Swipe om te navigeren naar een ander artikel
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Interventions for reassurance seeking (RS) in obsessive–compulsive disorder typically include reducing accommodation by asking partners to not provide reassurance, which may decrease RS but increase distress and be perceived as unhelpful. Alternatively, having partners provide support to encourage coping may be effective and associated with greater perceived helpfulness and lower negative affect. This experiment tested hypotheses that compared with no reassurance, supportive feedback would be associated with higher ratings of intervention helpfulness, fewer requests for reassurance, and lower ratings of RS urges and negative affect. Participants completed a threat-inducing kitchen task while observed by a partner, and afterwards sought reassurance to make a decision about safety. Partners’ feedback was manipulated such that half (n = 51) provided typical accommodation reduction-focused feedback and half (n = 51) provided support-focused feedback. Results suggest that individuals who received support-focused feedback versus accommodation reduction-focused feedback rated their partner’s feedback as significantly more helpful (d = 1.22). There was also a small-to-moderate effect size and trend suggesting that support was associated with less RS (d = 0.33). Overall, support provision may be associated with less RS behaviour and greater perceived helpfulness, and holds promise as an alternative intervention technique to strict accommodation reduction for problematic RS.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Abramowitz, J. S. (2009). Getting over OCD: A 10-step workbook for taking back your life. New York: Guilford Press.
Abramowitz, J. S., Baucom, D. H., Boeding, S., Wheaton, M. G., Pukay-Martin, N. D., Fabricant, L. E., … Fischer, M. S. (2013). Treating obsessive-compulsive disorder in intimate relationships: A pilot study of couple-based cognitive-behavior therapy. Behavior Therapy, 44, 395–407. https://doi.org/10.1016/j.beth.2013.02.005.
Abramowitz, J. S., Fabricant, L. E., Taylor, S., Deacon, B. J., McKay, D., & Storch, E. A. (2014). The relevance of analogue studies for understanding obsessions and compulsions. Clinical Psychology Review, 34, 206–217. https://doi.org/10.1016/j.cpr.2014.01.004.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Arlington: American Psychiatric Pub.
Baucom, D. H., Whisman, M. A., & Paprocki, C. (2012). Couple-based interventions for psychopathology. Journal of Family Therapy, 34, 250–270. https://doi.org/10.1111/j.1467-6427.2012.00600.x.
Beesdo-Baum, K., Jenjahn, E., Höfler, M., Lueken, U., Becker, E. S., & Hoyer, J. (2012). Avoidance, safety behavior, and reassurance seeking in generalized anxiety disorder. Depression and Anxiety, 29, 948–957. https://doi.org/10.1002/da.21955.
Belus, J. M., Baucom, D. H., & Abramowitz, J. S. (2014). The effect of a couple-based treatment for OCD on intimate partners. Journal of Behavior Therapy and Experimental Psychiatry, 45, 484–488. https://doi.org/10.1016/j.jbtep.2014.07.001.
Bucarelli, B., & Purdon, C. (2016). Stove checking behaviour in people with OCD vs. anxious controls. Journal of Behavior Therapy and Experimental Psychiatry, 53, 17–24. https://doi.org/10.1016/j.jbtep.2016.03.005.
Caporino, N. E., & Karver, M. S. (2012). The acceptability of treatments for depression to a community sample of adolescent girls. Journal of Adolescence, 35, 1237–1245. https://doi.org/10.1016/j.adolescence.2012.04.007.
Clark, D. A. (2004). Cognitive-behavioral therapy for OCD. New York: Guilford Press.
Clark, D. A., & Rhyno, S. (2005). Unwanted intrusive thoughts in nonclinical individuals: Implications for clinical disorders. In D. A. Clark (Ed.), Intrusive thoughts in clinical disorders: Theory, research, and treatment (pp. 1–29). New York: Guilford Press.
Coyne, J. C. (1976). Toward an interactional description of depression. Psychiatry, 39, 28–40. https://doi.org/10.1080/00332747.1976.11023874.
Craske, M. G., Kircanski, K., Zelikowsky, M., Mystkowski, J., Chowdhury, N., & Baker, A. (2008). Optimizing inhibitory learning during exposure therapy. Behaviour Research and Therapy, 46, 5–27. https://doi.org/10.1016/j.brat.2007.10.003.
