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Gepubliceerd in: Cognitive Therapy and Research 2/2016

11-11-2015 | Brief Report

Shared Cognitive Features of Posttraumatic Cognitions and Obsessive–Compulsive Symptoms

Auteurs: Dean McKay, Rachel Ojserkis, Jon D. Elhai

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2016

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Abstract

Obsessive–compulsive disorder (OCD) and posttraumatic stress disorder (PTSD) frequently co-occur. However, the shared features of these conditions have been under-examined. Evaluation of the common aspects of posttraumatic and obsessive–compulsive (OC) symptoms could improve treatment responsivity for individuals with comorbid PTSD and OCD, for whom outcome is typically poorer than for those with either disorder alone. This study examined intolerance of uncertainty, inflated responsibility, and a global measure of posttraumatic cognitions as potential shared cognitive constructs that moderate distress associated with OC symptoms. A total of 211 undergraduate students reporting significant trauma histories participated. All participants completed measures of obsessive–compulsive symptoms and beliefs, as well as posttraumatic cognitions. Results indicated that posttraumatic cognitions moderated the relationship between inflated responsibility and intolerance of uncertainty, which in turn predicted all domains of obsessive–compulsive symptom distress (all βs > 0.41, all zs > 3.44). Further, posttraumatic cognitions alone significantly predicting OC symptoms related to doubting, obsessions, and neutralizing. These findings suggest that shared cognitive constructs play a role in co-occurring posttraumatic stress and OC symptoms, and thus may be a relevant treatment target when these disorders present simultaneously.
Voetnoten
1
Current sample: PTCI total median and SD = 81.00 (39.09) versus PTSD sample in Foa et al. (1999): PTCI total median and SD = 133 (44.17). Current sample: OCI Total Distress mean and SD = 22.46 (24.41) versus OCD sample in Foa et al. (1998): OCI total distress mean and SD = 66.33 (31.9). Current sample: OBQ-44 total mean and SD = 141.57 (38.03) versus OCD sample in OCCWG (2005): OBQ-44 total mean and SD = 174.3 (50.2).
 
