nach oben

Cognitive Therapy and Research

Erschienen in:

12.10.2018 | Original Article

Development of a Picture-Based Measure for “Not Just Right” Experiences Associated with Compulsive Sorting, Ordering, and Arranging

verfasst von: Taylor Davine, Ivar Snorrason, Gregory Berlin, Ashleigh M. Harvey, Salahadin Lotfi, Han-Joo Lee

Erschienen in: Cognitive Therapy and Research | Ausgabe 2/2019

Einloggen, um Zugang zu erhalten

Abstract

Many individuals with obsessive-compulsive disorder report that obsessional thoughts and compulsive behaviors are often motivated by “not just right” experiences (NJREs). Individuals who experience NJREs often report symptoms related to symmetry, order, and arrangement (SOA). The current study sought to develop a brief picture-based measure of NJREs (PIC-NR10) within the context of SOA. Three independent studies were conducted to assess the psychometric properties of PIC-NR10 and its relationship with existing NJRE questionnaires, obsessive-compulsive-symptom relevant measures, and in vivo behavioral NJRE tasks. Across studies, the results provide promising initial evidence that PIC-NR10 is a psychometrically sound measure of NJREs. Clinical implications and future directions of research are discussed.

The full 45-item stimulus pool is available upon request.

We conducted additional analyses by entering the PIC-NR10 in Step 2 and the NJRE scale scores in Step 3. In predicting SOAQ scores, PIC-NR10 explained 9.4% additionally in Step 2, F(1, 162) = 21.79, p < .001; and the NJRE-Q-R indices explained 8.7% of the variance additionally in Step 3, F(2, 160) = 11.33, p < .001. Similarly, in predicting OCI-R Ordering scores, PIC-NR10 explained 11.1% variance in Step 2, F(1, 162) = 27.07, p < .001, and the NJRE-Q-R indices explained 6.0% variance additionally in Step 3, F(2, 160) = 7.98, p < .001. Similar analyses were repeated for the OC-TCDQ-INC. In predicting SOAQ scores, following identical results in Steps 1 and 2, the OC-TCDQ-INC score explained 20.2% of the variance additionally in Step 3, F(1, 161) = 65.68, p < .001. In predicting OCI-R Ordering scores, the OC-TCDQ-INC score explained 17.7% variance additionally in Step 3, F(1, 161) = 58.47, p < .001. In all these analyses, the PIC-NR10 remained as a significant predictor of SOA variables.We also tested the incremental validity of PIC-NR10 while controlling for the two NJRE self-report measure scores within the same regression model. In predicting SOAQ scores, the DASS total explained 20.3% variance in Step 1, F(1, 163) = 42.71, p < .001, the NJRE-Q-R Quantity and Severity and the OC-TCDQ-INC scores together explained an additional 30.9% variance in Step 2, F(4, 160) = 42.78, p < .001, and PIC-NR 10 accounted for an additional 1.4% variance at Step 3, F(5, 159) = 36.02, p < .001, β = 0.13, t = 2.20, p = .03. In predicting the OCI-R Ordering scores, the DASS total explained 22.5% variance in Step 1, F(1, 163) = 47.35, p < .001, the NJRE-Q-R Quantity and Severity and the OC-TCDQ-INC scores together explained an additional 28.1% variance in Step 2, F(4, 160) = 40.92, p < .001, and PIC-NR 10 accounted for an additional 2.7% variance at Step 3, F(5, 159) = 36.29, p < .001; β = 0.18, t = 3.05, p = .003. Overall, these findings provide support for the incremental validity of the PIC-NR10 in conjunction with the existing NJRE scales.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.CrossRef

Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246.CrossRefPubMed

Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park: Sage.

Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159.CrossRefPubMed

Coles, M. E., Frost, R. O., Heimberg, R. G., & Rhéaume, J. (2003). “Not just right experiences”: Perfectionism, obsessive-compulsive features and general psychopathology. Behaviour Research and Therapy, 41, 681–700.CrossRefPubMed

Coles, M. E., Heimberg, R. G., Frost, R. O., & Steketee, G. (2005). Not just right experiences and obsessive–compulsive features: Experimental and self-monitoring perspectives. Behaviour Research and Therapy, 43(2), 153–167.CrossRefPubMed

Coles, M. E., & Ravid, A. (2016). Clinical presentation of not-just right experiences (NJREs) in individuals with OCD: Characteristics and response to treatment. Behaviour Research and Therapy, 87, 182–187.CrossRefPubMed

Cougle, J. R., Fitch, K. E., Jacobson, S., & Lee, H.-J. (2013). A multi-method examination of the role of incompleteness in compulsive checking. Journal of Anxiety Disorders, 27(2), 231–239.CrossRefPubMed

