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

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.
 
Literatuur
go back to reference Abramovitch, A., Abramowitz, J. S., Riemann, B. C., & McKay, D. (2020). Severity benchmarks and contemporary clinical norms for the Obsessive-Compulsive Inventory-Revised (OCI-R). Journal of Obsessive-Compulsive and Related Disorders, 27, 100557.CrossRef Abramovitch, A., Abramowitz, J. S., Riemann, B. C., & McKay, D. (2020). Severity benchmarks and contemporary clinical norms for the Obsessive-Compulsive Inventory-Revised (OCI-R). Journal of Obsessive-Compulsive and Related Disorders, 27, 100557.CrossRef
go back to reference Abramowitz, J. S., Franklin, M. E., Zoellner, L. A., & Dibernardo, C. L. (2002). Treatment compliance and outcome in obsessive-compulsive disorder. Behavior Modification, 26(4), 447–463.CrossRef Abramowitz, J. S., Franklin, M. E., Zoellner, L. A., & Dibernardo, C. L. (2002). Treatment compliance and outcome in obsessive-compulsive disorder. Behavior Modification, 26(4), 447–463.CrossRef
go back to reference Admon, R., Bleich-Cohen, M., Weizmant, R., Poyurovsky, M., Faragian, S., & Hendler, T. (2012). Functional and structural neural indices of risk aversion in obsessive–compulsive disorder (OCD). Psychiatry Research: Neuroimaging, 203(2–3), 207–213.CrossRef Admon, R., Bleich-Cohen, M., Weizmant, R., Poyurovsky, M., Faragian, S., & Hendler, T. (2012). Functional and structural neural indices of risk aversion in obsessive–compulsive disorder (OCD). Psychiatry Research: Neuroimaging, 203(2–3), 207–213.CrossRef
go back to reference American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). (DSM-5). American Psychiatric Association.CrossRef American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). (DSM-5). American Psychiatric Association.CrossRef
go back to reference Barratt, E. S. (1985). Impulsiveness subtraits: Arousal and information processing. Motivation, Emotion and Personality, 99, 137–146. Barratt, E. S. (1985). Impulsiveness subtraits: Arousal and information processing. Motivation, Emotion and Personality, 99, 137–146.
go back to reference Buchholz, W., & Schymura, M. (2012). Expected utility theory and the tyranny of catastrophic risks. Ecological Economics, 77, 234–239.CrossRef Buchholz, W., & Schymura, M. (2012). Expected utility theory and the tyranny of catastrophic risks. Ecological Economics, 77, 234–239.CrossRef
go back to reference Camerer, C., & Weber, M. (1992). Recent developments in modeling preferences: Uncertainty and ambiguity. Journal of Risk and Uncertainty, 5(4), 325–370.CrossRef Camerer, C., & Weber, M. (1992). Recent developments in modeling preferences: Uncertainty and ambiguity. Journal of Risk and Uncertainty, 5(4), 325–370.CrossRef
go back to reference Campitelli, G., & Gerrans, P. (2014). Does the cognitive reflection test measure cognitive reflection? A mathematical modeling approach. Memory & Cognition, 42(3), 434–447.CrossRef Campitelli, G., & Gerrans, P. (2014). Does the cognitive reflection test measure cognitive reflection? A mathematical modeling approach. Memory & Cognition, 42(3), 434–447.CrossRef
go back to reference Chamberlain, S. R., Stochl, J., Redden, S. A., & Grant, J. E. (2018). Latent traits of impulsivity and compulsivity: Toward dimensional psychiatry. Psychological Medicine, 48(5), 810–821.CrossRef Chamberlain, S. R., Stochl, J., Redden, S. A., & Grant, J. E. (2018). Latent traits of impulsivity and compulsivity: Toward dimensional psychiatry. Psychological Medicine, 48(5), 810–821.CrossRef
