Managing unwanted intrusive thoughts in obsessive–compulsive disorder: Relative effectiveness of suppression, focused distraction, and acceptance

Najmi, Sadia; Riemann, Bradley C.; Wegner, Daniel M.

doi:10.1016/j.brat.2009.02.015

Cited by 109 publications

(95 citation statements)

References 66 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In seven studies, acceptance strategies were superior to suppression strategies (Campbell-Sills et al, 2006;Dunn et al, 2009;Liverant et al, 2008;Marcks & Woods, 2005;Masedo & Rosa Esteve, 2007;Najmi et al, 2009;. Five studies found no significant difference between acceptance and suppression strategies (Dunn et al, 2009;Feldner et al, 2003;Najmi et al, 2009;Westin et al, 2008).…”

Section: Superiority Of Acceptance Strategies To Suppression Distracmentioning

confidence: 89%

“…Seven studies did not find any significant differences between acceptance and distraction strategies Keogh et al, 2005;Kuehner et al, 2009;McMullen et al, 2008;Najmi et al, 2009;Singer & Dobson, 2007;Westin et al, 2008).…”

Section: Superiority Of Acceptance Strategies To Suppression Distracmentioning

confidence: 93%

“…Five studies found no significant difference between acceptance and suppression strategies (Dunn et al, 2009;Feldner et al, 2003;Najmi et al, 2009;Westin et al, 2008). (Note: Dunn et al (2009) andNajmi et al (2009) were mentioned twice, as the first group found differences for an affective picture task but not for a distressing film, and the latter group found differences for the clinical sample but not for healthy participants).…”

Section: Superiority Of Acceptance Strategies To Suppression Distracmentioning

confidence: 95%

“…Induction of intrusive thoughts. Three studies found that acceptance was more effective than suppression (Marcks & Woods, 2005;Najmi, Riemann, & Wegner, 2009) or distraction (Masuda et al, 2010) at reducing negative affect due to induction of intrusive thoughts. In addition, Healy et al (2008) found that discomfort decreased when a negative statement was presented in a defused format ("I am having the thought").…”

Section: Pain Intensitymentioning

confidence: 98%

“…Other findings. Two studies found a positive effect of acceptance strategies for the emergence of neutral thoughts (Broderick, 2005) and for a lesser extent of unwanted thoughts (Najmi et al, 2009) compared to other emotion regulation strategies. Contrary to this, Marks and Woods (2005) did not find evidence for acceptance strategies reducing the frequency of thoughts.…”

Section: Psychophysiologymentioning

confidence: 98%

See 4 more Smart Citations

How effective are acceptance strategies? A meta-analytic review of experimental results

Kohl¹,

Rief²,

Glombiewski³

2012

Journal of Behavior Therapy and Experimental Psychiatry

107

View full text Add to dashboard Cite

Section: Superiority Of Acceptance Strategies To Suppression Distracmentioning

confidence: 89%

Section: Superiority Of Acceptance Strategies To Suppression Distracmentioning

confidence: 93%

Section: Superiority Of Acceptance Strategies To Suppression Distracmentioning

confidence: 95%

Section: Pain Intensitymentioning

confidence: 98%

Section: Psychophysiologymentioning

confidence: 98%

See 3 more Smart Citations

How effective are acceptance strategies? A meta-analytic review of experimental results

Kohl¹,

Rief²,

Glombiewski³

2012

Journal of Behavior Therapy and Experimental Psychiatry

107

View full text Add to dashboard Cite

Dynamic interactions of the cortical networks during thought suppression

et al. 2016

View full text Add to dashboard Cite

ObjectivesThought suppression has spurred extensive research in clinical and preclinical fields, particularly with regard to the paradoxical aspects of this behavior. However, the involvement of the brain's inhibitory system in the dynamics underlying the continuous effort to suppress thoughts has yet to be clarified. This study aims to provide a unified perspective for the volitional suppression of internal events incorporating the current understanding of the brain's inhibitory system.Materials and MethodsTwenty healthy volunteers underwent functional magnetic resonance imaging while they performed thought suppression blocks alternating with visual imagery blocks. The whole dataset was decomposed by group‐independent component analysis into 30 components. After discarding noise components, the 20 valid components were subjected to further analysis of their temporal properties including task‐relatedness and between‐component residual correlation.ResultsCombining a long task period and a data‐driven approach, we observed a right‐side‐dominant, lateral frontoparietal network to be strongly suppression related. This network exhibited increased fluctuation during suppression, which is compatible with the well‐known difficulty of suppression maintenance.ConclusionsBetween‐network correlation provided further insight into the coordinated engagement of the executive control and dorsal attention networks, as well as the reciprocal activation of imagery‐related components, thus revealing neural substrates associated with the rivalry between intrusive thoughts and the suppression process.

show abstract

Childhood emotional maltreatment, maladaptive coping and obsessive–compulsive symptoms in patients with obsessive–compulsive disorder

Kadivari

Najafi

Khosravani

2023

Clin Psychology and Psychoth

View full text Add to dashboard Cite

Previous studies have reported childhood emotional maltreatment (CEM) to be associated with specific obsessive–compulsive (OC) symptoms, but maladaptive coping, which may be the underlying mechanism in this relationship, has not been evaluated yet. Thus, the present study aimed to examine the effects of CEM on the OC symptoms of responsibility for harm and unacceptable thoughts, as well as obsessive–compulsive disorder (OCD) severity, through maladaptive coping, including cognitive avoidance, experiential avoidance and emotional suppression in OCD patients (n = 360). The results showed that CEM had direct effects, as well as indirect effects via cognitive and experiential avoidance and emotional suppression, on responsibility for harm and unacceptable thoughts. In addition, the indirect effect of CEM on OCD severity was significantly mediated by the roles of cognitive avoidance and experiential avoidance. The present study adds new literature to evidence indicating the role of early childhood events in developing and maintaining OCD in which adverse maladaptive coping related to unpleasant childhood abuse plays an important role in OCD. More precisely, OCD patients who experience a history of CEM may further use maladaptive coping to cope with their distress and subsequently experience responsibility for harm, unacceptable thoughts and severe OCD.

show abstract

Managing unwanted intrusive thoughts in obsessive–compulsive disorder: Relative effectiveness of suppression, focused distraction, and acceptance

Cited by 109 publications

References 66 publications

How effective are acceptance strategies? A meta-analytic review of experimental results

How effective are acceptance strategies? A meta-analytic review of experimental results

Dynamic interactions of the cortical networks during thought suppression

Childhood emotional maltreatment, maladaptive coping and obsessive–compulsive symptoms in patients with obsessive–compulsive disorder

Contact Info

Product

Resources

About