Understanding and Treating Scrupulosity

Siev, Jedidiah; Huppert, Jonathan D.; Zuckerman, Shelby E.

doi:10.1002/9781118890233.ch29

Cited by 4 publications

(6 citation statements)

References 48 publications

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“…Religious individuals seeking treatment for OCD may benefit from the inclusion of consultation specifically designed to enhance spirituality. In addition to seeking consultation with religious authorities, a number of recent guides have discussed how to incorporate religious content directly into CBT (e.g., Huppert & Siev, 2010; Rosmarin, 2018; Siev et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…More recently, Siev, Huppert, and Zuckerman (2017) have asserted that the majority of the literature does not demonstrate a relationship between religiosity and OCD symptoms. For example, they noted that Steketee et al (1991) demonstrated a relationship between OCD symptom severity and religiosity in participants with a diagnosis of OCD but that there was no significant difference in the degree of religiosity between participants with OCD and those with other anxiety disorders.…”

Section: Ocd Symptomatology Cognitive Features and Religiosity And Sp...mentioning

confidence: 99%

“…Although some researchers have argued quite convincingly that religiosity is correlated with cognitive risk factors for OCD, but not with clinical levels of OCD symptoms (e.g., Rosmarin, 2018; Siev et al, 2010), research to date has largely used measures of religiosity that sample a very narrow bandwidth of the construct of religiosity. In particular, Siev, Huppert, and Zuckerman’s (2017) assertion that the majority of the literature does not demonstrate a relationship between religiosity and OCD symptoms is compelling for a number of reasons. However, the measurement issue remains unresolved.…”

Section: Limitations Of Current Literaturementioning

confidence: 99%

“…They also noted that in other studies that found a relationship between OC symptoms and religiosity in nonclinical participants (e.g., Sica, Novara, & Sanavio, 2002), the severity of OC symptoms was generally well below the clinical threshold. Siev et al (2017) have concluded that these results taken together imply that religious individuals with OCD are more likely to have religious themes to their symptoms but that religiosity is not predictive of greater likelihood of having an OCD diagnosis.…”

mentioning

confidence: 93%

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Religiosity, spirituality, and obsessive-compulsive disorder-related symptoms in clinical and nonclinical samples.

Henderson¹,

Stewart²,

Koerner³

et al. 2022

Psychology of Religion and Spirituality

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Despite speculation that highly religious individuals may be predisposed toward developing obsessivecompulsive disorder (OCD), results regarding the relationship between religiosity and spirituality and OCD symptoms are mixed. Limitations of the literature include the use of measures with unknown psychometric properties that do not differentiate between facets of religiosity, a limited range of religious affiliations, and predominant use of undergraduate samples. The current study attempted to clarify the relationship using multidimensional measures. Seven hundred forty-six nonclinical and 24 clinical participants (with a principal diagnosis of OCD) from a wide range of religious affiliations completed questionnaires. In both samples, obsessional thinking was positively associated with scrupulosity (r ϭ .56 and r ϭ .73 in the nonclinical and clinical samples, respectively) but not religious fundamentalism. Compulsions were not meaningfully associated with religiosity and spirituality. Religious crisis was positively associated with scrupulosity (r ϭ .40 and r ϭ .73 in the nonclinical and clinical samples, respectively) and thought-action fusion (r ϭ .26 and r ϭ .53 in the nonclinical and clinical samples, respectively). In the clinical sample, OCD severity was negatively associated with spirituality (r ϭ Ϫ.42). The belief that the universe is ordered and humanity is connected (universality; a facet of spirituality) significantly moderated the relationship between religiosity and moral thought-action fusion (high religiosity was only associated with high moral thought-action fusion when universality was low, explaining 18.42% of variance in the relationship). These findings suggest that religious individuals with OCD may benefit from enhancing spirituality through consultation with a religious authority or within therapy.

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Section: Discussionmentioning

confidence: 99%

Section: Ocd Symptomatology Cognitive Features and Religiosity And Sp...mentioning

confidence: 99%

Section: Limitations Of Current Literaturementioning

confidence: 99%

mentioning

confidence: 93%

See 2 more Smart Citations

Religiosity, spirituality, and obsessive-compulsive disorder-related symptoms in clinical and nonclinical samples.