go back to reference Cicolini, T., & Rees, C. S. (2003). Measuring Risk-Taking In Obsessive-Compulsive Disorder: An Extension Of The Everyday Risk Inventory With An Australian Sample. Behavioural and Cognitive Psychotherapy, 31(3), 247.CrossRef Cicolini, T., & Rees, C. S. (2003). Measuring Risk-Taking In Obsessive-Compulsive Disorder: An Extension Of The Everyday Risk Inventory With An Australian Sample. Behavioural and Cognitive Psychotherapy, 31(3), 247.CrossRef
go back to reference Crino, R. D., & Andrews, G. (1996). Obsessive-compulsive disorder and axis I comorbidity. Journal of Anxiety Disorders, 10(1), 37–46.CrossRef Crino, R. D., & Andrews, G. (1996). Obsessive-compulsive disorder and axis I comorbidity. Journal of Anxiety Disorders, 10(1), 37–46.CrossRef
go back to reference Fineberg, N. A., Chamberlain, S. R., Goudriaan, A. E., Stein, D. J., Vanderschuren, L. J. M. J., Gillan, C. M., ... Potenza, M. N. (2014). New developments in human neurocognition: clinical, genetic, and brain imaging correlates of impulsivity and compulsivity. CNS Spectrums, 19(1), 69–89. https://doi.org/10.1017/S1092852913000801 Fineberg, N. A., Chamberlain, S. R., Goudriaan, A. E., Stein, D. J., Vanderschuren, L. J. M. J., Gillan, C. M., ... Potenza, M. N. (2014). New developments in human neurocognition: clinical, genetic, and brain imaging correlates of impulsivity and compulsivity. CNS Spectrums, 19(1), 69–89. https://​doi.​org/​10.​1017/​S109285291300080​1
go back to reference Fontenelle, L. F., Oostermeijer, S., Harrison, B. J., Pantelis, C., & Yücel, M. (2011). Obsessive-compulsive disorder, impulse control disorders and drug addiction. Drugs, 71(7), 827–840.CrossRef Fontenelle, L. F., Oostermeijer, S., Harrison, B. J., Pantelis, C., & Yücel, M. (2011). Obsessive-compulsive disorder, impulse control disorders and drug addiction. Drugs, 71(7), 827–840.CrossRef
go back to reference Gillan, C. M., Kosinski, M., Whelan, R., Phelps, E. A., & Daw, N. D. (2016). Characterizing a psychiatric symptom dimension related to deficits in goal-directed control. Elife, 5, e11305.CrossRef Gillan, C. M., Kosinski, M., Whelan, R., Phelps, E. A., & Daw, N. D. (2016). Characterizing a psychiatric symptom dimension related to deficits in goal-directed control. Elife, 5, e11305.CrossRef
go back to reference Hertwig, R., & Erev, I. (2009). The description–experience gap in risky choice. Trends in Cognitive Sciences, 13(12), 517–523.CrossRef Hertwig, R., & Erev, I. (2009). The description–experience gap in risky choice. Trends in Cognitive Sciences, 13(12), 517–523.CrossRef
go back to reference Koran, L. M., & Simpson, H. B. (2013). Guideline watch (March 2013): practice guideline for the treatment of patients with obsessive-compulsive disorder. American Psychiatric Association. Koran, L. M., & Simpson, H. B. (2013). Guideline watch (March 2013): practice guideline for the treatment of patients with obsessive-compulsive disorder. American Psychiatric Association.
go back to reference Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343.CrossRef Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343.CrossRef
go back to reference 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(1), 33–41.CrossRef 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(1), 33–41.CrossRef
go back to reference Perfors, A., & Van Dam, N. T. (2018). Human decision making in black swan situations. In T. T. Rogers, M. Rau, X. Zhu, & C. W. Kalish (Eds.), Proceedings of the 40th Annual Conference of the Cognitive Science Society (pp. 870–876). Cognitive Science Society. Perfors, A., & Van Dam, N. T. (2018). Human decision making in black swan situations. In T. T. Rogers, M. Rau, X. Zhu, & C. W. Kalish (Eds.), Proceedings of the 40th Annual Conference of the Cognitive Science Society (pp. 870–876). Cognitive Science Society.
