Skip to main content
Top
Gepubliceerd in: Cognitive Therapy and Research 5/2010

01-10-2010 | Original Article

Disgust and Obsessive Beliefs in Contamination-Related OCD

Auteurs: Josh M. Cisler, Robert E. Brady, Bunmi O. Olatunji, Jeffrey M. Lohr

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2010

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

A large body of evidence suggests that disgust is an important affective process underlying contamination fear. An independent line of research demonstrates that obsessive beliefs, particularly overestimations of threat, are also an important cognitive process underlying contamination fear. The present study attempts to integrate these two lines of research by testing whether obsessive beliefs potentiate the influence of disgust propensity on contamination fear. The interaction between disgust propensity and obsessive beliefs was tested in two large non-clinical samples (N = 252 in Study 1; N = 308 in Study 2) using two different self-report measures of contamination fear. Regression analyses supported the hypotheses in both samples. The interaction remained significant when controlling for negative affect. The results are hypothesized to suggest that contamination fear results, at least partly, from obsessive beliefs about the contamination-based appraisals that accompany heightened disgust responding. These results complement previous affective-driven explanations of the role of disgust in contamination fear by suggesting cognitive factors that similarly potentiate disgust’s role in contamination fear.
Voetnoten
1
All variables were centered before computing the interaction term and performing the analyses.
 
2
We also probed the interaction with the OBQ total score and results were similar to those with the OBQ overestimation of threat factor.
 