Eddy, K. T., Dutra, L., Bradley, R., & Westen, D. (2004). A multidimensional meta-analysis of psychotherapy and pharmacotherapy for obsessive-compulsive disorder. Clinical Psychology Review, 24, 1011–1030. https://doi.org/10.1016/j.cpr.2004.08.004.
Foa, E. B., Liebowitz, M. R., Kozak, M. J., Davies, S., Campeas, R., Franklin, M. E., … Simpson, H. B. (2005). Randomized, placebo-controlled trial of exposure and ritual prevention, clomipramine, and their combination in the treatment of obsessive-compulsive disorder. American Journal of Psychiatry, 162, 151–161. https://doi.org/10.1176/appi.ajp.162.1.151.
Francis, G. (1988). Childhood obsessive-compulsive disorder: Extinction of compulsive reassurance-seeking. Journal of Anxiety Disorders, 2, 361–366. https://doi.org/10.1016/0887-6185(88)90031-X.
Freeston, M. H., Léger, E., & Ladouceur, R. (2001). Cognitive therapy of obsessive thoughts. Cognitive and Behavioral Practice, 8, 61–78. https://doi.org/10.1016/S1077-7229(01)80045-6.
Gibbs, N. A. (1996). Nonclinical populations in research on obsessive-compulsive disorder: A critical review. Clinical Psychology Review, 16, 729–773. https://doi.org/10.1016/S0272-7358(96)00043-8.
Gillihan, S. J., Williams, M. T., Malcoun, E., Yadin, E., & Foa, E. B. (2012). Common pitfalls in exposure and response prevention (EX/RP) for OCD. Journal of Obsessive–Compulsive and Related Disorders, 1, 251–257. https://doi.org/10.1016/j.jocrd.2012.05.002.
Hallam, R. S. (1974). Extinction of ruminations: A case study. Behavior Therapy, 5, 565–568. https://doi.org/10.1016/S0005-7894(74)80048-1.
Halldorsson, B., & Salkovskis, P. M. (2017a). Treatment of obsessive compulsive disorder and excessive reassurance seeking in an older adult: A single case quasi-experimental design. Behavioural and Cognitive Psychotherapy, 45, 616–628. https://doi.org/10.1017/S1352465817000376.
Halldorsson, B., & Salkovskis, P. M. (2017b). Why do people with OCD and health anxiety seek reassurance excessively? An investigation of differences and similarities in function. Cognitive Therapy and Research, 41, 619–631. https://doi.org/10.1007/s10608-016-9826-5.
Halldorsson, B., Salkovskis, P. M., Kobori, O., & Pagdin, R. (2016). I do not know what else to do: Caregivers’ perspective on reassurance seeking in OCD. Journal of Obsessive–Compulsive and Related Disorders, 8, 21–30. https://doi.org/10.1016/j.jocrd.2015.11.003.
Heerey, E. A., & Kring, A. M. (2007). Interpersonal consequences of social anxiety. Journal of Abnormal Psychology, 116, 125–134. https://doi.org/10.1037/0021-843X.116.1.125.
Kline, R. B. (2009). Becoming a behavioral science researcher: A guide to producing research that matters. New York: Guilford Press.
Kobori, O., Salkovskis, P., Pagdin, R., Read, J., & Halldorsson, B. (2017). Carer’s perception of and reaction to reassurance seeking in obsessive compulsive disorder. The Cognitive Behaviour Therapist, 10, 1–17. https://doi.org/10.1017/S1754470X17000095.
Kobori, O., & Salkovskis, P. M. (2013). Patterns of reassurance seeking and reassurance-related behaviours in OCD and anxiety disorders. Behavioural and Cognitive Psychotherapy, 41, 1–23. https://doi.org/10.1017/S1352465812000665.
Lebowitz, E. R., Panza, K. E., Su, J., & Bloch, M. H. (2012). Family accommodation in obsessive-compulsive disorder. Expert Review of Neurotherapeutics, 12, 229–238. https://doi.org/10.1586/ern.11.200.
Leonhart, M. W., & Radomsky, A. S. (2017). Responsibility causes reassurance seeking, too: An experimental investigation. Journal of Obsessive-Compulsive and Related Disorders. https://doi.org/10.1016/j.jocrd.2017.10.005 ( Advance online publication).
