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

Published online by Cambridge University Press:  17 September 2010

Müjgan Altın  and
Tülin Gençöz
Müjgan Altın
Affiliation:
Middle East Technical University, Ankara, Turkey
Tülin Gençöz*
Affiliation:
Middle East Technical University, Ankara, Turkey
*
Reprint requests to Tülin Gençöz, Professor of Clinical Psychology, Department of Psychology, Middle East Technical University, Ankara 06531, Turkey. E-mail: [email protected]
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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.

Keywords

Thought suppressionresponsibilitythought-action fusionand obsessive-compulsive disorder
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 39 , Issue 1 , January 2011 , pp. 99 - 114
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2010

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References

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, 146–156.CrossRefGoogle Scholar
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, 23–29.CrossRefGoogle Scholar
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.CrossRefGoogle Scholar
Arntz, A., Voncken, M. and Goosen, A. C. A. (2007). Responsibility and obsessive-compulsive disorder. Behaviour Research and Therapy, 45, 425–435.CrossRefGoogle ScholarPubMed
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, 1173–1182.CrossRefGoogle ScholarPubMed
Beck, A. T., Rush, A. J., Shaw, B. F. and Emery, G. (1979) Cognitive Therapy of Depression. New York: Guilford.Google Scholar
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, 841–857.CrossRefGoogle ScholarPubMed
Berle, D. and Starcevic, V. (2005). Thought–action fusion: review of the literature and future directions. Clinical Psychology Review, 25, 263–284.CrossRefGoogle ScholarPubMed
Clare, T. (2003). Assessment procedures. In Menzies, R. G. and de Silva, P. (Eds.), Obsessive-Compulsive Disorder: theory, research and treatment (pp. 239–257). London: Wiley.Google Scholar
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, 132–143.CrossRefGoogle ScholarPubMed
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, 383–393.CrossRefGoogle ScholarPubMed
Clark, D. A. and Purdon, C. (1993). New perspectives for a cognitive theory of obsessions. Australian Psychologist, 28, 161–167.CrossRefGoogle Scholar
Clark, D. M. (1986). A cognitive approach to panic. Behavior Research and Therapy, 24, 461–470.CrossRefGoogle ScholarPubMed
Cohen, A. B. and Rozin, P. (2001). Religion and the morality of mentality. Journal of Personality and Social Psychology, 81, 697–710.CrossRefGoogle ScholarPubMed
Erol, N. and Savaşır, I. (1988). Maudsley Obsessif-Kompulsif Soru Listesinin Türkiye Uyarlaması [Turkish Adaptation of Maudsley Obsessive-Compulsive Inventory]. Istanbul: CGYT Yayınları.Google Scholar
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, 259–275.CrossRefGoogle ScholarPubMed
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, 443–453.CrossRefGoogle ScholarPubMed
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, 585–597.CrossRefGoogle ScholarPubMed
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, 263–271.CrossRefGoogle Scholar
Freeston, M. H., Rheaume, J. and Ladouceur, R. (1996). Correcting faulty appraisals of obsessional thoughts. Behaviour Research and Therapy, 34, 433–446.CrossRefGoogle ScholarPubMed
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, 13–22.CrossRefGoogle Scholar
Hisli, N. (1988) Beck Depresyon Envanteri'nin geçerligi üzerine bir çalısma [A study on the validity of Beck Depression Inventory]. Psikoloji Dergisi, 6, 118–122.Google Scholar
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, 3–13.Google Scholar
Hodgson, R. J. and Rachman, S. (1977). Obsessional-compulsive complaints. Behaviour Research and Therapy, 15, 389–395.CrossRefGoogle ScholarPubMed
Janeck, A. S. and Calamari, J. E. (1999). Thought suppression in obsessive-compulsive disorder. Cognitive Therapy and Research, 21, 497–509.CrossRefGoogle Scholar
Kelly, A. E. and Kahn, J. H. (1994). Effects of suppression of personal intrusive thoughts. Journal of Personality and Social Psychology, 66, 998–1006.CrossRefGoogle Scholar
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, 767–774.CrossRefGoogle ScholarPubMed
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, 289–296.CrossRefGoogle ScholarPubMed
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, 501–513.CrossRefGoogle ScholarPubMed