Literatuur
go back to reference Abramowitz, J. S., Deacon, B., Olatunji, B., Wheaton, M. G., Berman, N., Timpano, K., et al. (2009a). Assessment of obsessive-compulsive symptom dimensions: Development and validation of the dimensional obsessive-compulsive scale. Manuscript submitted for publication. Abramowitz, J. S., Deacon, B., Olatunji, B., Wheaton, M. G., Berman, N., Timpano, K., et al. (2009a). Assessment of obsessive-compulsive symptom dimensions: Development and validation of the dimensional obsessive-compulsive scale. Manuscript submitted for publication.
go back to reference Abramowitz, J. S., Khandker, M., Nelson, C. A., Deacon, B. J., & Rygwall, R. (2006). The role of cognitive factors in the pathogenesis of obsessive-compulsive symptoms: A prospective study. Behaviour Research and Therapy, 44, 1361–1374. doi:10.1016/j.brat.2005.09.011.CrossRefPubMed Abramowitz, J. S., Khandker, M., Nelson, C. A., Deacon, B. J., & Rygwall, R. (2006). The role of cognitive factors in the pathogenesis of obsessive-compulsive symptoms: A prospective study. Behaviour Research and Therapy, 44, 1361–1374. doi:10.​1016/​j.​brat.​2005.​09.​011.CrossRefPubMed
go back to reference Abramowitz, J. S., Lackey, G. R., & Wheaton, M. G. (2009b). Obsessive-compulsive symptoms: The contribution of obsessional beliefs and experiential avoidance. Journal of Anxiety Disorders, in press. Abramowitz, J. S., Lackey, G. R., & Wheaton, M. G. (2009b). Obsessive-compulsive symptoms: The contribution of obsessional beliefs and experiential avoidance. Journal of Anxiety Disorders, in press.
go back to reference Burns, G. L., Keortge, S. G., Formea, G. M., & Sternberger, L. G. (1996). Revision of the Padua inventory of obsessive compulsive disorder symptoms: Distinctions between worry, obsessions, and compulsions. Behaviour Research and Therapy, 34, 163–173. doi:10.1016/0005-7967(95)00035-6.CrossRefPubMed Burns, G. L., Keortge, S. G., Formea, G. M., & Sternberger, L. G. (1996). Revision of the Padua inventory of obsessive compulsive disorder symptoms: Distinctions between worry, obsessions, and compulsions. Behaviour Research and Therapy, 34, 163–173. doi:10.​1016/​0005-7967(95)00035-6.CrossRefPubMed
go back to reference Cisler, J. M., Olatunji, B. O., & Lohr, J. M. (2009b). Disgust sensitivity and emotion regulation potentiate the effect of disgust propensity on spider fear, blood-injection-injury fear, and contamination fear. Journal of Behavior Therapy and Experimental Psychiatry, in press. Cisler, J. M., Olatunji, B. O., & Lohr, J. M. (2009b). Disgust sensitivity and emotion regulation potentiate the effect of disgust propensity on spider fear, blood-injection-injury fear, and contamination fear. Journal of Behavior Therapy and Experimental Psychiatry, in press.
go back to reference Coles, M. E., Cook, L. M., & Blake, T. R. (2007). Assessing obsessive compulsive symptoms and cognitions on the internet: Evidence for the comparability of paper and internet administration. Behaviour Research and Therapy, 45, 2232–2240. Coles, M. E., Cook, L. M., & Blake, T. R. (2007). Assessing obsessive compulsive symptoms and cognitions on the internet: Evidence for the comparability of paper and internet administration. Behaviour Research and Therapy, 45, 2232–2240.
go back to reference Davey, G. C. L. (2003). Doing clinical psychology research: What is interesting isn’t always useful. The Psychologist, 16, 412–416. Davey, G. C. L. (2003). Doing clinical psychology research: What is interesting isn’t always useful. The Psychologist, 16, 412–416.
go back to reference Haidt, J., McCauley, C., & Rozin, P. (1994). Individual differences in sensitivity to disgust: A scale sampling seven domains of disgust elicitors. Personality and Individual Differences, 16, 701–713. doi:10.1016/0191-8869(94)90212-7.CrossRef Haidt, J., McCauley, C., & Rozin, P. (1994). Individual differences in sensitivity to disgust: A scale sampling seven domains of disgust elicitors. Personality and Individual Differences, 16, 701–713. doi:10.​1016/​0191-8869(94)90212-7.CrossRef
go back to reference Mancini, F., Gragnani, A., & D’Olimpio, F. (2001). The connection between disgust and obsessions and compulsions in a non-clinical sample. Personality and Individual Differences, 31, 1173–1180. doi:10.1016/S0191-8869(00)00215-4.CrossRef Mancini, F., Gragnani, A., & D’Olimpio, F. (2001). The connection between disgust and obsessions and compulsions in a non-clinical sample. Personality and Individual Differences, 31, 1173–1180. doi:10.​1016/​S0191-8869(00)00215-4.CrossRef
