Moving Beyond an Exclusive Focus on Harm Avoidance in Obsessive Compulsive Disorder: Considering the Role of Incompleteness☆
Section snippets
Participants
The sample consisted of 377 undergraduate students (62% female) at a state university who received course credit for completing a packet of self-report questionnaires. Students enrolled in psychology courses were required to complete a research requirement as partial fulfillment of the course. In order to complete the research requirement, students could chose to participate in available studies, including the current study, or write a brief research paper. The mean age for the sample was 18.28
Results
Descriptive statistics for all study measures are presented in Table 1. Scores on these measures represented a range of OC symptoms, harm avoidance, incompleteness and perfectionism. Furthermore, scores on the study measures were generally consistent with available data from previous student samples (see Flett et al., 1995, Frost et al., 1991, Simonds et al., 2000). However, it is noteworthy that both the OCI and FMPS showed respondents with scores at, and above, the means for samples of
Discussion
Although the compulsions characteristic of OCD have conventionally been viewed as being primarily, if not entirely, motivated by a desire to prevent harm, results of the current study suggest that incompleteness may also drive compulsions in OCD. First, results of a confirmatory factor analysis provide additional support for the validity of harm avoidance and incompleteness as separate, though highly correlated constructs in student samples (Summerfeldt et al., 2001). Second, our results showed
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2019, Behaviour Research and TherapyCitation Excerpt :Specifically, as has been suggested in prior work (Cougle et al., 2011; Wahl et al., 2008), it may be that washing compulsions are intended in part to reduce feelings that things are “not just right.” It should be noted that HA and INC were strongly correlated in the current sample (r = 0.75), which is consistent with prior work suggesting HA and INC are distinct, yet highly correlated, constructs (Pietrefesa & Coles, 2008). Therefore, there may be value to assessing both HA and INC/NJREs throughout treatment to determine the extent to which symptoms may be driven by one or both motivational factors.
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This paper was presented at the 40th annual meeting of the Association for the Advancement of Behavior Therapy, Chicago, IL, November 2006.