Obsessive-Compulsive Cognitions Working Group (1997). Cognitive assessment of obsessive-compulsive disorder. Behaviour Research and Therapy, 35, 667–681.CrossRefGoogle Scholar
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, 987–1006.CrossRefGoogle Scholar
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, 863–878.CrossRefGoogle Scholar
Purdon, C. (2001). Appraisal of obsessional thought recurrences: impact on anxiety and mood state. Behavior Therapy, 32, 47–64.CrossRefGoogle Scholar
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, 713–720.CrossRefGoogle ScholarPubMed
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, 403–410.CrossRefGoogle ScholarPubMed
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, 425–453.CrossRefGoogle ScholarPubMed
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. 29–43). Amsterdam: Pergamon.CrossRefGoogle Scholar
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, 93–108.CrossRefGoogle Scholar
Rachman, S. (1993) Obsessions, responsibility, and guilt. Behaviour Research and Therapy, 31, 149–154.CrossRefGoogle ScholarPubMed
Rachman, S. (1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 35, 793–802.CrossRefGoogle ScholarPubMed
Rachman, S. (1998). A cognitive theory of obsessions: elaborations. Behaviour Research and Therapy, 36, 385–401.CrossRefGoogle ScholarPubMed
Rachman, S. (2003). Compulsive checking. In Menzies, R. G. and de Silva, P. (Eds.), Obsessive-Compulsive Disorder: theory, research and treatment (pp. 139–162). Chichester: Wiley.Google Scholar
Rachman, S. and de Silva, P. (1978). Abnormal and normal obsessions. Behaviour Research and Therapy, 31, 1449–1454.Google Scholar
Rachman, S. and Hodgson, R. J. (1980). Obsessions and Compulsions. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
Rachman, S., Thordarson, D. S., Shafran, R. and Woody, S. R. (1995). Perceived responsibility: structure and significance. Behaviour Research and Therapy, 33, 779–784.CrossRefGoogle ScholarPubMed
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. 13–43). New York: Springer Publishing Company.Google Scholar
Rasmussen, S. A. and Tsuang, M. (1986). Clinical characteristics and family history in DSM-III obsessive-compulsive disorder. American Journal of Psychiatry, 143, 317–322.Google ScholarPubMed
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, 889–897.CrossRefGoogle ScholarPubMed
Salkovskis, P. M. (1985). Obsessional-compulsive problems: a cognitive-behavioral analysis. Behaviour Research and Therapy, 23, 571–583.CrossRefGoogle Scholar
Salkovskis, P. M. (1989). Cognitive-behavioral factors and the persistence of intrusive thoughts in obsessional problems. Behaviour Research and Therapy, 27, 677–682.CrossRefGoogle ScholarPubMed
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, 709–715.CrossRefGoogle ScholarPubMed
Salkovskis, P. M. and Westbrook, D. (1989). Behavioral therapy and obsessional ruminations: can failure be turned into success? Behaviour Research and Therapy, 27, 149–160.CrossRefGoogle ScholarPubMed
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, 347–372.CrossRefGoogle ScholarPubMed
Salzman, L. and Thaler, F. (1981). Obsessive-compulsive disorders: a review of the literature. American Journal of Psychiatry, 138, 286–296.Google ScholarPubMed
Shafran, R. (1997). The manipulation of responsibility in obsessive-compulsive disorder. Journal of Clinical Psychology, 36, 397–407.CrossRefGoogle ScholarPubMed
Shafran, R., Thordarson, D. and Rachman, S. (1996). Thought action fusion in obsessive-compulsive disorder. Journal of Anxiety Disorders, 10, 379–391.CrossRefGoogle Scholar
Siev, J. and Cohen, A. B. (2007). Is thought-action fusion related to religiosity? Differences between Christians and Jews. Behaviour Research and Therapy, 45, 829–837.CrossRefGoogle ScholarPubMed
Wegner, D. M. and Zanakos, S. (1994). Chronic thought suppression. Journal of Personality, 62, 615–639.CrossRefGoogle ScholarPubMed
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.Google Scholar
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, 605–617.CrossRefGoogle Scholar
Yorulmaz, O., Gençöz, T. and Woody, S. (2009). OCD cognitions and symptoms in different religious contexts. Journal of Anxiety Disorders, 23, 401–406.CrossRefGoogle ScholarPubMed
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, 312–327.CrossRefGoogle Scholar
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, 1203–1214.CrossRefGoogle Scholar
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