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How Does Thought-Action Fusion Relate to Responsibility Attitudes and Thought Suppression to Aggravate the Obsessive-Compulsive Symptoms?

  • Müjgan Altın (a1) and Tülin Gençöz (a1)

Abstract

Background: Comprehensive cognitive theories of obsessive compulsive disorder (OCD) propose that clinical obsessions and compulsions arise from specific sorts of dysfunctional beliefs and appraisals, such as inflated sense of responsibility, thought-action fusion (TAF), and thought suppression. Aims: The present study aimed to examine the mediator roles of responsibility and thought suppression between TAF and obsessive-compulsive symptoms. Specifically, it aimed to explore the relative effects of TAF factors (i.e. morality and likelihood) on inflated sense of responsibility and on thought suppression to increase the obsessive qualities of intrusions. Method: Two hundred and eighty-three Turkish undergraduate students completed a battery of measures on responsibility, thought suppression, TAF, OC symptoms, and depression. Results: A series of hierarchical regression analyses, where depressive symptoms were controlled for, indicated that TAF-morality and TAF-likelihood follow different paths toward OC symptoms. Although TAF-morality associated with inflated sense of responsibility, TAF-likelihood associated with thought suppression efforts, and in turn these factors increased OC symptoms. Conclusions: These findings provide support for the critical role of sense of responsibility and thought suppression between the relationship of TAF and OC symptoms. Findings were discussed in line with the literature.

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Corresponding author

Reprint requests to Tülin Gençöz, Professor of Clinical Psychology, Department of Psychology, Middle East Technical University, Ankara 06531, Turkey. E-mail: tgencoz@metu.edu.tr

