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Cognitive Therapy and Research

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04-05-2020 | Original Article

Cognitive Motivations for the Initiation of Ritualistic Hand Washing in Obsessive–Compulsive Disorder

Auteurs: Karina Wahl, Paul Salkovskis, Florence Allegro, Marcel Miché, Andreas Kordon, Roselind Lieb, Reuven Dar

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2020

Abstract

Background

There is little research on cognitive factors that characterize the initiation of compulsive washing in obsessive–compulsive disorder (OCD). The present study seeks to contribute to a better understanding of the goals that are salient at the start of compulsive hand washing.

Methods

Thirty-eight individuals diagnosed with OCD with predominantly hand-washing compulsions and two comparison groups, one with 41 individuals diagnosed with OCD without washing compulsions and one with 43 nonclinical individuals, were interviewed about a situation when they needed to wash their hands. Participants’ goals for the wash and step-by-step descriptions of the wash were categorized and compared between groups.

Results

Findings indicate that some factors involved in the maintenance and termination of a compulsive wash might already be established at the outset of the wash, such as goals being characterized by higher levels of abstractness and importance for participants with predominantly hand-washing compulsions compared to controls. Number of goals was associated with number of repetitions of the compulsive wash.

Conclusions

Individuals with hand-washing compulsions might have goals in mind right from the start of the wash that are very difficult to reach. If our findings are confirmed in future studies, therapeutic implications could include exploring the adaptiveness of having abstract goals and their exaggerated importance.

vorige artikel The Impact of Intolerance of Uncertainty and Cognitive Behavioural Instructions on Safety Learning

volgende artikel A Randomized Trial of Acceptance and Commitment Therapy and Traditional Cognitive-Behavioral Therapy Self-Help Books for Social Anxiety

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Coding sheets are available on request from the first author.

Due to a technical problem and unfortunate loss of data, symptom severity and years of education could not be added as a covariate in the logistic regressions.

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Titel: Cognitive Motivations for the Initiation of Ritualistic Hand Washing in Obsessive–Compulsive Disorder
Auteurs: Karina Wahl
Paul Salkovskis
Florence Allegro
Marcel Miché
Andreas Kordon
Roselind Lieb
Reuven Dar
Publicatiedatum: 04-05-2020
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 5/2020
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-020-10112-5

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Abstract

Background

Methods

Results

Conclusions

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