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Unread August 26th, 2005, 09:49 PM
James Pretzer James Pretzer is offline
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Join Date: Jun 2004
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Default Understanding Obsessive-compulsive Disorder

We have some effective treatments for OCD but it remains a tough problem to treat. A number of investigators have een working to develop a better understanding of OCD in the hope that this will lead to more effective interventions. Individuals with OCD often manifest an excessively strong sense of personal responsibility. In addition, they often express a strong conviction that thoughts and feelings are dangerous and must be controlled. A recent study looks at how these relate to OCD symptoms:

Myers, S. G. & Wells, A. (2005). Obsessive-compulsive symptoms: The contribution of metacognitions and responsibility. Journal of Anxiety Disorders, 19, 806-817.

ABSTRACT: Two different models of obsessive-compulsive symptoms were evaluated. One model [Salkovkis, P. M. (1985). Obsessional-compulsive problems a cognitive-behavioral analysis. Behaviour Research and Therapy, 23, 571-583.] gives a central and necessary role to beliefs and appraisals concerning responsibility. The other [Wells, A. (1997). Cognitive therapy of anxiety disorders: a practice manual and conceptual guide. Chichester, UK: Wiley.] attaches a central and necessary role to metacognitive beliefs about the meaning and danger of thoughts/feelings and the need for control. We tested the unique contributions of responsibility or metacognitions to obsessive-compulsive symptoms whilst controlling for their intercorrelations and worry. Consistent with each model, responsibility and metacognitions were positively associated with obsessive-compulsive symptoms, even when worry was controlled for. However, responsibility was not associated with obsessive-compulsive symptoms when metacognitions and worry were controlled, but the relationship between metacognitive beliefs and obsesssive-compulsive symptoms was independent of responsibility and worry. Responsibility did not add anything to the variance in symptoms explained by metacognitions. The data provide further support for the metacognitive model.

Last edited by James Pretzer; August 28th, 2005 at 09:24 PM. Reason: to add a bit more
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