Levy, H. C., & Radomsky, A. S. (2014). Safety behaviour enhances the acceptability of exposure. Cognitive Behaviour Therapy, 43, 83–92. https://doi.org/10.1080/16506073.2013.819376.
Levy, H. C., & Radomsky, A. S. (2016). It’s the who not the when: An investigation of safety behavior fading in exposure to contamination. Journal of Anxiety Disorders, 39, 21–29. https://doi.org/10.1016/j.janxdis.2016.02.006.
Levy, H. C., Senn, J. M., & Radomsky, A. S. (2014). Further support for the acceptability enhancing roles of safety behavior and a cognitive rationale in cognitive-behavior therapy for anxiety disorders. Journal of Cognitive Psychotherapy, 28, 303–316. https://doi.org/10.1891/0889-8322.214.171.1243.
Marinchak, J. (2013). Treating a mother’s accommodation behaviors of her adult son’s OCD: The case of “Brianne” and” Charlie”. Pragmatic Case Studies in Psychotherapy, 9, 1–57. https://doi.org/10.14713/pcsp.v9i1.1803.
Milosevic, I., Levy, H. C., Alcolado, G. M., & Radomsky, A. S. (2015). The treatment acceptability/adherence scale: Moving beyond the assessment of treatment effectiveness. Cognitive Behaviour Therapy, 44, 456–469. https://doi.org/10.1080/16506073.2015.1053407.
Neal, R. L., & Radomsky, A. S. (2015). An experimental investigation of contamination-related reassurance seeking: Familiar versus unfamiliar others. Journal of Behavior Therapy and Experimental Psychiatry, 49, 188–194. https://doi.org/10.1016/j.jbtep.2015.03.014.
Neal, R. L., & Radomsky, A. S. (2018). What do you really need? Self- and partner-reported intervention preferences within cognitive-behavioural therapy for reassurance seeking behaviour. Manuscript submitted for publication.
Nutt, D., & Malizia, A. (2006). Anxiety and OCD–the chicken or the egg? Journal of Psychopharmacology, 20, 729–731. https://doi.org/10.1177/0269881106068424.
Olatunji, B. O., Davis, M. L., Powers, M. B., & Smits, J. A. (2013). Cognitive-behavioral therapy for obsessive-compulsive disorder: A meta-analysis of treatment outcome and moderators. Journal of Psychiatric Research, 47, 33–41. https://doi.org/10.1016/j.jpsychires.2012.08.020.
Öst, L. G., Havnen, A., Hansen, B., & Kvale, G. (2015). Cognitive behavioral treatments of obsessive-compulsive disorder. A systematic review and meta-analysis of studies published 1993–2014. Clinical Psychology Review, 40, 156–169. https://doi.org/10.1016/j.cpr.2015.06.003.
Parrish, C. L., & Radomsky, A. S. (2006). An experimental investigation of responsibility and reassurance: Relationships with compulsive checking. International Journal of Behavioral Consultation and Therapy, 2, 174–191. https://doi.org/10.1037/h0100775.
Parrish, C. L., & Radomsky, A. S. (2010). Why do people seek reassurance and check repeatedly? An investigation of factors involved in compulsive behavior in OCD and depression. Journal of Anxiety Disorders, 24, 211–222. https://doi.org/10.1016/j.janxdis.2009.10.010.
Parrish, C. L., Radomsky, A. S., & Dugas, M. J. (2008). Anxiety-control strategies: Is there room for neutralization in successful exposure treatment? Clinical Psychology Review, 28, 1400–1412. https://doi.org/10.1016/j.cpr.2008.07.007.
Rachman, S. (1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 35, 793–802. https://doi.org/10.1016/S0005-7967(97)00040-5.
Rachman, S. (1998). A cognitive theory of obsessions: Elaborations. Behaviour Research and Therapy, 36, 385–401. https://doi.org/10.1016/S0005-7967(97)10041-9.
Rachman, S. (2002). A cognitive theory of compulsive checking. Behaviour Research and Therapy, 40, 625–639. https://doi.org/10.1016/S0005-7967(01)00028-6.
Rachman, S. (2012). Health anxiety disorders: A cognitive construal. Behaviour Research and Therapy, 50, 502–512. https://doi.org/10.1016/j.brat.2012.05.001.
Rachman, S., Radomsky, A. S., & Shafran, R. (2008). Safety behaviour: A reconsideration. Behaviour Research and Therapy, 46, 163–173. https://doi.org/10.1016/j.brat.2007.11.008.