Henderson¹,

Stewart²,

Koerner³

et al. 2022

Psychology of Religion and Spirituality

View full text Add to dashboard Cite

show abstract

“…Religious individuals with OCD are more likely than nonreligious individuals with OCD to have symptoms of a religious nature. However, religious individuals are not, as a whole, more likely to have OCD (Siev et al 2017b). Due to suggestions that scrupulosity could be a presentation of OCD, or even a separate form of OCD disorder (Abramowitz and Jcoby 2014), scrupulosity was frequently tested with regard to OCD symptomatology in both clinical and non-clinical samples.…”

Section: Obsessive-compulsive Symptoms and Scrupulositymentioning

confidence: 99%

Scrupulosity in the Network of Obsessive-Compulsive Symptoms, Religious Struggles, and Self-Compassion: A Study in a Non-Clinical Sample

2022

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Scrupulosity is a phenomenon of the intersection between religiosity and obsessive-compulsive disorder. It could be regarded as an interactive effect of religiosity, religious internal conflicts, cognitive distortions associated with thought processing and self-reference, and obsessiveness. The present study investigated scrupulosity in the network of religious/spiritual struggles, obsessive-compulsive disorder (OCD) symptoms, self-compassion, and religiosity in order to better describe a position of scrupulosity in the dimensions of mental health and illness. Two hundred and ninety-two religious individuals from Poland (two hundred and two women) between the ages of 18 and 83 (M = 39.3; SD = 13.7) participated in the study. We applied the Self-Compassion Scale, Religious and Spiritual Struggle Scale, Obsessive-Compulsive Inventory-Revised, Pennsylvania Inventory of Scrupulosity, and posed questions concerning identification with religious beliefs, the role of religion in one’s identity, and religious attendance. Using correlation analysis and a network analysis, we demonstrated that scrupulosity was positively correlated with religious/spiritual struggles (mostly with moral struggles and religious doubts) and with obsessing as an OCD symptom. The bridge strength analysis indicated that scrupulosity may be regarded as a bridge symptom between religious/spiritual struggles and OCD symptoms. Pastoral and psychological counselling could use these results in order to design efficient treatments for people suffering from religious scruples.

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Psychotherapies for the treatment of scrupulosity: a systematic review

Toprak,

Özçelik

2024

Curr Psychol

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Abstract“Scrupulosity” is a common but understudied subtype of obsessive-compulsive disorder (OCD) characterized by religious obsessions and compulsions. Although scrupulosity is a common manifestation of OCD, it has not been adequately addressed in treatment studies. The aim of this study was to understand the conceptual nuances of scrupulosity, its diagnosis, the unique differences in conceptualization and interventions during its treatment, the specific tools needed to monitor the prognosis of the pathology, and the limitations of existing studies through a systematic review. Following PRISMA guidelines, a literature search was conducted, and 13 relevant studies were found in Google Scholar, Scopus, PubMed, EbscoHost + Ulakbim, Wiley Online Library, ScienceDirect, Taylor & Francis Online, and Web of Science databases. Two researchers independently rated the included articles using the MMAT and then met to compare the ratings. Disagreements were resolved through discussion and consensus was reached. There was a general lack of clarity in the conceptualization, diagnosis, and measurement of the severity of scrupulosity, and the content of religious or cultural interventions in the studies was not always clear. For future studies, further clarification, and systematization of the phenomenological features of scrupulosity and related epidemiological and empirical/experimental treatment research are needed.

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Understanding and Treating Scrupulosity

Cited by 4 publications

References 48 publications

Religiosity, spirituality, and obsessive-compulsive disorder-related symptoms in clinical and nonclinical samples.

Religiosity, spirituality, and obsessive-compulsive disorder-related symptoms in clinical and nonclinical samples.

Scrupulosity in the Network of Obsessive-Compulsive Symptoms, Religious Struggles, and Self-Compassion: A Study in a Non-Clinical Sample

Psychotherapies for the treatment of scrupulosity: a systematic review

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