Literatuur
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference Bardeen, J. R., Fergus, T. A., & Wu, K. D. (2013). The interactive effect of worry and intolerance of uncertainty on posttraumatic stress symptoms. Cognitive Therapy and Research, 37, 742–751.CrossRef Bardeen, J. R., Fergus, T. A., & Wu, K. D. (2013). The interactive effect of worry and intolerance of uncertainty on posttraumatic stress symptoms. Cognitive Therapy and Research, 37, 742–751.CrossRef
go back to reference Benjamini, Y., & Hochberg, Y. (2000). On the adaptive control of the false discovery rate in multiple testing with independent statistics. Journal of Educational and Behavioral Statistics, 25, 60–83.CrossRef Benjamini, Y., & Hochberg, Y. (2000). On the adaptive control of the false discovery rate in multiple testing with independent statistics. Journal of Educational and Behavioral Statistics, 25, 60–83.CrossRef
go back to reference Biehn, T. L., Elhai, J. D., Seligman, L. D., Tamburrino, M., Armour, C., & Forbes, D. (2013). Underlying dimensions of DSM-5 posttraumatic stress disorder and major depressive disorder symptoms. Psychological Injury and Law, 6, 290–298.CrossRef Biehn, T. L., Elhai, J. D., Seligman, L. D., Tamburrino, M., Armour, C., & Forbes, D. (2013). Underlying dimensions of DSM-5 posttraumatic stress disorder and major depressive disorder symptoms. Psychological Injury and Law, 6, 290–298.CrossRef
go back to reference Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., & Keane, T. M. (1995). The development of a clinician-administered PTSD scale. Journal of Traumatic Stress, 8, 75–90.CrossRefPubMed Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., & Keane, T. M. (1995). The development of a clinician-administered PTSD scale. Journal of Traumatic Stress, 8, 75–90.CrossRefPubMed
go back to reference Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, J. R., & Mancill, R. B. (2001a). Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology, 110, 585–599.CrossRefPubMed Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, J. R., & Mancill, R. B. (2001a). Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology, 110, 585–599.CrossRefPubMed
go back to reference Brown, T. A., Di Nardo, P. A., Lehman, C. L., & Campbell, L. A. (2001b). Reliability of DSM-IV anxiety and mood disorders: Implications for the classification of emotional disorders. Journal of Abnormal Psychology, 110, 49–58.CrossRefPubMed Brown, T. A., Di Nardo, P. A., Lehman, C. L., & Campbell, L. A. (2001b). Reliability of DSM-IV anxiety and mood disorders: Implications for the classification of emotional disorders. Journal of Abnormal Psychology, 110, 49–58.CrossRefPubMed
go back to reference Da Silva, P., & Marks, M. (2001). Traumatic experiences, post-traumatic stress disorder and obsessive–compulsive disorder. International Review of Psychiatry, 13, 172–180.CrossRef Da Silva, P., & Marks, M. (2001). Traumatic experiences, post-traumatic stress disorder and obsessive–compulsive disorder. International Review of Psychiatry, 13, 172–180.CrossRef
go back to reference Elhai, J. D., Engdahl, R. M., Palmieri, P. A., Naifeh, J. A., Schweinle, A., & Jacobs, G. A. (2009). Assessing posttraumatic stress disorder with or without reference to a single, worst traumatic event: Examining differences in factor structure. Psychological Assessment, 21, 629–634.CrossRefPubMed Elhai, J. D., Engdahl, R. M., Palmieri, P. A., Naifeh, J. A., Schweinle, A., & Jacobs, G. A. (2009). Assessing posttraumatic stress disorder with or without reference to a single, worst traumatic event: Examining differences in factor structure. Psychological Assessment, 21, 629–634.CrossRefPubMed
go back to reference Elhai, J. D., Miller, M. E., Ford, J. D., Biehn, T. L., Palmieri, P. A., & Frueh, B. C. (2012). Posttraumatic stress disorder in DSM-5: Estimates of prevalence and symptom structure in a nonclinical sample of college students. Journal of Anxiety Disorders, 26, 58–64.CrossRefPubMed Elhai, J. D., Miller, M. E., Ford, J. D., Biehn, T. L., Palmieri, P. A., & Frueh, B. C. (2012). Posttraumatic stress disorder in DSM-5: Estimates of prevalence and symptom structure in a nonclinical sample of college students. Journal of Anxiety Disorders, 26, 58–64.CrossRefPubMed
