Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions

Turkcapar, Mehmet Hakan; Sözer, Burçhan; kart, ayşegül

doi:10.5455/PBS.20200503024607

Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions

Ayşegül KART, (Bakırköy Mazhar Osman Ruh Sağlığı ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi, Psikiyatri Anabilim Dalı, İstanbul, Türkiye)

Burchan SÖZER, (Ataköy Ruh Sağlığı ve Sinir Hastalıkları Hastanesi, Psikiyatri Anabilim Dalı, Trabzon, Türkiye)

Mehmet Hakan TÜRKÇAPAR (Ankara Sosyal Bilimler Üniversitesi, Psikoloji Bölümü, Ankara, Türkiye)

Psychiatry and behavioral sciences (Online)

9 1

Yıl: 2020 Cilt: 10 Sayı: 3 Sayfa Aralığı: 141 - 147 Metin Dili: İngilizce DOI: 10.5455/PBS.20200503024607 İndeks Tarihi: 28-06-2021

Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions

Öz:

Objective:The cognitive model explains the obsessive-compulsive symptoms with dysfunctional beliefs (i.e., beliefs about responsibility, perfectionism). In contrast, the metacognitive model gives the central role to metacognitive beliefs (i.e., beliefs about the thought process such as control or dangerousness of thoughts). Both cognitive and metacognitive models of obsessive-compulsive disorder (OCD) separately have been empirically supported. The purpose of this study was to explore the relationship between cognitive beliefs and metacognition and OCD symptom dimensions in an OCD outpatient sample.Methods: One hundred and fifty-three patients diagnosed with OCD were included in the study. Dimensional Obsessive-Compulsive Scale (DOCS), Obsessive Beliefs Questionnaire (OBQ), Metacognitive Questionnaire-30 (MCQ), Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were applied to the participants. Hierarchical regression analysis for each symptom dimension conducted to evaluate predictive values of obsessive beliefs and metacognitions after controlling for level of depression and anxiety.Results: For DOCS-contamination dimension OBQ – perfectionism and intolerance of uncertainty (OBQ-PC) (the final model accounted for 10 % variance in DOCS – contamination scores, F (10, 142) = 2.846, p = 0.003) ; for DOCS-responsibility dimension BAI, OBQ – overestimation of threat and inflated responsibility (OBQ-TR), OBQ – importance of and need to control thoughts (OBQ-ICT), and MCQ – positive beliefs about worry (MCQ-POS) ( the final model accounted for 31 % of the variance in DOCS – responsibility scores, F(10, 142) = 7.960, p < 0,001); for DOCS-unacceptable thoughts dimensions BAI, OBQ – ICT, MCQ – beliefs concerning cognitive competence (MCQ-CC) and MCQ – beliefs about the need for control of thoughts (MCQ-NC) (the final model accounted for 31 % of the variance in DOCS – unacceptable thoughts scores, F(10, 142) = 8.120, p < 0.001) ; and for DOCS-symmetry dimension BAI, OBQ – PC, OBQ – ICT, MCQ – POS and MCQ – cognitive self-consciousness (MCQ-CSC) ( the final model accounted for 25 % variance in DOCS – symmetry scores, F (10, 142) = 6.322, p = < 0.001) subscale scores were predictor factors.Conclusion:In this study, ‘perfectionism and intolerance of uncertainty’ was the only variable associated with the contamination dimension. ‘Importance of and need to control thoughts,’ which is the metacognitive subscale of OBQ, was associated with all OCD symptom dimensions except contamination. These findings could imply that obsessive patients have different cognitive profiles according to their symptom dimensions. In addition to obsessive beliefs and generic metacognitions, further studies, including OCD specific metacognitions, will clarify our knowledge about OCD symptom dimensions.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