Radomsky, A. S., Neal, R. L., Parrish, C. L., Lavoie, S., & Schell, S. E. (2018). The Covert and Overt Reassurance Seeking Inventory: Development, validation, and psychometric analyses. Manuscript submitted for publication.
Rector, N. A., Kamkar, K., Cassin, S. E., Ayearst, L. E., & Laposa, J. M. (2011). Assessing excessive reassurance seeking in the anxiety disorders. Journal of Anxiety Disorders, 25, 911–917. https://doi.org/10.1016/j.janxdis.2011.05.003.
Renshaw, K. D., Steketee, G., & Chambless, D. L. (2005). Involving family members in the treatment of OCD. Cognitive Behaviour Therapy, 34, 164–175. https://doi.org/10.1080/16506070510043732.
Salkovskis, P. M. (1985). Obsessional-compulsive problems: A cognitive-behavioural analysis. Behaviour Research and Therapy, 23, 571–583. https://doi.org/10.1016/0005-7967(85)90105-6.
Salkovskis, P. M. (1999). Understanding and treating obsessive-compulsive disorder. Behaviour Research and Therapy, 37, S29–S52. https://doi.org/10.1016/S0005-7967(99)00049-2.
Salkovskis, P. M., & Kobori, O. (2015). Reassuringly calm? Self-reported patterns of responses to reassurance seeking in obsessive compulsive disorder. Journal of Behavior Therapy and Experimental Psychiatry, 49, 203–208. https://doi.org/10.1016/j.jbtep.2015.09.002.
Salkovskis, P. M., & Warwick, H. M. (1986). Morbid preoccupations, health anxiety and reassurance: A cognitive-behavioural approach to hypochondriasis. Behaviour Research and Therapy, 24, 597–602. https://doi.org/10.1016/0005-7967(86)90041-0.
Senn, J. M., & Radomsky, A. S. (2015). Measuring beliefs about distraction: Might the function of distraction matter more than distraction itself? Cognitive Therapy and Research, 39, 826–840. https://doi.org/10.1007/s10608-015-9703-7.
Shafran, R., Watkins, E., & Charman, T. (1996). Guilt in obsessive-compulsive disorder. Journal of Anxiety Disorders, 10(96), 509–516. https://doi.org/10.1016/S0887-6185(96)00026-6.
Shapiro, L. J., & Stewart, S. E. (2011). Pathological guilt: A persistent yet overlooked treatment factor in obsessive-compulsive disorder. Annals of Clinical Psychiatry, 23, 63–70.
Simpson, H. B., Huppert, J. D., Petkova, E., Foa, E. B., & Liebowitz, M. R. (2006). Response versus remission in obsessive-compulsive disorder. The Journal of Clinical Psychiatry, 67, 269–276. https://doi.org/10.4088/JCP.v67n0214.
Starcevic, V., Berle, D., Brakoulias, V., Sammut, P., Moses, K., Milicevic, D., & Hannan, A. (2012). Interpersonal reassurance seeking in obsessive–compulsive disorder and its relationship with checking compulsions. Psychiatry Research, 200, 560–567. https://doi.org/10.1016/j.psychres.2012.06.037.
Thompson-Hollonds, J., Abramovitch, A., Tompson, M. C., & Barlow, D. H. (2015). A randomized clinical trial of a brief family intervention to reduce accommodation in obsessive-compulsive disorder: A preliminary study. Behavior Therapy, 46, 218–229. https://doi.org/10.1016/j.beth.2014.11.001.
Tolin, D. F. (2001). Case study: Bibliotherapy and extinction treatment of obsessive-compulsive disorder in a 5-year-old boy. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 1111–1114. https://doi.org/10.1097/00004583-200109000-00021.
van Oppen, P., & Arntz, A. (1994). Cognitive therapy of obsessive-compulsive disorder. Behaviour Research and Therapy, 32, 79–87. https://doi.org/10.1016/0005-7967(94)90086-8.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070. https://doi.org/10.1037/t03592-000.
- How Do I Say This? An Experimental Comparison of the Effects of Partner Feedback Styles on Reassurance Seeking Behaviour
Rachael L. Neal
Adam S. Radomsky
- Springer US
Cognitive Therapy and Research
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819