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22-11-2021

Risking Everything in Obsessive–Compulsive Disorder: An Analogue Decision-Making Study

Auteurs: James Croft, Jessica R. Grisham, Andrew Perfors, Brett K. Hayes

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 2/2022

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Abstract

An experiment examined decision-making processes among nonclinical participants with low or high levels of OCD symptomatology (N = 303). To better simulate the decision environments that are most likely to be problematic for clients with OCD, we employed decision tasks that incorporated “black swan” options that have a very low probability but involve substantial loss. When faced with a choice between a safer option that involved no risk of loss or a riskier alternative with a very low probability of substantial loss, most participants chose the safer option regardless of OCD symptom level. However, when faced with choices between options that had similar expected values to the previous choices, but where each option had some low risk of a substantial loss, there was a significant shift towards riskier decisions. These effects were stronger when the task involved a contamination based, health-relevant decision task as compared to one with financial outcomes. The results suggest that both low and high symptom OC participants approach decisions involving risk-free options and decisions involving risky alternatives in qualitatively different ways. There was some evidence that measures of impulsivity were better predictors of the shift to risky decision making than OCD symptomatology.
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Voetnoten
1
All data was collected in 2019 prior to the COVID-19 pandemic.
 
2
The DSM-5 (American Psychiatric Association, 2013) recognizes that hoarding is not a symptom of OCD and defines Hoarding Disorder as a separate diagnosis. Nevertheless, application of the OCI-R for screening and recent revisions of OCI-R norms (e.g., Abramovitch et al., 2020) continue to include the Hoarding subscale in the OCI-R total score. Note that excluding Hoarding scores from our calculation of OCI-R totals would not have changed the low/high OC classification of any participants.
 
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Metagegevens
Titel
Risking Everything in Obsessive–Compulsive Disorder: An Analogue Decision-Making Study
Auteurs
James Croft
Jessica R. Grisham
Andrew Perfors
Brett K. Hayes
Publicatiedatum
22-11-2021
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 2/2022
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-021-09901-3