Ecker, W., Kupfer, J., & Gönner, S. (2014). Incompleteness as a link between obsessive–compulsive personality traits and specific symptom dimensions of obsessive–compulsive disorder. Clinical Psychology & Psychotherapy, 21(5), 394–402.CrossRef

Ferrão, Y. A., Shavitt, R. G., Prado, H., Fontenelle, L. F., Malavazzi, D. M., de Mathis, M. A., … do Rosári, M. C. (2012). Sensory phenomena associated with repetitive behaviors in obsessive-compulsive disorder: An exploratory study of 1001 patients. Psychiatry Research, 197(3), 253–258.CrossRefPubMed

Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., & Sals, P. M. (2002). The obsessive–compulsive inventory: Development and validation of a short version. Psychological Assessment, 14, 485–496.CrossRefPubMed

Foa, E. B., Kozak, M. J., Salkovskis, P., Coles, M. E., & Amir, N. (1998). The validation of a new obsessive–compulsive disorder scale: The Obsessive–Compulsive Inventory. Psychological Assessment, 10, 206–214.CrossRef

Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14(5), 449–468.CrossRef

Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.CrossRef

Jöreskog, K. G., & Sörbom, D. (1986). LISREL VI: Analysis of linear structural relationships by maximum likelihood, instrumental variables, and least squares methods. Mooresville: Scientific Software, Inc.

Labad, J., Menchon, J. M., Alonso, P., Segalas, C., Jimenez, S., Jaurrieta, N., … Vallejo, J. (2008). Gender differences in obsessive–compulsive symptom dimensions. Depression and Anxiety, 25, 832–838.CrossRefPubMed

Lochner, C., McGregor, N., Hemmings, S., Harvey, B. H., Breet, E., Swanevelder, S., & Stein, D. J. (2015). Symmetry symptoms in obsessive-compulsive disorder: Clinical and genetic correlates. Revista Brasileira de Psiquiatria, 38, 17–23.CrossRefPubMed

Lovibond, S. H., & Lovibond, P. F. (1995a). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: Psychology Foundation.

Lovibond, S. H., & Lovibond, P. F. (1995b). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behavior Research and Therapy, 33(3), 335–343.CrossRef

McDonald, R. P., & Marsh, H. W. (1990). Choosing a multivariate model: Noncentrality and goodness-of-fit. Psychological Bulletin, 707, 247–255.CrossRef

McKay, D., Abramowitz, J. S., Calamari, J. E., Kyrios, M., Radomsky, A., Sookman, D., … Wilhelm, S. (2004). A critical evaluation of obsessive-compulsive disorder subtypes: Symptoms versus mechanisms. Clinical Psychology Review, 24, 283–313.CrossRefPubMed

Moulding, R., Anglim, J., Nedeljkovic, M., Doron, G., Kyrios, M., & Ayalon, A. (2011). The Obsessive Beliefs Questionnaire (OBQ): Examination in nonclinical samples and development of a short version. Assessment, 18, 357–374.CrossRefPubMed

Obsessive Compulsive Cognitions Working Group. (2001). Development and initial validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory. Behaviour Research and Therapy, 39(8), 987–1006.CrossRef

Obsessive Compulsive Cognitions Working Group. (2005). Psychometric validation of the obsessive belief questionnaire and interpretation of intrusions inventory—Part 2: Factor analyses and testing of a brief version. Behaviour Research and Therapy, 43(11), 1527–1542.CrossRef

Pietrefesa, A. S., & Coles, M. E. (2008). Moving beyond an exclusive focus on harm avoidance in obsessive compulsive disorder: Considering the role of incompleteness. Behavior Therapy, 39(3), 224–231.CrossRefPubMed

Pitman, R. (1987). Pierre Janet on obsessive-compulsive disorder (1903). Archives of General Psychiatry, 44, 226–232.CrossRefPubMed

Rachman, S. (1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 35, 793–802.CrossRefPubMed

Rachman, S. (1998). A cognitive theory of obsessions: Elaborations. Behaviour Research and Therapy, 36, 398–401.

