Emotion Regulation in Obsessive-Compulsive Disorder, Unaffected Siblings, and Unrelated Healthy Control Participants

2019 ◽  
Vol 4 (4) ◽  
pp. 352-360 ◽  
Author(s):  
Anders L. Thorsen ◽  
Stella J. de Wit ◽  
Froukje E. de Vries ◽  
Danielle C. Cath ◽  
Dick J. Veltman ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Healthy Control

scholarly journals Anger and aggressiveness in obsessive–compulsive disorder (OCD) and the mediating role of responsibility, non-acceptance of emotions, and social desirability

2020 ◽  
Author(s):  
Barbara Cludius ◽  
Anna K. Mannsfeld ◽  
Alexander F. Schmidt ◽  
Lena Jelinek
Keyword(s):  
Emotion Regulation ◽  
Obsessive Compulsive Disorder ◽  
Social Desirability ◽  
Self Concept ◽  
Trait Anger ◽  
Healthy Controls ◽  
Obsessive Compulsive ◽  
Anger Suppression ◽  
Compulsive Disorder ◽  
The Relationship

Abstract According to psychodynamic and cognitive models of obsessive–compulsive disorder (OCD), anger and aggression play an important role in the development and maintenance of the disorder. (Sub-) clinical samples with OCD have reported higher anger and anger suppression. Patients with checking-related symptoms of OCD showed a less aggressive self-concept as assessed by an Implicit Association Test (IAT). This study assessed anger and aggressiveness self-concepts in OCD as well as possible mediators of the link between OCD and aggressiveness. A total of 48 patients with OCD and 45 healthy controls were included. Measures included the State-Trait Anger Expression Inventory-II and an aggressiveness self-concept IAT (Agg-IAT). An inflated sense of responsibility, non-acceptance of emotions, and social desirability were tested as mediators. As expected, patients with OCD reported higher trait anger and anger suppression compared to healthy controls. Contrary to hypotheses, the aggressiveness self-concept (Agg-IAT) did not differ between groups. The inflated sense of responsibility mediated the relationship between group and anger suppression. Non-acceptance of negative emotions mediated the relationship between group and trait anger, as well as anger suppression. However, comorbidities and medication may account for some effect in anger suppression. Elevated trait anger and anger suppression in OCD patients could be explained by dysfunctional beliefs or maladaptive emotion regulation strategies. Emotion regulation therapy might help to enhance awareness and acceptance of emotions and possibly improve treatment outcomes.

scholarly journals Altered emotion regulation in obsessive–compulsive disorder as evidenced by the late positive potential

2015 ◽  
Vol 46 (1) ◽  
pp. 137-147 ◽  
Author(s):  
S. Paul ◽  
D. Simon ◽  
T. Endrass ◽  
N. Kathmann
Keyword(s):  
Emotion Regulation ◽  
Obsessive Compulsive Disorder ◽  
Sustained Attention ◽  
Cognitive Reappraisal ◽  
Late Positive Potential ◽  
Healthy Controls ◽  
Emotional Stimuli ◽  
Obsessive Compulsive ◽  
Positive Potential ◽  
Compulsive Disorder

Background.Obsessive–compulsive disorder (OCD) is associated with marked anxiety, which triggers repetitive behaviours or mental rituals. The persistence of pathological anxiety and maladaptive strategies to reduce anxiety point to altered emotion regulation. The late positive potential (LPP) is an event-related brain potential (ERP) that reflects sustained attention to emotional stimuli and is sensitive to emotion-regulation instructions. We hypothesized that patients with OCD show altered electrocortical responses during reappraisal of stimuli triggering their symptoms.Method.To test our hypothesis, ERPs to disorder-relevant, generally aversive and neutral pictures were recorded while participants were instructed to either maintain or reduce emotional responding using cognitive distraction or cognitive reappraisal.Results.Relative to healthy controls, patients with OCD showed enhanced LPPs in response to disorder-relevant pictures, indicating their prioritized processing. While both distraction and reappraisal successfully reduced the LPP in healthy controls, patients with OCD failed to show corresponding LPP modulation during cognitive reappraisal despite successfully reduced subjective arousal ratings.Conclusions.The results point to sustained attention towards emotional stimuli during cognitive reappraisal in OCD and suggest that abnormal emotion regulation should be integrated in models of OCD.