[1] American Psychiatric Association. Diagnostic and statistical manual of mental disorders (Fifth Edition). Arlington, VA; 2013. P. 237-238
[2] Heyman I, Mataix-Cols D, Fineberg NA. Obsessive-compulsive disorder. BMJ (Clinical research ed.) 2006; 333(7565): 424–429.
[3] Rachman S, de Silva P. Abnormal and normal obsessions. Behaviour Research and Therapy 1978; 16(4): 233–248.
[4] Rachman S. A cognitive theory of obsessions. Behaviour Research and Therapy 1997; 35(9): 793–802
[5] Steketee G, Frost R, Amir N, Bouvard M, Carmin C, Clark DA, et al. Development and initial validation of the Obsessive Beliefs Questionaire and Interpretations of Intrusions Inventory. Behaviour Research and Therapy 2001; 39: 987–1006
[6] Steketee G, Frost R, Bhar S, Bouvard M, Calamari J, Carmin C, et al. Psychometric validation of the obsessive belief questionnaire and interpretation of intrusions inventory – Part 2: Factor analyses and testing of a brief version. Behaviour Research and Therapy 2005; 43(11): 1527–1542.
[7] López-Solà C, Gutiérrez F, Alonso P, Rosado S, Taberner J, Segalàs C, et al.Spanish version of the Dimensional Obsessive- Compulsive Scale (DOCS): Psychometric properties and relation to obsessive beliefs. Comprehensive Psychiatry 2014; 55(1): 206–214.
[8] Nance M, Abramowitz JS, Blakey SM, Reuman L, Buchholz JL. Thoughts and thoughts about thoughts: the Relative Contribution of Obsessive Beliefs and Metacognitive Beliefs in Predicting Obsessive-Compulsive Symptom Dimensions. International Journal of Cognitive Therapy 2018; 11(2): 234– 248.
[9] Wheaton MG, Abramowitz JS, Berman NC, Riemann BC, Hale LR. The relationship between obsessive beliefs and symptom dimensions in obsessive-compulsive disorder. Behaviour Research and Therapy 2010; 48(10): 949–954.
[10] Wells A. Metacognitive therapy for aAnxiety and dDepression. The Guilford Press, New York; 2009. p. 182
[11] Myers SG, Fisher PL, Wells A. Belief domains of the Obsessive Beliefs Questionnaire-44 (OBQ-44) and their specific relationship with obsessive-compulsive symptoms. Journal of Anxiety Disorders 2008; 22(3): 475–484.
[12] Myers SG, Fisher PL, Wells A. An empirical test of the metacognitive model of obsessive-compulsive symptoms: Fusion beliefs, beliefs about rituals, and stop signals. Journal of Anxiety Disorders 2009; 23(4): 436–442.
[13] Abramowitz JS, Deacon BJ, Olatunji BO, Wheaton MG, Berman NC, Losardo D, et al. Assessment of obsessive-compulsive symptom dimensions: Development and evaluation of the Dimensional Obsessive-Compulsive Scale. Psychological Assessment 2010; 22(1): 180–198.
[14] Safak Y, Say Ocal D, Ozdel K, Kuru E, Orsel S. Dimensional approach to obsessive-compulsive disorder: Dimensional Obsessive-Compulsive Scale with Turkish psychometric properties. Turk Psikiyatri Derg 2018; 29(2): 122–130.
[15] Boysan M, Beşiroğlu L, Çetinkaya N, Atlı A, Aydın A. The validity and reliability of the Turkish version of the Obsessive Beliefs Questionnaire-44 (OBQ-44). Nöropsikiyatri Arşivi 2010; 47: 216–222.
[16] Wells A, Cartwright-Hatton S. A short form of the metacognitions questionnaire: properties of the MCQ-30. Behaviour Research and Therapy 2004; 42(4): 385–396.
[17] Tosun A, Irak M. Adaptation, validity, and reliability of the Metacognition Questionnaire-30 for the Turkish population, and its relationship to anxiety and obsessive-compulsive symptoms. Turk Psikiyatri Derg 2008; 19(1): 67–80.
[18] Hisli N. Validity and reliability of the Beck Depression Inventory for college students. Türk Psikoloji Dergisi 1988; 6(23): 3–13
[19] Ulusoy M, Şahin N, Erkmen H. Turkish version of the Beck Anxiety Inventory: Psychometric properties. Journal of Cognitive Psychotherapy: An International Quarterly 1998; 12(2): 163–172.
[20] Tumkaya S, Karadag F, Oguzanoglu N. Relationship between obsessive beliefs and symptoms in patients with obsessive compulsive disorder. Nöropsikiyatri Arsivi 2015; 52(1): 54–58.
[21] Tolin DF, Brady RE, Hannan S. Obsessional beliefs and symptoms of obsessive-compulsive disorder in a clinical sample. J Psychopathol Behav Assess 2008; 30: 31–42
[22] Tolin DF, Woods CM, Abramowitz JS. Relationship between obsessive beliefs and obsessive-compulsive symptoms. Cognit Ther Res 2003; 27:657–69.
[23] Tolin DF, Worhunsky P, Maltby N. Are “obsessive” beliefs specific to OCD?: A comparison across anxiety disorders. Behaviour Research and Therapy 2006; 44(4): 469–480.
[24] Konkan R, Şenormancı Ö, Güçlü O, Aydın E, Sungur MZ. Obsessive compulsive disorder and obsessive beliefs. Anatolian Journal of Psychiatry 2012;13:91–96.
[25] Bahceci B, Bagcioglu E, Çelik FH, Polat S, Koroglu A, Kandemir G, et al. The role of obsessive beliefs in patients with major depressive disorder. International Journal of Psychiatry in Clinical Practice 2014; 18(1): 37–40.
[26] Viar MA, Bilsky SA, Armstrong T, Olatunji BO. Obsessive beliefs and dimensions of obsessive-compulsive disorder: An examination of specific associations. Cognitive Therapy and Research 2011; 35(2): 108–117.
[27] Obsessive Compulsive Cognitions Working Group. Psychometric validation of the obsessive belief questionnaire and interpretation of intrusions inventory – Part 2: Factor analyses and testing of a brief version. Behav Res Ther. 2005; 43:1527–42.
[28] Reuman L, Buchholz J, Abramowitz JS. Obsessive beliefs, experiential avoidance, and cognitive fusion as predictors of obsessive-compulsive disorder symptom dimensions. Journal of Contextual Behavioral Science 2018; 9: 15–20.
[29] Tallis F. Compulsive washing in the absence of phobic and illness anxiety. Behaviour Research and Therapy 1996; 34(4): 361–362.
[30] Coles ME, Frost RO, Heimberg RC, Rheaume J. ‘‘Not just right experiences’’: perfectionism, obsessive–compulsive features and general psychopathology. Behaviour Research and Therapy 2003; 41: 681–700.
[31] Rachman S. Fear of contamination. Behaviour Research and Therapy 2004; 42(11): 1227–1255.
[32] Cordeiro T, Sharma M, Thennarasu K, Janardhan Reddy Y. Symptom dimensions in obsessive-compulsive disorder and obsessive beliefs. Indian Journal of Psychological Medicine 2015; 37(4): 403
[33] Ludvik D, Boschen MJ, Neumann DL. Effective behavioural strategies for reducing disgust in contamination-related OCD: A review. Clinical Psychology Review 2015; 42: 116–129.
[34] Bhikram T, Abi-Jaoude E, Sandor P. OCD: obsessive-compulsive disgust? The role of disgust in obsessive-compulsive disorder. J Psychiatry Neurosci 2017; 42(5): 300–306.
[35] Rassin E, Cougle JR, Muris P. Content difference between normal and abnormal obsessions. Behaviour Research and Therapy 2007; 45(11): 2800–2803
[36] Exner C, Kohl A, Zaudig M, Langs G, Lincoln TM, Rief W. Metacognition and episodic memory in obsessive-compulsive disorder. J Anxiety Disord 2009; 23:624–631
[37] Cucchi M, Bottelli V, Cavadini D, Ricci L, Conca V, Ronchi P, Smeraldi E. An explorative study on metacognition in obsessive-compulsive disorder and panic disorder. Compr Psychiatry 2012; 53:546–553.
[38] Doğan K, Solak ÖS, Özdel K, Türkçapar H. Comparison of metacognitions between obsessive compulsive disorder’s subtypes and normal healthy controls. JCBPR 2013; 2:34-40.
[39] Tümkaya S, Karadağ F, Hancı Yenigün E, Özdel O, Kashyap H. Metacognitive beliefs and their relation with symptoms in obsessive-compulsive disorder. Arch Neuropsychiatry 2018; 55:358-363.

