Predicting the Symptoms of Obsessive-Compulsive Disorder Based on the Thought-Action Fusion and Mindfulness in Nonclinical Population

Asgharnezhad, Rozna; Alivandi Vafa, Marziyeh; Abdi, Reza

Volume 13 - Articles-1402 MEJDS (2023) 13: 171 | Back to browse issues page

Ethics code: IR.IAU.TABRIZ.REC.1400.50

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Asgharnezhad R, Alivandi Vafa M, Abdi R. Predicting the Symptoms of Obsessive-Compulsive Disorder Based on the Thought-Action Fusion and Mindfulness in Nonclinical Population. MEJDS 2023; 13 :171-171
URL: http://jdisabilstud.org/article-1-3195-en.html

Predicting the Symptoms of Obsessive-Compulsive Disorder Based on the Thought-Action Fusion and Mindfulness in Nonclinical Population

Rozna Asgharnezhad¹

, Marziyeh Alivandi Vafa ^*²

, Reza Abdi³

1- PhD Student, Department of Psychology, Faculty of Humanities, Tabriz Branch, Islamic Azad University, Tabriz, Iran
2- Assistant Professor, Department of Psychology, Faculty of Humanities, Tabriz Branch, Islamic Azad University, Tabriz, Iran
3- Associate Professor, Department of Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran

Abstract: (690 Views)

Abstract

Background & Objectives: Obsessive–compulsive disorder includes mental obsessions, compulsions, or both. Obsessions comprise frequent and intrusive thoughts, impulses, and mental images; compulsions are repetitive objective behaviors (washing hands, keeping order, checking) or repetitive mental activities (counting, chanting, repeating words slowly in silence). The patients feel obliged to do these behaviors in response to an obsession or according to rules that must be strictly obeyed. In the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, this disorder has a separate class, and its accompanying problems and debilitating symptoms disrupt the individual's interpersonal, occupational, and social functioning and bring significant economic and social costs to the individual and society. Pathological studies have investigated the factors and correlates with obsessive–compulsive disorder to identify the symptoms of the disorder better in the form of cognitive models. A positive and significant relationship between obsessive–compulsive symptoms and mixed thoughts has been reported in many studies, and it has been mentioned as a powerful predictor for the symptoms of the disorder. Obsessions or compulsions are time–consuming, and their problems cause confusion in interpersonal, social, work, and other critical functional situations and bring financial costs to the individual, family, and society. Also, this disorder has a relatively high prevalence. The present study was conducted to predict the symptoms of obsessive–compulsive disorder based on the thought–action fusion and mindfulness in a nonclinical population.

Methods: The research design was correlational analytics. The statistical population of the research comprised all students (boys and girls) of the universities of Tabriz City, Iran (Tabriz Azad University, Tabriz University, and Shahid Madani University). This research recruited a sample of 500 students (accounting for 10% possible dropout) by the available sampling method. Questionnaires were administered individually. Also, to comply with the ethical principles, the code of ethics under the number IR.IAU.TABRIZ.REC.1400.50 was obtained from the Ethics Committee. To collect data, we used the revised obsessive–compulsive questionnaire (Foa et al., 2002) with an internal consistency of 0.85 for its Persian version, thought–action fusion scale (Shafran, Tordarson, and Rachman, 1996) with an internal consistency of 0.81, and the mindfulness assessment scale (Brown and Ryan, 2003) with an internal consistency of 0.85. The Pearson correlation coefficient and multiple regression were used to analyze the obtained data in SPSS version 25. The significance level of statistical tests was considered 0.05

Results: According to the results, the average age of the subjects studied was 24.63, with a standard deviation of 7.2 years. Based on the results, there was a significant relationship between the thought–action fusion and mindfulness with the symptoms of obsessive–compulsive disorder (p<0.001). Also, the results showed that mindfulness and thought–action fusion can predict obsessive–compulsive symptoms (p<0.001). The prediction coefficient of obsessive–compulsive symptoms based on mindfulness was higher than thought–action fusion.

Conclusion: According to the results, the symptoms of obsessive–compulsive disorder can be predicted based on thought–action fusion and mindfulness. It is suggested that in future studies, researchers conduct research using a combination of quantitative and qualitative methods and in a comparative manner. Also, thought–action fusion can be used as a screening and diagnostic tool. Therefore, the results of the present research should be utilized in the design of follow–up and therapeutic interventions.

Keywords: Thought–Action fusion, Mindfulness, Symptoms of obsessive–compulsive disorder

Full-Text [PDF 586 kb] (395 Downloads)

Type of Study: Original Research Article | Subject: Psychology

References

1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th edition. American Psychiatric Association; 2013.

2. Chakraborty A, Karmakar S. Impact of covid-19 on obsessive compulsive disorder (OCD). Iran J Psychiatry. 2020;15(3):256–9. [DOI]

3. Storch EA, McGuire JF, Schneider SC, Small BJ, Murphy TK, Wilhelm S, et al. Sudden gains in cognitive behavioral therapy among children and adolescents with obsessive compulsive disorder. J Behav Ther Exp Psychiatry. 2019;64:92–8. [DOI]

4. O'Neill J, Feusner J. Cognitive-behavioral therapy for obsessive-compulsive disorder: access to treatment, prediction of long-term outcome with neuroimaging. Psychol Res Behav Manag. 2015;8:211. [DOI]

5. NeJat A, Rafezi Z, Hossseinsabet F. Predicting obsessive-compulsive disorder based on mindfulness, cognitive emotion regulation strategies, and coping strategies. Journal of Research in Behavioural Sciences. 2020;18(2):249–59. [Persian] [DOI]

6. Obsessive Compulsive Cognitions Working Group. Cognitive assessment of obsessive-compulsive disorder. Behav Res Ther. 1997;35(7):667–81. [DOI]

7. Salkovskis PM. Cognitive-behavioural factors and the persistence of intrusive thoughts in obsessional problems. Behav Res Ther. 1989;27:677–82.

