TY - JOUR
T1 - Part 3. A question of perspective
T2 - The association between intrusive thoughts and obsessionality in 11 countries
AU - Clark, David A.
AU - Abramowitz, Jon
AU - Alcolado, Gillian M.
AU - Alonso, Pino
AU - Belloch, Amparo
AU - Bouvard, Martine
AU - Coles, Meredith E.
AU - Doron, Guy
AU - Fernández-Álvarez, Hector
AU - Garcia-Soriano, Gemma
AU - Ghisi, Marta
AU - Gomez, Beatriz
AU - Inozu, Mujgan
AU - Moulding, Richard
AU - Radomsky, Adam S.
AU - Shams, Giti
AU - Sica, Claudio
AU - Simos, Gregoris
AU - Wong, Wing
PY - 2014
Y1 - 2014
N2 - A key assumption of contemporary cognitive-behavioral models of obsessive-compulsive disorder (OCD) is that obsessional thoughts exist on a continuum with "normal" unwanted intrusive thoughts. Recently, however, some authors have challenged this notion. The present study aimed to clarify (a) the extent that different types of intrusive thoughts in nonclinical individuals are associated with obsessionality, (b) the relative contribution of frequency, distress and control ratings to obsessionality, and (c) the extent that existing findings (primarily from North American or European samples) generalize to other countries in the world. Five hundred and fifty-four non clinical individuals from 11 different countries were administered an interview assessing the presence, frequency, distress, and perceived control of different types of intrusive thoughts. Participants also completed measures of obsessional beliefs, obsessive-compulsive (OC) symptoms, and depression. Results from data analyses supported the universality of unwanted intrusive thoughts, the continuity of normal and abnormal obsessions, and the specificity of dirt/contamination, doubt and miscellaneous intrusions to OC symptoms. Implications for intrusive thoughts as a potential vulnerability factor for OCD are discussed.
AB - A key assumption of contemporary cognitive-behavioral models of obsessive-compulsive disorder (OCD) is that obsessional thoughts exist on a continuum with "normal" unwanted intrusive thoughts. Recently, however, some authors have challenged this notion. The present study aimed to clarify (a) the extent that different types of intrusive thoughts in nonclinical individuals are associated with obsessionality, (b) the relative contribution of frequency, distress and control ratings to obsessionality, and (c) the extent that existing findings (primarily from North American or European samples) generalize to other countries in the world. Five hundred and fifty-four non clinical individuals from 11 different countries were administered an interview assessing the presence, frequency, distress, and perceived control of different types of intrusive thoughts. Participants also completed measures of obsessional beliefs, obsessive-compulsive (OC) symptoms, and depression. Results from data analyses supported the universality of unwanted intrusive thoughts, the continuity of normal and abnormal obsessions, and the specificity of dirt/contamination, doubt and miscellaneous intrusions to OC symptoms. Implications for intrusive thoughts as a potential vulnerability factor for OCD are discussed.
KW - Intrusive thoughts
KW - Obsessionality
KW - Obsessions
KW - Obsessive-compulsive inventory-revised
KW - OCD
UR - http://www.scopus.com/inward/record.url?scp=84922833257&partnerID=8YFLogxK
U2 - 10.1016/j.jocrd.2013.12.006
DO - 10.1016/j.jocrd.2013.12.006
M3 - Article
AN - SCOPUS:84922833257
SN - 2211-3649
VL - 3
SP - 292
EP - 299
JO - Journal of Obsessive-Compulsive and Related Disorders
JF - Journal of Obsessive-Compulsive and Related Disorders
IS - 3
ER -