APA	kart a, Sözer B, Turkcapar M (2020). Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions. , 141 - 147. 10.5455/PBS.20200503024607
Chicago	kart ayşegül,Sözer Burçhan,Turkcapar Mehmet Hakan Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions. (2020): 141 - 147. 10.5455/PBS.20200503024607
MLA	kart ayşegül,Sözer Burçhan,Turkcapar Mehmet Hakan Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions. , 2020, ss.141 - 147. 10.5455/PBS.20200503024607
AMA	kart a,Sözer B,Turkcapar M Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions. . 2020; 141 - 147. 10.5455/PBS.20200503024607
Vancouver	kart a,Sözer B,Turkcapar M Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions. . 2020; 141 - 147. 10.5455/PBS.20200503024607
IEEE	kart a,Sözer B,Turkcapar M "Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions." , ss.141 - 147, 2020. 10.5455/PBS.20200503024607
ISNAD	kart, ayşegül vd. "Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions". (2020), 141-147. https://doi.org/10.5455/PBS.20200503024607

APA	kart a, Sözer B, Turkcapar M (2020). Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions. Psychiatry and behavioral sciences (Online), 10(3), 141 - 147. 10.5455/PBS.20200503024607
Chicago	kart ayşegül,Sözer Burçhan,Turkcapar Mehmet Hakan Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions. Psychiatry and behavioral sciences (Online) 10, no.3 (2020): 141 - 147. 10.5455/PBS.20200503024607
MLA	kart ayşegül,Sözer Burçhan,Turkcapar Mehmet Hakan Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions. Psychiatry and behavioral sciences (Online), vol.10, no.3, 2020, ss.141 - 147. 10.5455/PBS.20200503024607
AMA	kart a,Sözer B,Turkcapar M Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions. Psychiatry and behavioral sciences (Online). 2020; 10(3): 141 - 147. 10.5455/PBS.20200503024607
Vancouver	kart a,Sözer B,Turkcapar M Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions. Psychiatry and behavioral sciences (Online). 2020; 10(3): 141 - 147. 10.5455/PBS.20200503024607
IEEE	kart a,Sözer B,Turkcapar M "Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions." Psychiatry and behavioral sciences (Online), 10, ss.141 - 147, 2020. 10.5455/PBS.20200503024607
ISNAD	kart, ayşegül vd. "Predictive Values of Obsessive Beliefs and Metacognitions in OCD Symptom Dimensions". Psychiatry and behavioral sciences (Online) 10/3 (2020), 141-147. https://doi.org/10.5455/PBS.20200503024607