go back to reference Foa, E. B., Ehlers, A., Clark, D., Tolin, D., & Orsillo, S. (1999). The Posttraumatic Cognitions Inventory (PTCI): Development and validation. Psychological Assessment, 11, 303–314.CrossRef Foa, E. B., Ehlers, A., Clark, D., Tolin, D., & Orsillo, S. (1999). The Posttraumatic Cognitions Inventory (PTCI): Development and validation. Psychological Assessment, 11, 303–314.CrossRef
go back to reference Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (2008). Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies (2nd ed.). New York, NY: Guilford Press. Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (2008). Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies (2nd ed.). New York, NY: Guilford Press.
go back to reference Foa, E. B., Kozak, M. J., Salkovskis, P. M., Coles, M. E., & Amir, N. (1998). The validation of a new obsessive–compulsive disorder scale: The Obsessive–Compulsive Inventory. Psychological Assessment, 10, 206–214.CrossRef Foa, E. B., Kozak, M. J., Salkovskis, P. M., Coles, M. E., & Amir, N. (1998). The validation of a new obsessive–compulsive disorder scale: The Obsessive–Compulsive Inventory. Psychological Assessment, 10, 206–214.CrossRef
go back to reference Fontanelle, L. F., Cocchi, L., Harrison, B. J., Shavitt, R. G., do Rosario, M. C., Farrao, Y. A., et al. (2012). Towards a posttraumatic subtype of obsessive–compulsive disorder. Journal of Anxiety Disorders, 26, 377–383.CrossRef Fontanelle, L. F., Cocchi, L., Harrison, B. J., Shavitt, R. G., do Rosario, M. C., Farrao, Y. A., et al. (2012). Towards a posttraumatic subtype of obsessive–compulsive disorder. Journal of Anxiety Disorders, 26, 377–383.CrossRef
go back to reference Gentes, E. L., & Ruscio, A. M. (2011). A meta-analysis of the relation of intolerance of uncertainty to symptoms of generalized anxiety disorder, major depressive disorder, and obsessive–compulsive disorder. Clinical Psychology Review, 31, 923–933.CrossRefPubMed Gentes, E. L., & Ruscio, A. M. (2011). A meta-analysis of the relation of intolerance of uncertainty to symptoms of generalized anxiety disorder, major depressive disorder, and obsessive–compulsive disorder. Clinical Psychology Review, 31, 923–933.CrossRefPubMed
go back to reference Gershuny, B. S., Baer, L., Jenike, M. A., Minichiello, W. E., & Wilhelm, S. (2002). Comorbid posttraumatic stress disorder: Impact on treatment outcome for obsessive–compulsive disorder. American Journal of Psychiatry, 159, 852–854.CrossRefPubMed Gershuny, B. S., Baer, L., Jenike, M. A., Minichiello, W. E., & Wilhelm, S. (2002). Comorbid posttraumatic stress disorder: Impact on treatment outcome for obsessive–compulsive disorder. American Journal of Psychiatry, 159, 852–854.CrossRefPubMed
go back to reference Gershuny, B. S., Baer, L., Parker, H., Gentes, E. L., Infield, A. L., & Jenike, M. A. (2008). Trauma and posttraumatic stress disorder in treatment resistant obsessive–compulsive disorder. Depression and Anxiety, 25, 69–71.CrossRefPubMed Gershuny, B. S., Baer, L., Parker, H., Gentes, E. L., Infield, A. L., & Jenike, M. A. (2008). Trauma and posttraumatic stress disorder in treatment resistant obsessive–compulsive disorder. Depression and Anxiety, 25, 69–71.CrossRefPubMed
go back to reference Gray, M. J., Litz, B. T., Hsu, J. L., & Lombardo, T. W. (2004). Psychometric properties of the Life Events Checklist. Assessment, 11, 330–341.CrossRefPubMed Gray, M. J., Litz, B. T., Hsu, J. L., & Lombardo, T. W. (2004). Psychometric properties of the Life Events Checklist. Assessment, 11, 330–341.CrossRefPubMed
go back to reference Koran, L. M., Hanna, G. L., Hollander, E., Nestadt, G., & Simpson, H. B. (2010). Practice guideline for the treatment of patients with obsessive–compulsive disorder. Washington, DC: American Psychiatric Association. Koran, L. M., Hanna, G. L., Hollander, E., Nestadt, G., & Simpson, H. B. (2010). Practice guideline for the treatment of patients with obsessive–compulsive disorder. Washington, DC: American Psychiatric Association.
go back to reference Lochner, C., du Toit, P. L., Zungu-Dirwayi, N., Marais, A., van Kradenburg, J., Seedat, S., et al. (2002). Childhood trauma in obsessive–compulsive disorder, trichotillomania, and controls. Depresison & Anxiety, 15, 66–68.CrossRef Lochner, C., du Toit, P. L., Zungu-Dirwayi, N., Marais, A., van Kradenburg, J., Seedat, S., et al. (2002). Childhood trauma in obsessive–compulsive disorder, trichotillomania, and controls. Depresison & Anxiety, 15, 66–68.CrossRef