References

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Altın, M. and Gencoz, T. (2007). Persistence of obsessive compulsive symptoms: similarities and contrasts with symptoms of depression in a Turkish sample. Behavior Change, 24, 146156.
Altın, M. and Gençöz, T. (2009). Psychopathological correlates and psychometric properties of the White Bear Suppression Inventory in a Turkish sample. European Journal of Psychological Assessment, 25, 2329.
Altın, M. and Karanci, N. (2008). How does locus of control and inflated sense of responsibility relate to obsessive-compulsive symptoms in Turkish adolescents? Journal of Anxiety Disorders, doi:10.1016/j.janxdis.2008.01.010.
Arntz, A., Voncken, M. and Goosen, A. C. A. (2007). Responsibility and obsessive-compulsive disorder. Behaviour Research and Therapy, 45, 425435.
Baron, R. M. and Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 11731182.
Beck, A. T., Rush, A. J., Shaw, B. F. and Emery, G. (1979) Cognitive Therapy of Depression. New York: Guilford.
Belloch, A., Morillo, C. and Giménez, A. (2004). Effects of suppressing neutral and obsession-like thoughts in normal subjects: beyond frequency. Behaviour Research and Therapy, 42, 841857.
Berle, D. and Starcevic, V. (2005). Thought–action fusion: review of the literature and future directions. Clinical Psychology Review, 25, 263284.
Clare, T. (2003). Assessment procedures. In Menzies, R. G. and de Silva, P. (Eds.), Obsessive-Compulsive Disorder: theory, research and treatment (pp. 239257). London: Wiley.
Clark, D., Antony, M. M., Beck, A. T., Swinson, R. P. and Steer, R. A. (2005). Screening for obsessive and compulsive symptoms: validation of the Clark-Beck Obsessive-Compulsive Inventory. Psychology Assessment, 17, 132143.
Clark, D. A. and de Silva, P. (1985). The nature of depressive and anxious intrusive thoughts: distinct or uniform phenomena? Behavior Research and Therapy, 23, 383393.
Clark, D. A. and Purdon, C. (1993). New perspectives for a cognitive theory of obsessions. Australian Psychologist, 28, 161167.
Clark, D. M. (1986). A cognitive approach to panic. Behavior Research and Therapy, 24, 461470.
Cohen, A. B. and Rozin, P. (2001). Religion and the morality of mentality. Journal of Personality and Social Psychology, 81, 697710.
Erol, N. and Savaşır, I. (1988). Maudsley Obsessif-Kompulsif Soru Listesinin Türkiye Uyarlaması [Turkish Adaptation of Maudsley Obsessive-Compulsive Inventory]. Istanbul: CGYT Yayınları.
Foa, E. B., Amir, N., Bogert, K. V. A., Milnar, C. and Preworski, A. (2001). Inflated perception of responsibility for harm in obsessive-compulsive disorder. Journal of Anxiety Disorders, 15, 259275.
Foa, E. B., Sacks, M. B., Tolin, D. F., Preworski, A. and Amir, N. (2002). Inflated perception of responsibility for harm in OCD patients with and without checking compulsions: a replication and extension. Journal of Anxiety Disorders, 16, 443453.
Freeston, M. H., Ladouceur, R., Thibodeau, N. and Gagnon, F. (1991). Cognitive intrusions in non-clinical population. I. response style, subjective experience, and appraisal. Behavior Research and Therapy, 29, 585597.
Freeston, M. H., Ladouceur, R., Thibodeau, N. and Gagnon, F. (1992). Cognitive intrusions in a non-clinical population. II. Associations with depressive, anxious and compulsive symptoms. Behaviour Research and Therapy, 30, 263271.
Freeston, M. H., Rheaume, J. and Ladouceur, R. (1996). Correcting faulty appraisals of obsessional thoughts. Behaviour Research and Therapy, 34, 433446.
Ghassemzadeh, H., Bolhari, J., Birashk, B. and Salavati, M. (2005). Responsibility attitude in a sample of Iranian obsessive-compulsive patients. International Journal of Social Psychiatry, 51, 1322.
Hisli, N. (1988) Beck Depresyon Envanteri'nin geçerligi üzerine bir çalısma [A study on the validity of Beck Depression Inventory]. Psikoloji Dergisi, 6, 118122.
Hisli, N. (1989) Beck Depresyon Envanteri'nin üniversite ögrencileri için gecerligi ve güvenirligi [Reliability and validity of Beck Depression Inventory for university students]. Psikoloji Dergisi, 7, 313.
Hodgson, R. J. and Rachman, S. (1977). Obsessional-compulsive complaints. Behaviour Research and Therapy, 15, 389395.
Janeck, A. S. and Calamari, J. E. (1999). Thought suppression in obsessive-compulsive disorder. Cognitive Therapy and Research, 21, 497509.
Kelly, A. E. and Kahn, J. H. (1994). Effects of suppression of personal intrusive thoughts. Journal of Personality and Social Psychology, 66, 9981006.
Ladouceur, R., Leger, E., Rheaume, J. and Dube, D. (1996). Correction of inflated responsibility in the treatment of obsessive-compulsive disorder. Behaviour Research and Therapy, 34, 767774.
Marino-Carper, T., Negy, C., Burns, G. & Lunt, R. A. (2010). The effects of psychoeducation on thought-action fusion, thought suppression, and responsibility. Journal of Behavior Therapy and Experimental Psychiatry, 41, 289296.
Muris, P., Merckelbach, H. and Horselenberg, R. (1996). Individual differences in thought suppression. The White Bear Suppression Inventory: factor structure, reliability, validity and correlates. Behavior Research and Therapy, 34, 501513.
Obsessive-Compulsive Cognitions Working Group (1997). Cognitive assessment of obsessive-compulsive disorder. Behaviour Research and Therapy, 35, 667681.
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, 9871006.
Obsessive-Compulsive Cognitions Working Group (2003). Psychometric validation of the Obsessive Beliefs Questionnaire and the Interpretation of Intrusions Inventory: Part I. Behaviour Research and Therapy, 41, 863878.
