and measures of obsessions and compulsions. The present findings extend evidence on the range of metacognitions that are associated with O-C symptoms, by using a new instrument that measures multiple domains of fusion beliefs, the TFI.…”

Section: Discussionmentioning

confidence: 99%

Dose meta‐cognition or responsibility predict obsessive–compulsive symptoms: a test of the metacognitive model

Gwilliam

Wells

Cartwright‐Hatton

2004

Clin Psychology and Psychoth

150

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Section: Discussionmentioning

confidence: 99%

Dose meta‐cognition or responsibility predict obsessive–compulsive symptoms: a test of the metacognitive model

Gwilliam

Wells

Cartwright‐Hatton

2004

Clin Psychology and Psychoth

150

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“…OCD patients tend to confuse these thoughts with real actions, or events, or intentions (metacognitive misinterpretation) [17, 18]. They tend to make use of several dysfunctional metacognitive processes, such as increased cognitive self-consciousness (‘too much thinking about thinking’) [19, 20], thought suppression, and selective attention to further intrusive thoughts. Moreover, they often are not sure when to stop the ritual, and make use of dysfunctional stop signals like ‘emotional reasoning’ (e.g.…”

Section: Introductionmentioning

confidence: 99%

Metacognitive Therapy versus Exposure and Response Prevention for Pediatric Obsessive-Compulsive Disorder

Simons

Schneider

Herpertz‐Dahlmann

2006

Psychother Psychosom

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Background: Exposure with ritual prevention (ERP) is the psychotherapeutic treatment of choice for pediatric obsessive-compulsive disorder (OCD). In the present study, a new treatment rationale – metacognitive therapy (MCT) for children – was developed and evaluated. Methods: Ten children and adolescents with OCD were randomly assigned to either MCT or ERP therapy condition. Patients were assessed before and after treatment and at the 3-month and 2-year follow-up by means of symptom severity interviews. Depressive symptoms were also assessed. Manualized treatment involved up to 20 sessions on a weekly basis. Results: We found clinically and statistically significant improvements in symptom severity after treatment. At the 3-month and 2-year follow-up, the attained improvements during treatment were retained. Conclusions:Despite some methodological limitations, results showed that MCT proved to be a promising psychotherapeutic alternative to the well-established ERP in the treatment of pediatric OCD. Further investigations into the efficacy of MCT are necessary to answer questions as to the working mechanisms underlying therapy for OCD.

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“…Entre os adultos, tendem a ser mais frequentes as compulsões de verificação e limpeza e as obsessões relativas à agressividade, contaminação e a questões somáticas (Janeck, Calamari, Riemann, & Heffelfinger, 2003). Impressiona nos estudos transculturais a semelhança dos sintomas quanto à forma e ao conteúdo das compulsões, o que demonstra que esse é um transtorno que parece sofrer pouca influência de fatores socioeconômicos (Geller et al, 1998).…”

Section: Resumen -Construcción Y Validación De La Escala De Obsesioneunclassified

Development and validation of the Scale of Obsessions and Compulsions for adolescents

2015

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RESUMOHá uma escassez de instrumentos próprios para avaliação do Transtorno Obsessivo Compulsivo na adolescência. O objetivo deste artigo é apresentar a construção e evidências de validade de estrutura interna da Escala para Avaliação ABSTRACT -Development and validation of the Scale of Obsessions and Compulsions for adolescentsThere is a shortage of instruments for assessment of Obsessive-Compulsive Disorder in adolescence. The aim of this paper is to present the construction and evidence of validity of the internal structure of the Scale for the Assessment of Obsessions and Compulsions of Teens from 11 to 17 years old. The scale was answered by 1022 students from public and private schools, with an average age of 14.2, 54% female. Factor analysis indicated that the scale consists of two factors. Factor 1 focuses sentences that represent cognitive phenomena and sensations related to the obsession / compulsion. Already Factor 2 refers to actions that may be indicators of compulsion. The scale has good accuracy indicators. One limitation is that the data is exclusive of the state's population. Further studies are recommended to investigate the clinical validity of the scale and the possibility of expanding the evidence of validity for other populations. Keywords: obsessive-compulsive disorder; obsession; compulsion; psychometry; adolescence. RESUMEN -Construcción y validación de la Escala de Obsesiones y Compulsiones para adolescentesHay una escasez de instrumentos para la evaluación de los Trastorno Obsesivo Compulsivo en la adolescencia. El objetivo de este trabajo es presentar la construcción y evidencia de la validez de la estructura interna de la Escala para la Evaluación de Obsesiones y compulsiones de los adolescentes de 11 a 17 años de edad. La escala fue respondida por 1.022 estudiantes de escuelas públicas y privadas, con una edad media de 14,2, 54% mujeres. El análisis factorial indicó que la escala se compone de dos factores. Factor 1 se centra frases que representan fenómenos cognitivos y sensaciones relacionadas con la obsesión / compulsión. Ya Factor 2 se refiere a las acciones que pueden ser indicadores de la compulsión. La escala tiene buenos indicadores de precisión. Una limitación es que los datos son exclusivos de la población del estado. Se recomiendan más estudios para investigar la validez clínica de la escala y la posibilidad de ampliar la evidencia de validez para otras poblaciones. Palabras clave: transtorno obsesivo-compulsivo; obsesión; compulsión; psicometría; adolescencia.As alterações do pensamento expressas por obsessões e consequentes compulsões são relatadas na história desde a Idade Antiga. Apesar disso, os problemas de pensamento manifestos por crianças e adolescentes permaneceram ignorados pela ciência até o início do século XX, em razão da suposição de que o Transtorno Obsessivo Compulsivo (TOC) era um transtorno praticamente exclusivo de indivíduos adultos (Lacerda, Dalgalarrondo, & Camargo, 2001).Com a descrição realizada por Pierre Janet, em 1903, da síndrome obsessivo-co...

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Too much thinking about thinking?: metacognitive differences in obsessive–compulsive disorder

Cited by 128 publications

References 44 publications

Dose meta‐cognition or responsibility predict obsessive–compulsive symptoms: a test of the metacognitive model

Dose meta‐cognition or responsibility predict obsessive–compulsive symptoms: a test of the metacognitive model

Metacognitive Therapy versus Exposure and Response Prevention for Pediatric Obsessive-Compulsive Disorder

Development and validation of the Scale of Obsessions and Compulsions for adolescents

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