go back to reference McKay, D., Kim, S. K., Taylor, S., Abramowitz, J. S., Tolin, D., Coles, M., et al. (2014). An examination of obsessive–compulsive symptoms and dimensions using profile analysis via multidimensional scaling. Journal of Anxiety Disorders, 28, 352–357.CrossRefPubMed McKay, D., Kim, S. K., Taylor, S., Abramowitz, J. S., Tolin, D., Coles, M., et al. (2014). An examination of obsessive–compulsive symptoms and dimensions using profile analysis via multidimensional scaling. Journal of Anxiety Disorders, 28, 352–357.CrossRefPubMed
go back to reference McKay, D., Sookman, D., Neziroglu, F., Wilhelm, S., Stein, D., Kyrios, M., et al. (2015). Efficacy of cognitive-behavior therapy for obsessive–compulsive disorder. Psychiatry Research, 225, 236–246.CrossRefPubMed McKay, D., Sookman, D., Neziroglu, F., Wilhelm, S., Stein, D., Kyrios, M., et al. (2015). Efficacy of cognitive-behavior therapy for obsessive–compulsive disorder. Psychiatry Research, 225, 236–246.CrossRefPubMed
go back to reference McLean, C. P., & Anderson, E. R. (2009). Brave men and timid women? A review of the gender differences in fear and anxiety. Clinical Psychology Review, 29, 496–505.CrossRefPubMed McLean, C. P., & Anderson, E. R. (2009). Brave men and timid women? A review of the gender differences in fear and anxiety. Clinical Psychology Review, 29, 496–505.CrossRefPubMed
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.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.CrossRef
go back to reference Resick, P. A., Galovski, T. E., Uhlmansiek, M. O. B., Scher, C. D., Clum, G. A., & Young-Xu, Y. (2008). A randomized clinical trial to dismantle components of cognitive processing therapy for posttraumatic stress disorder in female victims of interpersonal violence. Journal of Consulting and Clinical Psychology, 76, 243–258.CrossRefPubMedPubMedCentral Resick, P. A., Galovski, T. E., Uhlmansiek, M. O. B., Scher, C. D., Clum, G. A., & Young-Xu, Y. (2008). A randomized clinical trial to dismantle components of cognitive processing therapy for posttraumatic stress disorder in female victims of interpersonal violence. Journal of Consulting and Clinical Psychology, 76, 243–258.CrossRefPubMedPubMedCentral
go back to reference Ruscio, A. M., Ruscio, J., & Keane, T. M. (2002). The latent structure of posttraumatic stress disorder: A taxometric investigation of reactions to extreme stress. Journal of Abnormal Psychology, 111, 290–310.CrossRefPubMed Ruscio, A. M., Ruscio, J., & Keane, T. M. (2002). The latent structure of posttraumatic stress disorder: A taxometric investigation of reactions to extreme stress. Journal of Abnormal Psychology, 111, 290–310.CrossRefPubMed
go back to reference Taylor, S., Abramowitz, J. S., & McKay, D. (2005). Are there interactions among dysfunctional beliefs in obsessive–compulsive disorder? Cognitive Behaviour Therapy, 34, 89–98.CrossRefPubMed Taylor, S., Abramowitz, J. S., & McKay, D. (2005). Are there interactions among dysfunctional beliefs in obsessive–compulsive disorder? Cognitive Behaviour Therapy, 34, 89–98.CrossRefPubMed
go back to reference Watson, D. (2005). Rethinking the mood and anxiety disorders: A quantitative hierarchical model for DSM-V. Journal of Abnormal Psychology, 114, 522–536.CrossRefPubMed Watson, D. (2005). Rethinking the mood and anxiety disorders: A quantitative hierarchical model for DSM-V. Journal of Abnormal Psychology, 114, 522–536.CrossRefPubMed
go back to reference Wilhelm, S., Steketee, G., Fama, J. M., Buhlmann, U., & Teachman, B. A. (2010). Modular cognitive therapy for obsessive–compulsive disorder: A wait-list control trial. Journal of Cognitive Psychotherapy, 23, 294–305.CrossRef Wilhelm, S., Steketee, G., Fama, J. M., Buhlmann, U., & Teachman, B. A. (2010). Modular cognitive therapy for obsessive–compulsive disorder: A wait-list control trial. Journal of Cognitive Psychotherapy, 23, 294–305.CrossRef
Metagegevens
Titel
Shared Cognitive Features of Posttraumatic Cognitions and Obsessive–Compulsive Symptoms
Auteurs
Dean McKay
Rachel Ojserkis
Jon D. Elhai
Publicatiedatum
11-11-2015
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 2/2016
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-015-9733-1

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