Purdon, C. (2001). Appraisal of obsessional thought recurrences: impact on anxiety and mood state. Behavior Therapy, 32, 4764.
Purdon, C. and Clark, D. A. (1993). Obsessive intrusive thoughts in nonclinical subjects. Part I. content and relation with depressive, anxious and obsessional symptoms. Behaviour Research and Therapy, 31, 713720.
Purdon, C. and Clark, D. A. (1994). Obsessive intrusive thoughts in nonclinical subjects. Part II. Cognitive appraisal, emotional response and thought control strategies. Behaviour Research and Therapy, 32, 403410.
Purdon, C. and Clark, D. A. (2000). White bears and other elusive intrusions: assessing the relevance of thought suppression for obsessional phenomena. Behavior Modification, 24, 425453.
Purdon, C. and Clark, D. A. (2002). The need to control thoughts. In Frost, R. and Steketee, G. (Eds.), Cognitive Approaches to Obsessions and Compulsions (pp. 2943). Amsterdam: Pergamon.
Purdon, C., Rowa, K. and Antony, M. M. (2005). Thought suppression and its effects on thought frequency, appraisal and mood state in individuals with obsessive-compulsive disorder. Behaviour Research and Therapy, 43, 93108.
Rachman, S. (1993) Obsessions, responsibility, and guilt. Behaviour Research and Therapy, 31, 149154.
Rachman, S. (1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 35, 793802.
Rachman, S. (1998). A cognitive theory of obsessions: elaborations. Behaviour Research and Therapy, 36, 385401.
Rachman, S. (2003). Compulsive checking. In Menzies, R. G. and de Silva, P. (Eds.), Obsessive-Compulsive Disorder: theory, research and treatment (pp. 139162). Chichester: Wiley.
Rachman, S. and de Silva, P. (1978). Abnormal and normal obsessions. Behaviour Research and Therapy, 31, 14491454.
Rachman, S. and Hodgson, R. J. (1980). Obsessions and Compulsions. Englewood Cliffs, NJ: Prentice-Hall.
Rachman, S., Thordarson, D. S., Shafran, R. and Woody, S. R. (1995). Perceived responsibility: structure and significance. Behaviour Research and Therapy, 33, 779784.
Rasmussen, S. A. and Eisen, J. L. (1991). Phenomenology of OCD: clinical subtypes, heterogeneity and coexistence. In Zohar, J., Insel, T. and Rasmussen, S. (Eds.), The Psychobiology of Obsessive-Compulsive Disorder (pp. 1343). New York: Springer Publishing Company.
Rasmussen, S. A. and Tsuang, M. (1986). Clinical characteristics and family history in DSM-III obsessive-compulsive disorder. American Journal of Psychiatry, 143, 317322.
Rassin, E., Muris, P., Schmidt, H. and Merckelbach, H. (2000). Relationships between thought-action fusion, thought suppression and obsessive-compulsive symptoms: a structural equation modeling approach. Behaviour Research and Therapy, 38, 889897.
Salkovskis, P. M. (1985). Obsessional-compulsive problems: a cognitive-behavioral analysis. Behaviour Research and Therapy, 23, 571583.
Salkovskis, P. M. (1989). Cognitive-behavioral factors and the persistence of intrusive thoughts in obsessional problems. Behaviour Research and Therapy, 27, 677682.
Salkovskis, P. M., Thorpe, S. J., Wahl, K., Wroe, A. L. and Forrester, E. (2003). Neutralizing increases discomfort associated with obsessional thoughts: an experimental study with obsessional patients. Journal of Abnormal Psychology, 112, 709715.
Salkovskis, P. M. and Westbrook, D. (1989). Behavioral therapy and obsessional ruminations: can failure be turned into success? Behaviour Research and Therapy, 27, 149160.
Salkovskis, P. M., Wroe, A. L., Gledhill, A., Morrison, N., Forrester, E., Richards, C., Reynolds, M. and Thorpe, S. (2000). Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder. Behaviour Research and Therapy, 38, 347372.
Salzman, L. and Thaler, F. (1981). Obsessive-compulsive disorders: a review of the literature. American Journal of Psychiatry, 138, 286296.
Shafran, R. (1997). The manipulation of responsibility in obsessive-compulsive disorder. Journal of Clinical Psychology, 36, 397407.
Shafran, R., Thordarson, D. and Rachman, S. (1996). Thought action fusion in obsessive-compulsive disorder. Journal of Anxiety Disorders, 10, 379391.
Siev, J. and Cohen, A. B. (2007). Is thought-action fusion related to religiosity? Differences between Christians and Jews. Behaviour Research and Therapy, 45, 829837.
Wegner, D. M. and Zanakos, S. (1994). Chronic thought suppression. Journal of Personality, 62, 615639.
Yorulmaz, O. (2002). Responsibility and Perfectionism as Predictors of Obsessive-Compulsive Symptomatology: a test of cognitive model. Unpublished master thesis, Middle East Technical University, Ankara, Turkey.
Yorulmaz, O., Altın, M. and Karancı, A. N. (2008). Further support for responsibility in different obsessive-compulsive symptoms in Turkish adolescents and young adults. Behavioural and Cognitive Psychotherapy, 36, 605617.
Yorulmaz, O., Gençöz, T. and Woody, S. (2009). OCD cognitions and symptoms in different religious contexts. Journal of Anxiety Disorders, 23, 401406.
Yorulmaz, O., Karancı, A. N. and Tekok-Kılıç, A. (2006). What are the roles of responsibility and perfectionism in checking and cleaning symptoms? Journal of Anxiety Disorders, 20, 312327.
Yorulmaz, O., Yılmaz, A. E. and Gençöz, T. (2004). Psychometric properties of the Thought Action Fusion Scale in a Turkish sample. Behaviour Research and Therapy, 42, 12031214.

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How Does Thought-Action Fusion Relate to Responsibility Attitudes and Thought Suppression to Aggravate the Obsessive-Compulsive Symptoms?

  • Müjgan Altın (a1) and Tülin Gençöz (a1)
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