Attachment in OCD: A meta-analysis

Leeuwen, W.A. van; Wingen, Guido van; Luyten, Patrick; Denys, Damiaan; Marle, Hein J. F. van

doi:10.1016/j.janxdis.2020.102187

Cited by 26 publications

(16 citation statements)

References 70 publications

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“…Also, combination therapy in the process of creating mutual attachment between parent and child leads to improved interpersonal interactions and improves the quality of life of the child (Glibota, Lindaman & Coleman, 2018). This treatment reduces the symptoms of the disorder by not paying direct attention to the symptoms of the disorder and simply by emphasizing the cognitive ability in the child and the two-way relationship with the parent (Van Leeuwena & et al, 2020). combination therapy of Acceptance and Commitment Therapy and Theraplay has a direct effect on the relationship between parent and child and helps the quality of the child's performance by reducing the symptoms of the disorder(…”

Section: Discussionmentioning

confidence: 99%

“…It is undeniable that in addition to the psychological flexibility emphasized in the acceptance and commitment approach, many deeper psychological aspects of parent-child relationships can also contribute in children's disorders. One of the most important of them is parent-child attachment (Van Leeuwena, van Wingena, Luytenbc, Denysa, & van Marleade 2020). So that the levels of insecure attachment are strongly associated with the symptoms of obsessive-compulsive disorder in children and predict a high percentage of variability in the symptoms of the disorder (Goli, Abd Khodaei, Mashhadi and Bigdeli, 2020;Rezvan et al, 2013;Myhr, Sookman & Pinard, 2004).…”

Section: Introductionmentioning

confidence: 99%

“…The goal of this approach is to increase attachment, self-regulation, trust, and enjoyable interaction, and to enable parents to continue the healthy interactions they learned during treatment sessions on their own after treatment. Therefore, due to the strong relationship between insecure attachment and obsessive-compulsive disorder, it is necessary to integrate attachment-based and cognitive treatment approaches for patients whose emotional and developmental factors prevent their successful treatment (Van Leeuwena, et al, 2020). Therefore, considering the psychological and emotional damages in children with obsessivecompulsive disorder and the importance of using appropriate therapies and interventions, the present study aimed to investigate the effectiveness of combination of acceptance and commitment therapy and Attachment Centered Play Therapy on symptoms and performance of children with obsessivecompulsive disorder.…”

Section: Introductionmentioning

confidence: 99%

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The effectiveness of combination therapy of acceptance and commitment therapy and theraplay on severity of symptoms and function of children with obsessive-compulsive disorder

Safari

Kalantari

Yazdkhasti

et al. 2021

JPS

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Background: Several studies have examined the effectiveness of Acceptance and Commitment Therapy on the severity of obsessive-compulsive disorder symptoms. But research that examines the effectiveness of this treatment in combination with Theraplay on the symptoms and function of children with obsessive-compulsive disorder has been neglected. Aims: The present study investigates the effectiveness of combination therapy of Acceptance and Commitment Therapy and Theraplay on the symptoms and Function of children with obsessivecompulsive disorder. Methods: This was a quasi-experimental study with pre-test and post-test with 3-month follow-up and control group. The statistical population of the study included all children with obsessivecompulsive disorder aged 8 to 12 years in Esfahan in 2019, along with their mothers at the time of the study, of which 20 children with their parents, after an authentic psychiatrist or psychologist diagnosed them with obsessive-compulsive disorder and they obtained at least a score of 14 on the Children's Yale-Brown OC Scale, were selected based on Purposive sampling method and randomly assigned into the experimental and control groups. The experimental group received the combination therapy of Acceptance and Commitment Therapy and Theraplay for 10 sessions of individual counseling, but the control group did not receive any intervention. Instruments used in the study included Children's Yale-Brown OC Scale(CY-BOCS), Child Obsessive Compulsive Impact Scale -Revised(COIS-R / P) and Marschak Interaction Method Behavior Rating System. Results: To analyze the findings, inferential statistics methods of analysis of repeated measures were used. The findings of this study confirmed the effect of combination therapy of Acceptance and Commitment Therapy and Theraplay on reducing the symptoms of obsessive-compulsive disorder, improvement overall performance and the improvement of academic, social, family and daily livng skills performance(P<0/05). Conclusion: The combination therapy of Acceptance and Commitment Therapy and Theraplay is effective to reduce symptoms and improve Function in children with obsessive-compulsive disorder.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The effectiveness of combination therapy of acceptance and commitment therapy and theraplay on severity of symptoms and function of children with obsessive-compulsive disorder

Safari

Kalantari

Yazdkhasti

et al. 2021

JPS

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“…Indeed, this vicious circle may have detrimental effects on the dog–owner relationship and on the quality of the dog attachment bond to the owner, which is mainly determined by the ability of the latter to provide safety in conditions of emotional distress [ 89 , 90 , 91 ]. The owner’s failure to be a source of safety to their dog may result in the development of an insecure attachment style [ 90 , 91 , 92 ], which, in the human psychiatric literature, has been linked to a variety of psychopathological disorders, such as anxiety [ 93 , 94 ], depression [ 95 ], panic [ 96 ], aggressiveness [ 97 ], and obsessive-compulsive disorders [ 98 ].…”

