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25-01-2025 | Original Article

Harm Avoidance and Incompleteness as Motivational Dimensions of OCD: Associations with Clinical and Demographic Traits

Auteurs: Heather S. Martin, Martha J. Falkenstein, Jacob A. Nota, Jennie M. Kuckertz

Gepubliceerd in: Cognitive Therapy and Research

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Abstract

Purpose

Content-based models, which focus on observable symptom content, have dominated much of the literature on heterogeneity in OCD. However, alternate models emphasize the motivations underlying different symptom presentations, including harm avoidance (HA) and incompleteness (INC). To promote understanding of these motivations, we examined their associations with various content-based symptom dimensions, obsessive belief patterns, and other clinical characteristics.

Methods

We examined a large set of demographic and clinical characteristics and their associations with HA and/or INC among individuals (N = 218) receiving treatment for OCD and related disorders in a partial hospital/residential program. We also examined the extent to which HA and INC mapped onto dimensions in prevailing symptom content and obsessive belief models.

Results

Results showed that women reported more HA than men, and INC was associated with an earlier age of onset. HA and INC were not differentially associated with sexual orientation, self-view, quality of life, depression, or suicidality. HA and INC mapped onto symptom content and obsessive belief models in some, but not all the ways we expected. Notably, contamination/washing in our sample was associated with INC, but not HA.

Conclusions

Understanding motivations underlying OCD symptoms may lead to personalized care and improvement in treatment outcomes. We suggest that future research should continue to examine the motivational model, as well as ways in which presentations of each motivation may differ.
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Metagegevens
Titel
Harm Avoidance and Incompleteness as Motivational Dimensions of OCD: Associations with Clinical and Demographic Traits
Auteurs
Heather S. Martin
Martha J. Falkenstein
Jacob A. Nota
Jennie M. Kuckertz
Publicatiedatum
25-01-2025
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-024-10561-2