Rachman, S. (2002). A cognitive theory of compulsive checking. Behaviour Research and Therapy, 40(6), 625–639.CrossRefPubMed

Radomsky, A. S., Ouimet, A. J., Ashbaugh, A. R., Lavoie, S. L., Parrish, C. L., & O’Connor, K. P. (2006). Psychometric properties of the French and English versions of the Vancouver Obsessional-Compulsive Inventory and the Symmetry, Ordering, and Arranging Questionnaire. Cognitive Behaviour Therapy, 35, 164–173.CrossRefPubMed

Radomsky, A. S., & Rachman, S. (2004). Symmetry, ordering and arranging compulsive behavior. Behaviour Research and Therapy, 42, 893–913.CrossRefPubMed

Rasmussen, S. A., & Eisen, J. L. (1992). The epidemiology and clinical features of obsessive compulsive disorder. The Psychiatric Clinics of North America, 15(4), 743–758.CrossRefPubMed

Ruscio, A. M., Stein, D. J., Chiu, W. T., & Kessler, R. C. (2010). The epidemiology of obsessive-compulsive disorder in the National Comorbidity Replication. Molecular Psychiatry, 15, 53–63.CrossRefPubMed

Salkovskis, P. M. (1985). Obsessional-compulsive problems: A cognitive-behavioural analysis. Behaviour Research and Therapy, 23, 571–583.CrossRefPubMed

Sasson, Y., Zohar, J., Chopra, M., Lustig, M., Iancu, I., & Hendler, T. (1997). Epidemiology of obsessive-compulsive disorder: A world view. Journal of Clinical Psychiatry, 58, 7–10.PubMed

Stein, D. J., Andersen, E. W., & Overo, K. F. (2007). Response of symptom dimensions in obsessive-compulsive disorder to treatment with citalopram or placebo. Revista Brasileira de Psiquiatria, 29(4), 303–307.CrossRefPubMed

Stein, D. J., Carey, P. D., Lochner, C., Seedat, S., Fineberg, N., & Andersen, E. W. (2008). Escitalopram in obsessive-compulsive disorder: Response of symptom dimensions to pharmacotherapy. CNS Spectrums, 13(6), 492–498.CrossRefPubMed

Stöber, J. (1998). The Frost Multidimensional Perfectionism Scale: More perfect with four (instead of six) dimensions. Personality and Individual Differences, 24(4), 481–491.CrossRef

Summerfeldt, L. J. (2004). Understanding and treating incompleteness in obsessive-compulsive disorder. Journal of Clinical Psychology, 60(11), 1155–1168.CrossRefPubMed

Summerfeldt, L. J., Gilbert, S. J., & Reynolds, M. (2015). Incompleteness, aesthetic sensitivity, and the obsessive-compulsive need for symmetry. Journal of Behavior Therapy and Experimental Psychiatry, 49, 141–149.CrossRefPubMed

Summerfeldt, L. J., Kloosterman, P. H., Antony, M. M., & Swinson, R. P. (2014). Examining an obsessive-compulsive core dimensions model: Structural validity of harm avoidance and incompleteness. Journal of Obsessive-Compulsive and Related Disorders, 3, 83–94.CrossRef

Taylor, S., McKay, D., Crowe, K. B., Abramowitz, J. S., Conelea, C. A., Calamari, J. E., & Sica, C. (2014). The sense of incompleteness as a motivator of obsessive-compulsive symptoms: An empirical analysis of concepts and correlates. Behavior Therapy, 45(2), 254–262.CrossRefPubMed

Wolpe, J. (1973). The practice of behavior therapy. New York: Pergamon.

Titel: Development of a Picture-Based Measure for “Not Just Right” Experiences Associated with Compulsive Sorting, Ordering, and Arranging
verfasst von: Taylor Davine
Ivar Snorrason
Gregory Berlin
Ashleigh M. Harvey
Salahadin Lotfi
Han-Joo Lee
Publikationsdatum: 12.10.2018
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research / Ausgabe 2/2019
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-018-9969-7

Neu im Fachgebiet Psychiatrie

23.04.2024 | Demenz | Nachrichten

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Development of a Picture-Based Measure for “Not Just Right” Experiences Associated with Compulsive Sorting, Ordering, and Arranging

Abstract

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Psychiatrie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2019

Long-Term Improvements in Probability and Cost Biases Following Brief Cognitive Behavioral Therapy for Social Anxiety Disorder

Centrality of Traumatic Events: Double Edged Sword or Matter of Valence?

Does Nonsuicidal Self-injury Prospectively Predict Change in Depression and Self-criticism?

Repetitive Negative Thought and Executive Dysfunction: An Interactive Pathway to Emotional Distress

Hope Above Racial Discrimination and Social Support in Accounting for Positive and Negative Psychological Adjustment in African American Adults: Is “Knowing You Can Do It” as Important as “Knowing How You Can”?

High Spider-Fearful and Low Spider-Fearful Individuals Differentially Perceive the Speed of Approaching, but not Receding, Spider Stimuli

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Psychiatrie