Section: Effects Of Anthropomorphism On Dog Emotions and Behaviormentioning

confidence: 99%

Anthropomorphism and Its Adverse Effects on the Distress and Welfare of Companion Animals

Mota-Rojas

Mariti

Zdeinert

et al. 2021

Animals

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Anthropomorphic practices are increasing worldwide. Anthropomorphism is defined as the tendency to attribute human forms, behaviors, and emotions to non-human animals or objects. Anthropomorphism is particularly relevant for companion animals. Some anthropomorphic practices can be beneficial to them, whilst others can be very detrimental. Some anthropomorphic behaviors compromise the welfare and physiology of animals by interfering with thermoregulation, while others can produce dehydration due to the loss of body water, a condition that brings undesirable consequences such as high compensatory blood pressure and heat shock, even death, depending on the intensity and frequency of an animal’s exposure to these stressors. Malnutrition is a factor observed due to consumption of junk food or an imbalance in caloric proportions. This can cause obesity in pets that may have repercussions on their locomotor apparatus. Intense human–animal interaction can also lead to the establishment of attachment that impacts the mental state and behavior of animals, making them prone to develop aggression, fear, or anxiety separation syndrome. Another aspect is applying cosmetics to pets, though scientific studies have not yet determined whether cosmetic products such as coat dyes, nail polish, and lotions are beneficial or harmful for the animals, or to what extent. The cohabitation of animals in people’s homes can also constitute a public health risk due to infectious and zoonotic diseases. In this context, this paper aims to analyze the adverse effects of anthropomorphism on the welfare of companion animals from several angles—physiological, sanitary, and behavioral—based on a discussion of current scientific findings.

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“…Recently, it was demonstrated that attachment insecurity predicted worse treatment outcome among OCD patients and moderated the relationship between OCD and comorbid depression (Tibi et al, 2019, 2017a, 2017b). In addition, a recent meta‐analysis found an association between attachment insecurity (i.e., attachment anxiety and avoidance) and OCD, with a medium to large effect size (van Leeuwen et al, 2020). In SP, which is characterized with negative self‐schema and fear of rejection, insecure attachment style was hypothesized to be both a vulnerability and a maintaining factor (Manning et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

The correlates of social phobia in OCD: Findings from a large clinical sample

Tibi

Asher

Oppen

et al. 2021

British J Clinic Psychol

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Objectives Obsessive‐compulsive disorder (OCD) is a debilitating psychiatric disorder, often complicated with comorbidities. Social phobia (SP) is the most frequent co‐occurring anxiety disorder in OCD, associated with increased clinical severity. However, no study had examined the relevance of interpersonal processes in this comorbidity, which are at the core of SP. This study characterized the clinical (i.e., symptom profile, age of onset, chronicity, and comorbidity), vulnerability (i.e., childhood trauma, negative life events), and interpersonal (attachment style, expressed emotion, and social support) correlates of comorbid SP in a large sample of OCD patients. Methods We analysed the data of 382 OCD patients participating in the Netherlands Obsessive Compulsive Disorder Association (NOCDA) study. We examined the correlates of SP in OCD using self‐report questionnaires and structured clinical interviews. In addition, data of 312 non‐OCD SP patients were drawn from the Netherlands Study of Depression and Anxiety (NESDA), to compare the age of onset of SP between groups. Descriptive univariate analyses were followed by backward stepwise logistic regression analyses. Results Social phobia was present among approximately 20% of OCD patients. Social phobia in OCD was associated with increased depression severity and decreased ratings of secure attachment style. Among OCD patients, SP had a significantly earlier age onset as compared to SP in non‐OCD patients. Conclusion Social phobia in OCD might render a vulnerable clinical picture, characterized with early onset of SP symptoms, insecure attachment style, and increased depressive symptoms. Future studies should use prospective designs to better understand the nature of comorbid SP in OCD. Practitioner points Approximately one fifth of OCD patients were diagnosed with comorbid social phobia in a large representative clinical sample. OCD patients with comorbid social phobia presented with a vulnerable clinical picture, characterized with increased depression severity and decreased ratings of secure attachment style. Social phobia in OCD was associated with an earlier AOO as compared to the AOO of social phobia without OCD. The findings are limited by a cross‐sectional design; thus, causality could not be assessed. Research is needed to further examine the mechanisms of comorbid social phobia in OCD.

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Attachment in OCD: A meta-analysis

Cited by 26 publications

References 70 publications

The effectiveness of combination therapy of acceptance and commitment therapy and theraplay on severity of symptoms and function of children with obsessive-compulsive disorder

The effectiveness of combination therapy of acceptance and commitment therapy and theraplay on severity of symptoms and function of children with obsessive-compulsive disorder

Anthropomorphism and Its Adverse Effects on the Distress and Welfare of Companion Animals

The correlates of social phobia in OCD: Findings from a large clinical sample

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