Psychometric evaluation of the Vancouver Obsessional-Compulsive Inventory (VOCI) and its adaptation based on the DSM-5 in Iranian patients with obsessive-compulsive disorder

Khosravani, Vahid; Bastan, Farangis Sharifi; Ardestani, Seyed Mehdi Samimi; Amirinezhad, Ali

doi:10.1016/j.jocrd.2020.100536

Cited by 9 publications

(3 citation statements)

References 49 publications

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“…Items are split across two subscales: obsessions (e.g., “How much of your time is occupied by obsessive thoughts?”) and compulsions (e.g., “How much of an effort do you make to resist the compulsions?”), with each item scored on a 5‐point Likert scale ranging from 0 (no severity) to 4 (very severe; Goodman et al, 1989). The English Y‐BOCS has demonstrated acceptable psychometric properties in OCD patients (Storch et al, 2005), and the Persian version used in the current study has also shown good psychometric properties in both non‐clinical (Rajezi Esfahani et al, 2012) and OCD samples (Khosravani, Bastan, et al, 2020). Cronbach's alpha was excellent ( α = .94) in this study.…”

Section: Methodsmentioning

confidence: 72%

Cross‐sectional direct and indirect relationships between the corrupted feared self and obsessive–compulsive symptoms in a clinical sample: The role of mental contamination

Khosravani,

Samimi Ardestani,

Wong

et al. 2023

British J Clinic Psychol

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ObjectivesThere is a significant relationship between a general feared self and contact contamination concerns in obsessive‐compulsive disorder (OCD), especially when the influence of mental contamination is considered a part of this relationship. However, these associations have not been explored in a clinical OCD sample when using each dimension of the multidimensional conceptualization of the feared self as the predictor (i.e., the corrupted, culpable, and malformed feared selves).MethodsWe tested these associations using a cross‐sectional design. Specifically, a sample of patients diagnosed with OCD (N = 417) completed a series of self‐report measures of OCD symptoms and its related constructs. We also explored these associations with unacceptable thoughts as the outcome, rather than contamination concerns, due to unacceptable thoughts having evidenced strong associations with the feared self and mental contamination.ResultsAfter controlling for relevant cognitive (i.e., obsessive beliefs) and affective (i.e., depressive symptoms) constructs and comorbidity, the corrupted feared self was found to have a direct link, along with an indirect link through mental contamination, with symptoms of contact contamination and unacceptable thoughts.ConclusionsThe fear of being corrupted may be associated with feelings of contamination in the absence of direct contact with a contaminant, which may then predict OCD symptoms of repugnant obsessional thoughts and contact contamination concerns. The corrupted feared self and mental contamination should therefore be targeted in treatments for repugnant obsessions and contamination‐related OCD.

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Section: Methodsmentioning

confidence: 72%

Cross‐sectional direct and indirect relationships between the corrupted feared self and obsessive–compulsive symptoms in a clinical sample: The role of mental contamination

Khosravani,

Samimi Ardestani,

Wong

et al. 2023

British J Clinic Psychol

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“…The OC symptoms of responsibility for harm and unacceptable thoughts, which are relatively prevalent in OCD (Abramowitz et al, 2006; Moulding et al, 2014), have been highly reported in Iranian OCD individuals who, in particular, have a history of childhood maltreatment (Franklin & Raines, 2019; Khosravani, Abramowitz, et al, 2020; Khosravani, Ardestani, et al, 2020; Khosravani, Bastan, et al, 2017; Khosravani, Bastan, et al, 2020; Khosravani, Kamali, et al, 2017; Rukiye & Erbay, 2018). CEM is a vulnerability factor for psychopathology (Khosravani, Messman‐Moore, et al, 2019; Taillieu et al, 2016; Vallati et al, 2020) and is associated with OCD and its symptoms of unacceptable thoughts and responsibility for harm, as well as OCD severity (Berman et al, 2013; Kart & Türkçapar, 2019; Rukiye & Erbay, 2018; Wang et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

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

Kadivari

Najafi

Khosravani

2023

Clin Psychology and Psychoth

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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.

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“…Each item is scored from 0 (without symptoms) to 4 (very severe). The Y‐BOCS has been validated for the Iranian community (Esfahani et al, 2012), with a Cronbach's alpha of 0.95 in patients with OCD (Khosravani, Bastan, et al, 2020). Cronbach's alpha for the Y‐BOCS was 0.98 in the present study.…”

Section: Methodsmentioning

confidence: 99%

The associations of obsessive–compulsive symptom dimensions and general severity with suicidal ideation in patients with obsessive–compulsive disorder: The role of specific stress responses to COVID‐19

Khosravani

Ardestani

Bastan

et al. 2021

Clin Psychology and Psychoth

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Suicidal ideation is prevalent in patients with obsessive-compulsive disorder (OCD); but, during COVID-19, it may be increased. The present study aimed to examine the effects of obsessive-compulsive (OC) symptom dimensions and OCD severity on suicidal ideation by considering the role of stress responses in reaction to COVID-19 in a clinical sample of patients with OCD. In a cross-sectional study, 304 patients with OCD completed measures of OC symptom dimensions, OCD severity, general mental health (depression and anxiety), and COVID-19-related stress. Results showed that after controlling for depression, anxiety, comorbidity, and lifetime suicide attempts, the OC symptom dimensions of responsibility for harm and unacceptable obsessional thoughts as well as general severity had indirect effects on suicidal ideation through the specific stress responses to COVID-19, including traumatic stress and compulsive checking. The study shows that OCD patients with specific OC symptom dimensions and severe OCD are more likely to have suicidal ideation during the pandemic. Further, the specific stress responses to COVID-19 may be an underlying mechanism.Clinicians should carefully assess suicidal ideation in patients with OCD who experience responsibility for harm and unacceptable thoughts, particularly during the pandemic.

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Psychometric evaluation of the Vancouver Obsessional-Compulsive Inventory (VOCI) and its adaptation based on the DSM-5 in Iranian patients with obsessive-compulsive disorder

Cited by 9 publications

References 49 publications

Cross‐sectional direct and indirect relationships between the corrupted feared self and obsessive–compulsive symptoms in a clinical sample: The role of mental contamination

Cross‐sectional direct and indirect relationships between the corrupted feared self and obsessive–compulsive symptoms in a clinical sample: The role of mental contamination

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

The associations of obsessive–compulsive symptom dimensions and general severity with suicidal ideation in patients with obsessive–compulsive disorder: The role of specific stress responses to COVID‐19

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