go back to reference Pushkarskaya, H., Tolin, D., Ruderman, L., Henick, D., Kelly, J. M., Pittenger, C., & Levy, I. (2017). Value-based decision making under uncertainty in hoarding and obsessive-compulsive disorders. Psychiatry Research, 258, 305–315.CrossRef Pushkarskaya, H., Tolin, D., Ruderman, L., Henick, D., Kelly, J. M., Pittenger, C., & Levy, I. (2017). Value-based decision making under uncertainty in hoarding and obsessive-compulsive disorders. Psychiatry Research, 258, 305–315.CrossRef
go back to reference Ruscio, A. M., Stein, D. J., Chiu, W. T., & Kessler, R. C. (2010). The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Molecular Psychiatry, 15(1), 53.CrossRef Ruscio, A. M., Stein, D. J., Chiu, W. T., & Kessler, R. C. (2010). The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Molecular Psychiatry, 15(1), 53.CrossRef
go back to reference Salkovskis, P. M., Wroe, A. L., Gledhill, A., Morrison, N., Forrester, E., Richards, C., … Thorpe, S. (2000). Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder. Behaviour Research and Therapy, 38(4), 347–372. https://doi.org/10.1016/S0005-7967(99)00071-6 Salkovskis, P. M., Wroe, A. L., Gledhill, A., Morrison, N., Forrester, E., Richards, C., … Thorpe, S. (2000). Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder. Behaviour Research and Therapy, 38(4), 347–372. https://​doi.​org/​10.​1016/​S0005-7967(99)00071-6
go back to reference Schulze, D., Kathmann, N., & Reuter, B. (2018). Getting it just right: A reevaluation of OCD symptom dimensions integrating traditional and Bayesian approaches. Journal of Anxiety Disorders, 56, 63–73.CrossRef Schulze, D., Kathmann, N., & Reuter, B. (2018). Getting it just right: A reevaluation of OCD symptom dimensions integrating traditional and Bayesian approaches. Journal of Anxiety Disorders, 56, 63–73.CrossRef
go back to reference Sip, K. E., Muratore, A. F., & Stern, E. R. (2016). Effects of context on risk taking and decision times in obsessive-compulsive disorder. Journal of Psychiatric Research, 75, 82–90.CrossRef Sip, K. E., Muratore, A. F., & Stern, E. R. (2016). Effects of context on risk taking and decision times in obsessive-compulsive disorder. Journal of Psychiatric Research, 75, 82–90.CrossRef
go back to reference Starcke, K., Tuschen-Caffier, B., Markowitsch, H. J., & Brand, M. (2010). Dissociation of decisions in ambiguous and risky situations in obsessive–compulsive disorder. Psychiatry Research, 175(1–2), 114–120.CrossRef Starcke, K., Tuschen-Caffier, B., Markowitsch, H. J., & Brand, M. (2010). Dissociation of decisions in ambiguous and risky situations in obsessive–compulsive disorder. Psychiatry Research, 175(1–2), 114–120.CrossRef
go back to reference Taleb, N. N. (2007). The black swan: The impact of the highly improbable (Vol. 2). Random house. Taleb, N. N. (2007). The black swan: The impact of the highly improbable (Vol. 2). Random house.
go back to reference Tolin, D. F., & Steketee, G. (2007). General Issues in Psychological Treatment for Obsessive-Compulsive Disorder. In Psychological treatment of obsessive-compulsive disorder: Fundamentals and beyond. (pp. 31–59). American Psychological Association. Tolin, D. F., & Steketee, G. (2007). General Issues in Psychological Treatment for Obsessive-Compulsive Disorder. In Psychological treatment of obsessive-compulsive disorder: Fundamentals and beyond. (pp. 31–59). American Psychological Association.
go back to reference von Neumann, J., & Morgenstern, O. (1944). Theory of games and economic behavior. John Wiley. von Neumann, J., & Morgenstern, O. (1944). Theory of games and economic behavior. John Wiley.
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

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