go back to reference Obsessive Compulsive Cognitions Working Group. (2001). Development and initial validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory. Behaviour Research and Therapy, 39, 987–1006. doi:10.1016/S0005-7967(00)00085-1.CrossRef Obsessive Compulsive Cognitions Working Group. (2001). Development and initial validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory. Behaviour Research and Therapy, 39, 987–1006. doi:10.​1016/​S0005-7967(00)00085-1.CrossRef
go back to reference Obsessive Compulsive Cognitions Working Group. (2003). Psychometric validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory: Part I. Behaviour Research and Therapy, 41, 863–878. doi:10.1016/S0005-7967(02)00099-2.CrossRef Obsessive Compulsive Cognitions Working Group. (2003). Psychometric validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory: Part I. Behaviour Research and Therapy, 41, 863–878. doi:10.​1016/​S0005-7967(02)00099-2.CrossRef
go back to reference Obsessive Compulsive Cognitions Working Group. (2005). 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, 43, 1527–1542. doi:10.1016/j.brat.2004.07.010.CrossRef Obsessive Compulsive Cognitions Working Group. (2005). 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, 43, 1527–1542. doi:10.​1016/​j.​brat.​2004.​07.​010.CrossRef
go back to reference Olatunji, B. O., & Cisler, J. M. (2009). Disgust sensitivity: psychometric overview and operational definition. In B. O. Olatunji & D. McKay (Eds.), Disgust and its disorders: Theory, assessment, and treatment. Washington, DC: APA.CrossRef Olatunji, B. O., & Cisler, J. M. (2009). Disgust sensitivity: psychometric overview and operational definition. In B. O. Olatunji & D. McKay (Eds.), Disgust and its disorders: Theory, assessment, and treatment. Washington, DC: APA.CrossRef
go back to reference Olatunji, B. O., Williams, N., Lohr, J. M., Connolly, K., Cisler, J., & Meunier, S. (2007c). Structural differentiation of disgust from trait anxiety in the prediction of specific anxiety disorder symptoms. Behaviour Research and Therapy, 45, 3002–3017. doi:10.1016/j.brat.2007.08.011.CrossRefPubMed Olatunji, B. O., Williams, N., Lohr, J. M., Connolly, K., Cisler, J., & Meunier, S. (2007c). Structural differentiation of disgust from trait anxiety in the prediction of specific anxiety disorder symptoms. Behaviour Research and Therapy, 45, 3002–3017. doi:10.​1016/​j.​brat.​2007.​08.​011.CrossRefPubMed
go back to reference Olatunji, B. O., Williams, N. L., Tolin, D. F., Abramowitz, J. S., Sawchuk, C. N., Lohr, J. M., et al. (2007d). The disgust scale: Item analysis, factor structure, and suggestions for refinement. Psychological Assessment, 19, 281–297. doi:10.1037/1040-3590.19.3.281.CrossRefPubMed Olatunji, B. O., Williams, N. L., Tolin, D. F., Abramowitz, J. S., Sawchuk, C. N., Lohr, J. M., et al. (2007d). The disgust scale: Item analysis, factor structure, and suggestions for refinement. Psychological Assessment, 19, 281–297. doi:10.​1037/​1040-3590.​19.​3.​281.CrossRefPubMed
go back to reference Phillips, M. L., Marks, I. M., Senior, C., Lythgoe, D., O’Dwyer, A.-M., Meehan, O., et al. (2000). A differential neural response in obsessive-compulsive disorder patients with washing compared with checking symptoms to disgust. Psychological Medicine, 30, 1037–1050. doi:10.1017/S0033291799002652.CrossRefPubMed Phillips, M. L., Marks, I. M., Senior, C., Lythgoe, D., O’Dwyer, A.-M., Meehan, O., et al. (2000). A differential neural response in obsessive-compulsive disorder patients with washing compared with checking symptoms to disgust. Psychological Medicine, 30, 1037–1050. doi:10.​1017/​S003329179900265​2.CrossRefPubMed
go back to reference Rachman, S. (2002). A cognitive theory of compulsive checking. Behaviour Research and Therapy, 40, 624–639. Rachman, S. (2002). A cognitive theory of compulsive checking. Behaviour Research and Therapy, 40, 624–639.
go back to reference Rachman, S. (2006). Fear of contamination: Assessment and treatment. New York: Oxford University Press Inc. Rachman, S. (2006). Fear of contamination: Assessment and treatment. New York: Oxford University Press Inc.
