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24.03.2020 | Original Article

Longitudinal Relations of Obsessive Beliefs, Obsessions, and Compulsions During Treatment for Obsessive Compulsive Disorder

verfasst von: Martha J. Falkenstein, Meghan Schreck, Sriramya Potluri, Jacob A. Nota, Kara N. Kelley, Courtney Beard, Jason A. Elias

Erschienen in: Cognitive Therapy and Research | Ausgabe 4/2020

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Abstract

Background

This study examined the temporal relations between obsessive beliefs, obsessions, and compulsions during treatment. Gaining a better understanding of these relations may inform targets for improving treatment response. We hypothesized that our results would support the goal-directed model of OCD whereby obsessive beliefs at time t, predict obsessions at time t + 1, which then predict compulsions at time t + 2.

Methods

Participants were adults receiving intensive/residential treatment (IRT) for OCD (N = 446). Time points examined were admission, weeks 2 and 4, and discharge, utilizing a random intercepts cross-lagged panel model.

Results

Results supported the reciprocal model of OCD, wherein both the goal-directed and habit-driven models coexist. Most of the significant paths between OCD symptoms were found early in treatment between weeks 2 and 4.

Conclusions

These findings offer unique information regarding the temporal precedence of these relations, and they are consistent with prior cognitive models of OCD. The importance of targeting both obsessive beliefs and compulsions is highlighted by these findings. Future research would benefit from investigating moderators of OCD models.

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Titel: Longitudinal Relations of Obsessive Beliefs, Obsessions, and Compulsions During Treatment for Obsessive Compulsive Disorder
verfasst von: Martha J. Falkenstein
Meghan Schreck
Sriramya Potluri
Jacob A. Nota
Kara N. Kelley
Courtney Beard
Jason A. Elias
Publikationsdatum: 24.03.2020
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research / Ausgabe 4/2020
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-020-10093-5

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Longitudinal Relations of Obsessive Beliefs, Obsessions, and Compulsions During Treatment for Obsessive Compulsive Disorder