COGNITIVE INHIBITION IN OBSESSIVE-COMPULSIVE DISORDER: APPLICATION OF A VALENCE-BASED NEGATIVE PRIMING PARADIGM

2001 ◽  
Vol 29 (1) ◽  
pp. 103-106 ◽  
Author(s):  
Richard J. McNally ◽  
Sabine Wilhelm ◽  
Ulrike Buhlmann ◽  
Lisa M. Shin
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Negative Priming ◽  
Stimulus Onset ◽  
Cognitive Inhibition ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Inhibitory Deficits ◽  
Priming Paradigm ◽  
Healthy Control

We used a negative priming paradigm to test for deficits in cognitive inhibition in patients with obsessive-compulsive disorder (OCD), and to examine whether they exhibit greater inhibitory deficits when lexical targets are threat-related than when they are neutral. The results indicated that OCD patients, relative to healthy control participants, exhibited only marginally significant (p < .10) deficits in negative priming at short (100 ms), but not long (500 ms), stimulus onset asynchronies. There was no evidence that OCD patients exhibited disproportionate difficulty inhibiting negative words, nor was there any evidence that negative priming deficits differed between OCD checkers and OCD noncheckers.

Difficulties in emotion regulation and symptom dimensions in patients with obsessive-compulsive disorder

2018 ◽  
Vol 39 (5) ◽  
pp. 1578-1588 ◽  
Author(s):  
Vahid Khosravani ◽  
Seyed Mehdi Samimi Ardestani ◽  
Farangis Sharifi Bastan ◽  
Shera Malayeri
Keyword(s):  
Emotion Regulation ◽  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Symptom Dimensions ◽  
Compulsive Disorder ◽  
Difficulties In Emotion Regulation

scholarly journals A pilot randomized controlled trial of time-intensive cognitive–behaviour therapy for postpartum obsessive–compulsive disorder: effects on maternal symptoms, mother–infant interactions and attachment

2017 ◽  
Vol 47 (8) ◽  
pp. 1478-1488 ◽  
Author(s):  
F. L. Challacombe ◽  
P. M. Salkovskis ◽  
M. Woolgar ◽  
E. L. Wilkinson ◽  
J. Read ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Successful Treatment ◽  
Cognitive Behaviour Therapy ◽  
Control Group ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behaviour ◽  
Healthy Control ◽  
The Impact

BackgroundThere is increasing recognition that perinatal anxiety disorders are both common and potentially serious for mother and child. Obsessive–compulsive disorder (OCD) can be triggered or exacerbated in the postpartum period, with mothers reporting significant effects on parenting tasks. However, there is little evidence concerning their effective treatment or the impact of successful treatment on parenting.MethodA total of 34 mothers with OCD and a baby of 6 months old were randomized into either time-intensive cognitive–behaviour therapy (iCBT) or treatment as usual (TAU). iCBT took place after randomization at 6 months postpartum and was completed by 9 months. Maternal symptomatology, sensitivity in mother–infant interactions and parenting were assessed at baseline and reassessed at 12 months postpartum. At 12 months attachment was also assessed using Ainsworth's Strange Situation Procedure. A healthy control group of mothers and infants (n = 37) underwent the same assessments as a benchmark.ResultsiCBT was successful in ameliorating maternal symptoms of OCD (controlled effect size = 1.31–1.90). However, mother–infant interactions were unchanged by treatment and remained less sensitive in both OCD groups than a healthy control group. The distribution of attachment categories was similar across both clinical groups and healthy controls with approximately 72% classified as secure in each group.ConclusionsiCBT is an effective intervention for postpartum OCD. Sensitive parenting interactions are affected by the presence of postpartum OCD and this is not improved by successful treatment of OCD symptoms. However, the overall attachment bond appears to be unaffected. Longitudinal studies are needed to explore the impact of postpartum OCD as the child develops.

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