go back to reference Rasmussen, S. A., & Eisen, J. L. (1992). The epidemiology and clinical features of obsessive compulsive disorder. The Psychiatric Clinics of North America, 15, 743–758.PubMed Rasmussen, S. A., & Eisen, J. L. (1992). The epidemiology and clinical features of obsessive compulsive disorder. The Psychiatric Clinics of North America, 15, 743–758.PubMed
go back to reference Rozin, P., Fallon, A. E., & Mandell, R. (1984). Family resemblance in attitudes to food. Developmental Psychology, 20, 309–314. Rozin, P., Fallon, A. E., & Mandell, R. (1984). Family resemblance in attitudes to food. Developmental Psychology, 20, 309–314.
go back to reference Salkovskis, P. M. (1996). Cognitive-behavioral approaches to the understanding of obsessional problems. In R. M. Rapee (Ed.), Current controversies in the anxiety disorders (pp. 103–134). New York: Guilford. Salkovskis, P. M. (1996). Cognitive-behavioral approaches to the understanding of obsessional problems. In R. M. Rapee (Ed.), Current controversies in the anxiety disorders (pp. 103–134). New York: Guilford.
go back to reference Taylor, S. (1999). Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety. Mahwah, NJ: Lawrence Erlbaum Associates Publishers. Taylor, S. (1999). Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety. Mahwah, NJ: Lawrence Erlbaum Associates Publishers.
go back to reference Thordarson, D. S., Radomsky, A. S., Rachman, S., Shafran, R., Sawchuk, C. N., & Hakstian, A. R. (2004). The vancouver obsessional compulsive inventory (VOCI). Behaviour Research and Therapy, 42, 1289–1314. Thordarson, D. S., Radomsky, A. S., Rachman, S., Shafran, R., Sawchuk, C. N., & Hakstian, A. R. (2004). The vancouver obsessional compulsive inventory (VOCI). Behaviour Research and Therapy, 42, 1289–1314.
go back to reference Tolin, D. F., Brady, R. E., & Hannan, S. (2008). Obsessional beliefs and symptoms of obsessive-compulsive disorder in a clinical sample. Journal of Psychopathology and Behavioral Assessment, 30, 31–42. doi:10.1007/s10862-007-9076-7.CrossRef Tolin, D. F., Brady, R. E., & Hannan, S. (2008). Obsessional beliefs and symptoms of obsessive-compulsive disorder in a clinical sample. Journal of Psychopathology and Behavioral Assessment, 30, 31–42. doi:10.​1007/​s10862-007-9076-7.CrossRef
go back to reference Tolin, D. F., Worhunsky, P., Brady, R. E., & Maltby, N. (2007). The relationship between obsessive beliefs and thought-control strategies in a clinical sample. Cognitive Therapy and Research, 31, 307–318. doi:10.1007/s10608-006-9072-3.CrossRef Tolin, D. F., Worhunsky, P., Brady, R. E., & Maltby, N. (2007). The relationship between obsessive beliefs and thought-control strategies in a clinical sample. Cognitive Therapy and Research, 31, 307–318. doi:10.​1007/​s10608-006-9072-3.CrossRef
go back to reference van Overveld, W. J. M., de Jong, P. J., Peters, M. L., Cavanagh, K., & Davey, G. C. L. (2006). Disgust propensity and disgust sensitivity: Separate constructs that are differentially related to specific fears. Personality and Individual Differences, 41, 1241–1252. doi:10.1016/j.paid.2006.04.021.CrossRef van Overveld, W. J. M., de Jong, P. J., Peters, M. L., Cavanagh, K., & Davey, G. C. L. (2006). Disgust propensity and disgust sensitivity: Separate constructs that are differentially related to specific fears. Personality and Individual Differences, 41, 1241–1252. doi:10.​1016/​j.​paid.​2006.​04.​021.CrossRef
go back to reference Williams, N. L., Connolly, K. M., Cisler, J. M., Elwood, L. S., Willems, J. L., & Lohr, J. M. (2009). Disgust: A cognitive approach. In B. O. Olatunji & D. McKay (Eds.), Disgust and its disorders: Theory, assessment, and treatment. Washington, DC: APA. Williams, N. L., Connolly, K. M., Cisler, J. M., Elwood, L. S., Willems, J. L., & Lohr, J. M. (2009). Disgust: A cognitive approach. In B. O. Olatunji & D. McKay (Eds.), Disgust and its disorders: Theory, assessment, and treatment. Washington, DC: APA.
Metagegevens
Titel
Disgust and Obsessive Beliefs in Contamination-Related OCD
Auteurs
Josh M. Cisler
Robert E. Brady
Bunmi O. Olatunji
Jeffrey M. Lohr
Publicatiedatum
01-10-2010
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 5/2010
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-009-9253-y

Andere artikelen Uitgave 5/2010

Cognitive Therapy and Research 5/2010 Naar de uitgave