Emotion regulation difficulties in obsessive‐compulsive disorder

Yap, Keong; Mogan, Christopher; Moriarty, Anna; Dowling, Nathan; Blair-West, Scott; Gelgec, Celin; Moulding, Richard

doi:10.1002/jclp.22553

Cited by 71 publications

(60 citation statements)

References 45 publications

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“…The hypotheses were largely supported by the data. As anticipated and in accordance with prior research (Berman et al, 2018;Fergus & Bardeen, 2014;Fernández de la Cruz et al, 2013;Leeuwerik et al, 2019;Wetterneck et al, 2013;Yap et al, 2018), symptom severity and obsessive beliefs were negatively correlated with self-compassion and positively associated with emotion regulation difficulties. In line with our expectation and previous studies (Finlay-Jones et al, 2015;Scoglio et al, 2018;Vettese et al, 2011), a strong and negative correlation between selfcompassion and difficulties in emotion regulation existed.…”

Section: Discussionsupporting

confidence: 89%

“…Self-compassion was measured using the 12-item Self-Compassion English (Gratz & Roemer, 2004) and translated German version (Ehring, Fischer, Schnülle, Bösterling, & Tuschen-Caffier, 2008). One exception seems to be the awareness subscale (Bardeen, Fergus, & Orcutt, 2012;Hallion, Steinman, Tolin, & Diefenbach, 2018;Yap et al, 2018). As there is a growing consensus that the DERS total score is psychometrically stronger without the awareness items, we excluded this subscale from our analyses.…”

Section: Methodsmentioning

confidence: 99%

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Self‐compassion and emotion regulation difficulties in obsessive–compulsive disorder

Eichholz

Schwartz

Meule

et al. 2020

Clin Psychology and Psychoth

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Lack of self-compassion and deficits in emotion regulation are associated with various psychopathological symptoms and may play a role in the development and maintenance of obsessive-compulsive disorder (OCD). However, further empirical research is still needed to better understand these constructs in the context of this disorder. The present study investigated the relation between self-compassion, emotion regulation difficulties, obsessive beliefs, and obsessive-compulsive symptom severity in 90 patients with OCD using self-report questionnaires. Symptom severity and obsessive beliefs were negatively correlated to self-compassion and positively associated with emotion regulation difficulties. Additionally, self-compassion showed a negative relation to emotion regulation difficulties. Emotion regulation difficulties-but not selfcompassion-predicted symptom severity when controlling for obsessive beliefs and depression in a hierarchical regression analysis. Further analyses showed that emotion regulation deficits mediated the relationship between self-compassion and OCD symptom severity. Our results provide preliminary evidence that targeting self-compassion and putting more emphasis on emotion regulation deficits might be promising treatment approaches for patients with OCD. Future studies could investigate which specific interventions that directly address these variables improve treatment outcome.

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Section: Discussionsupporting

confidence: 89%

Section: Methodsmentioning

confidence: 99%

Self‐compassion and emotion regulation difficulties in obsessive–compulsive disorder

Eichholz

Schwartz

Meule

et al. 2020

Clin Psychology and Psychoth

View full text Add to dashboard Cite

show abstract

“…Fernández de la Cruz et al (131) showed that patients compared to controls had significantly higher scores on all subscales except for the "lack of emotional awareness scale." Similarly, Yap et al (135) found that OCD patients scored significantly higher than controls on all DERS subscales, and group differences remained significant after correcting for depression and anxiety on all scales except for the lack of emotional awareness and emotional clarity scales. These findings indicate that patients with OCD have difficulties regulating their emotions, specifically expressed in the tendency to show a nonacceptance of emotions, experienced difficulties in goal-directed behavior and impulse control when distressed, and the use of maladaptive regulation strategies.…”

Section: Emotion Regulationmentioning

confidence: 80%

Social Cognition and Obsessive-Compulsive Disorder: A Review of Subdomains of Social Functioning

2020

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Disturbances in social cognitive processes such as the ability to infer others' mental states importantly contribute to social and functional impairments in psychiatric disorders. Yet, despite established social, emotional, and cognitive problems, the role of social cognition in obsessive-compulsive disorder is largely overlooked. The current review provides a first comprehensive overview of social (neuro)cognitive disturbances in adult patients with obsessive-compulsive disorder. Results of our review indicate various social cognitive alterations. Patients with obsessive-compulsive disorder show deficits in the recognition of affective social cues, specifically facial expressions of disgust, and more general deficits in theory of mind/mentalizing. Additionally, patients show heightened affective reactions and altered neural responding to emotions of self and others, as well as poor emotion regulation skills, which may contribute to poor social functioning of patients. However, the discrepancies in findings and scarcity of studies make it difficult to draw firm conclusions with regard to the specificity of social cognitive disturbances. The review offers directions for future research and highlights the need to investigate obsessive-compulsive disorder from an interactive social neurocognitive perspective in addition to the prevalent passive spectator perspective to advance our understanding of this intricate and burdensome disorder.

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“…Considering the significance, plenty of studies have been yielded in the recent years, focusing on emotional responses or experiences with the help of fMRI [4][5][6]. More neuroimaging studies concentrated on the emotions with negative valence induced by aversive stimuli, such as fear and disgust, to uncover the neural correlates underlying various psychiatric diseases, such as the obsessive-compulsive disorder (OCD), anxiety, and depressive disorders [7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

A dynamic causal model on self-regulation of aversive emotion

et al. 2020

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Cognitive regulation of emotion has been proven to be effective to take control the emotional responses. Some cognitive models have also been proposed to explain the neural mechanism that underlies this process. However, some characteristics of the models are still unclear, such as whether the cognitive regulation will be spontaneously employed by participants implicitly. The present study recruited the fMRI experiment to focus on the discomfort induced by viewing aversive pictures, and the emotional self-regulation during picture viewing. By using the dynamic causal modeling (DCM), 50 putative models of brain functional networks were constructed, one optimal model that fitted the real data best won the comparison from the candidates. As a result, the optimal model suggests that both the ventral striatum (VS)-centric bottom-up and the dorsolateral prefrontal cortex (DLPFC)-centric top-down regulations are recruited for self-regulation on negative emotions. The DLPFC will exert modulatory influence on the VS only when the VS fails to suppress the induced emotions by self-inhibition.

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Emotion regulation difficulties in obsessive‐compulsive disorder

Abstract: Results showed that emotion regulation difficulties in OCD cannot simply be attributed to mood difficulties. Theoretical and treatment implications are discussed.

Cited by 71 publications

References 45 publications

Self‐compassion and emotion regulation difficulties in obsessive–compulsive disorder

Self‐compassion and emotion regulation difficulties in obsessive–compulsive disorder

Social Cognition and Obsessive-Compulsive Disorder: A Review of Subdomains of Social Functioning

A dynamic causal model on self-regulation of aversive emotion

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