8. Rachman S. A cognitive theory of obsessions. Behav Res Ther. 1997;35(9):793–802. [DOI]

9. Fava L, Bellantuono S, Bizzi A, Cesario ML, Costa B, De Simoni E, et al. Review of obsessive compulsive disorders theories. Global Journal of Epidemiology and Public Health. 2014;1:1–13.

10. Leahy RL. A model of emotional schemas. Cogn Behav Pract. 2002;9(3):177–90. [DOI]

11. Rassin E, Muris P, Schmidt H, Merckelbach H. Relationships between thought–action fusion, thought suppression and obsessive–compulsive symptoms: a structural equation modeling approach. Behav Res Ther. 2000;38(9):889–97. [DOI]

12. Twohig MP, Hayes SC, Masuda A. Increasing willingness to experience obsessions: acceptance and commitment therapy as a treatment for obsessive-compulsive disorder. Behav Ther. 2006;37(1):3–13. [DOI]

13. Mangal A. The relationship between mindfulness and obsessive compulsive characteristics in a nonclinical population [PhD dissertation]. [Surrey, England]: University of Surrey; 2013.

14. Kim SK, McKay D, Taylor S, Tolin D, Olatunji B, Timpano K, Abramowitz J. The structure of obsessive compulsive symptoms and beliefs: A correspondence and biplot analysis. Journal of anxiety disorders. 2016 Mar 1;38:79-87.

15. Lee SW, Jang TY, Kim S, Lee SJ. Heightened but inefficient thought-action fusion in obsessive-compulsive disorder: new insight from a multiple trial version of the classic thought-action fusion experiment. Psychiatry Investig. 2023;20(2):120–9. [DOI]

16. Leeuwerik T, Cavanagh K, Strauss C. The association of trait mindfulness and self-compassion with obsessive-compulsive disorder symptoms: results from a large survey with treatment-seeking adults. Cogn Ther Res. 2020;44(1):120–35. [DOI]

17. Babapour Kheiroddin J, Poursharifi H, Hashemi T, Ahmadi E. The relationship of meta-cognition and mindfulness components with obsessive beliefs in students. Journal of School Psychology and Institutions. 2013;1(4):23–38. [Persian] [Article]

18. Amini R, Dolatshahi B, Pourshahbaz A. Role of thought-action fusion in explaining obsession symptoms. Advances in Cognitive Science. 2011;13(1):25–34. [Persian]

19. Manos RC, Cahill SP, Wetterneck CT, Conelea CA, Ross AR, Riemann BC. The impact of experiential avoidance and obsessive beliefs on obsessive-compulsive symptoms in a severe clinical sample. J Anxiety Disord. 2010;24(7):700–8. [DOI]

20. Schumacker RE, Lomax RG. A beginner's guide to structural equation modeling. Psychology Press; 2004. [DOI]

21. Foa EB, Huppert JD, Leiberg S, Langner R, Kichic R, Hajcak G, et al. The obsessive-compulsive inventory: development and validation of a short version. Psychol Assess. 2002;14(4):485–96.

22. Mohamadi M, Zamani R, Fata L. Validation of the Persian version of the obsessive-compulsive inventory-revised in a student sample. Psychological Research. 2008;21:66–77. [DOI]

23. Shafran R, Thordarson DS, Rachman S. Thought-action fusion in obsessive compulsive disorder. J Anxiety Disord. 1996;10(5):379–91. [DOI]

24. Pourfaraj M, Mohammadi N, Taghavi M. Psychometric properties of revised thought–action fusion questionnaire (TAF-R) in an Iranian population. J Behav Ther Exp Psychiatry. 2008;39(4):600–9. [DOI]

25. Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in Psychological well-being. J Pers Soc Psychol. 2003;84(4):822–48.

26. Manavipour D, Baghdasarianc A, Khodaee Sakhlo S. Psychometric properties of the mindfulness inventory. Industrial/Organization Psychology. 2014;4(17):49-56. [Persian]

27. Reuman L, Buchholz J, Abramowitz JS. Obsessive beliefs, experiential avoidance, and cognitive fusion as predictors of obsessive-compulsive disorder symptom dimensions. J Contextual Behav Sci. 2018;9:15–20. [DOI]

28. Kroska EB, Miller ML, Roche AI, Kroska SK, O’Hara MW. Effects of traumatic experiences on obsessive-compulsive and internalizing symptoms: The role of avoidance and mindfulness. J Affect Disord. 2018;225:326–36. [DOI]

29. Wheaton MG, Abramowitz JS, Berman NC, Riemann BC, Hale LR. The relationship between obsessive beliefs and symptom dimensions in obsessive-compulsive disorder. Behav Res Ther. 2010;48(10):949–54. [DOI]

30. Wells A, Papageorgiou C. Relationships between worry, obsessive–compulsive symptoms and meta-cognitive beliefs. Behav Res Ther. 1998;36(9):899–913. [DOI]

31. Spada MM, Nikčević AV, Moneta GB, Wells A. Metacognition, perceived stress, and negative emotion. Pers Individ Dif. 2008;44(5):1172–81. [DOI]

32. Salehi S, Mousavi AM, Sarichloo ME, Ghafelebashi H. Examined demographic characteristics and signs of obsessive-compulsive disorder. Journal of Sabzevar University of Medical Sciences. 2014; 21 (2): 343-51. [Persian]

33. Rachman S. The treatment of obsessions. Oxford: Oxford University Press; 2003.