Correction of inflated responsibility in the treatment of obsessive-compulsive disorder

Ladouceur, Robert; Léger, Eliane; Rhéaume, Josée; Dubé, D.

doi:10.1016/0005-7967(96)00042-3

Cited by 76 publications

(39 citation statements)

References 18 publications

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“…To date there is evidence that cognitive techniques targeting inflated responsibility beliefs alone (Ladoceur, Leger, Rhéaume, & Dube, 1996) and danger-related beliefs alone (Jones & Menzies, 1998b), in OCD patients (without exposure and response prevention) is associated with a reduction in symptoms. Cognitive techniques have been developed to target specific domains (i.e.…”

Section: Discussionmentioning

confidence: 98%

Obsessive beliefs and their relation to obsessive–compulsive symptoms

Faull

Joseph

Meaden

et al. 2004

Clin Psychology and Psychoth

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Relationships between obsessive-compulsive symptoms and beliefs identified as relevant to obsessive-compulsive disorder (OCD) are investigated among university students and a small clinical sample. One hundred and fifty-four participants completed measures of OCD-related beliefs, OCD symptoms, and anxiety and depression symptoms. Results showed that belief domains were strongly interrelated and were not sufficiently separate to use individually in further analysis. The summed obsessive beliefs score was significantly correlated with all measured obsessional symptom subtypes, after controlling for anxiety and depression. Possible explanations and clinical implications of the results are discussed.

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Section: Discussionmentioning

confidence: 98%

Obsessive beliefs and their relation to obsessive–compulsive symptoms

Faull

Joseph

Meaden

et al. 2004

Clin Psychology and Psychoth

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“…In other studies, concurrent strong effects on OCD-pertinent general belief domains and behaviour via cognitive therapy have been observed (e.g. Ladouceur, Léger, Rhéaume, & Dubé, 1996;McLean et al, 2001).…”

Section: Introductionmentioning

confidence: 94%

Compulsive behaviours and levels of belief in obsessive–compulsive disorder: a case-series analysis of their interrelationships

Storchheim

O’Mahony

2006

Clin. Psychol. Psychother.

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This study examined interrelationships of changes in compulsive behaviours and two levels of belief over treatment of obsessive-compulsive disorder (OCD). Levels were individual-specific obsessive beliefs (termed here manifest beliefs) and OCD-relevant general beliefs. If OCD-relevant general beliefs are functionally linked to manifest beliefs and compulsive behaviours, changes in compulsive behaviours and both belief types should occur mostly in tandem, even if only one or two of these three elements are explicitly targeted. Baselines consisting of time performing compulsive behaviours, strength of manifest belief and strength of OCD-relevant general beliefs were monitored daily by six participants over three phases in an A/B/B + C design. (A = no treatment, B = exposure/response prevention and C = cognitive therapy targeting only OCD-relevant general beliefs.) Changes in compulsive behaviours, manifest beliefs and OCD-relevant general beliefs moved primarily in tandem over treatment phases, suggesting functional links between these elements.

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“…For this study, the French-Canadian version of this tool was used (Mollard et al, 1989). In validation studies, this version of the tool scored well for internal consistency (Cronbach's alpha of 0.89-0.96) and fidelity (correlations between the total score and each of the 10 items vary between 0.80 and 0.98) (Bouvard et al, 1992;Ladouceur et al, 1996). Generally, studies call for a total score of 16 or higher as a criterion for inclusion (Shear et al, 2000), which was the threshold used for this study.…”

Section: Yale-brown Obsessive-compulsive Scalementioning

confidence: 99%

Inducing an Anxiety Response Using a Contaminated Virtual Environment: Validation of a Therapeutic Tool for Obsessive–Compulsive Disorder

et al. 2016

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Obsessive-compulsive disorder (OCD) is characterized by the presence of unwanted and repetitive thoughts triggering significant anxiety, as well as the presence of ritual behaviors or mental acts carried out in response to obsessions to reduce the associated distress. In the contamination subtype, individuals are scared of germs and bacteria, are excessively concerned with cleaning, fear contamination and the spread of disease, and may have a very strong aversion to bodily secretions. A few studies on virtual reality (VR) have been conducted with people suffering from OCD, but they all focus on the subtype characterized by checking rituals. The goal of this study is to confirm the potential of a "contaminated" virtual environment in inducing anxiety in 12 adults suffering from contamination-subtype OCD compar ed to 20 adults without OCD (N = 32) using a within-between protocol. Subjective (questionnaire) and objective (heart rate) measurements were compiled. Participants were immersed in a control virtual environment (empty and clean room) and a "contaminated" virtual environment (filthy public restroom) designed for the treatment of OCD. Immersions were conducted in a 6-wall CAVE-like system. As hypothesized, the results of repeated-measures ANCOVAs revealed the significant impact of immersion in a filthy public restroom for participants suffering from OCD on both measures. Presence was correlated with anxiety in OCD participants and no difference in presence was observed between groups. Unwanted negative side effects induced by immersions in VR were higher in the OCD group. The clinical implications of the results and directions for further studies are discussed.

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Correction of inflated responsibility in the treatment of obsessive-compulsive disorder

Cited by 76 publications

References 18 publications

Obsessive beliefs and their relation to obsessive–compulsive symptoms

Obsessive beliefs and their relation to obsessive–compulsive symptoms

Compulsive behaviours and levels of belief in obsessive–compulsive disorder: a case-series analysis of their interrelationships

Inducing an Anxiety Response Using a Contaminated Virtual Environment: Validation of a Therapeutic Tool for Obsessive–Compulsive Disorder

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