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Taylor EJ, Boyle B. How Do I Care for those Burdened by Religious Scrupulosity? J Christ Nurs 2024; 41:127. [PMID: 38436345 DOI: 10.1097/cnj.0000000000001164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/05/2024] Open
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Formal vs. intuitive categorization and obsessive-compulsive symptoms. J Behav Ther Exp Psychiatry 2023; 78:101782. [PMID: 36215936 DOI: 10.1016/j.jbtep.2022.101782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2021] [Revised: 08/17/2022] [Accepted: 09/02/2022] [Indexed: 11/21/2022]
Abstract
BACKGROUND AND OBJECTIVES Obsessive-compulsive disorder (OCD) is often characterized by rigidity regarding rules and perfectionism, which suggests a formal reasoning style. However, other characterizations suggest an overreliance on internal cues for behavior termination, which suggests a more intuitive reasoning style. We examine reasoning styles in OCD by assessing categorization preferences traditionally classified to rule-based and family resemblance categorization. METHOD An initial study (n = 41) and an online replication (n = 85) were conducted. In both studies, groups scoring high and low on OCD symptoms were compared. Categorization preferences and confidence ratings were examined via a modification of a classic categorization task. The task was administered in three conditions: under time limits, with no time limits, and with explicit explanation of both categorization styles. RESULTS Aggregating results from both studies showed that obsessive-compulsive symptoms were associated with a reduced preference for rule-based categorization reflecting a tendency towards a more intuitive, non-formal reasoning style. This preference was apparent even when rules were explicitly described. Group differences regarding confidence were inconclusive. LIMITATIONS Generalizing results to the clinical population requires further research, and specificity to OC symptoms should be determined. CONCLUSIONS Challenging the expected association between OCD and rigidity and perfectionism, findings support suggestions that OCD reasoning strays from formal reasoning. This may explain some of the subjective and idiosyncratic rules adopted by individuals with OCD.
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Browning ME, Guzick AG, McCarty RJ, Cooke DL, Toledano S, Olsen BT, Barthle MA, Bailey BA, Guastello AD, Lazaroe LM, McNamara JPH. An examination of obsessive-compulsive symptom domains, depression, and quality of life within an online survey sample. Bull Menninger Clin 2022; 86:133-158. [PMID: 35647779 DOI: 10.1521/bumc.2022.86.2.133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Obsessive-compulsive disorder (OCD) is a heterogeneous and highly impairing disorder that is frequently comorbid with other conditions. Participants in this study were 212 individuals recruited through Mechanical Turk who filled out validated measures of obsessive-compulsive symptoms, quality of life (QoL), generalized anxiety, and depressive symptoms. Analyses examined the influences of each symptom variable on QoL and the mediating role of depression as an indirect link between unacceptable thoughts (UT) and QoL. Depressive symptoms had a significant negative relationship with multiple domains of functioning. Generalized anxiety was not significant. Higher endorsement of UT symptoms was related to lower physical, emotional, and social QoL. Depression partially mediated the relationship between UT symptoms and physical, emotional, and social health. Depressive symptoms are important to consider in clinical work surrounding OCD. The significant associations between UT symptoms and QoL in a nonclinical population illustrate a relevant area for future intervention, public awareness, and education.
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Affiliation(s)
- Morgan E Browning
- Psychology graduate student, Department of Psychology, University of Massachusetts Dartmouth, North Dartmouth, Massachusetts
| | - Andrew G Guzick
- Assistant Professor, Baylor College of Medicine, Houston, Texas
| | - Ryan J McCarty
- Clinical psychology doctoral student, Department of Psychiatry, College of Medicine, and the Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, Florida
| | - Danielle L Cooke
- Clinical psychology doctoral student, Department of Psychiatry, College of Medicine, and the Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, Florida
| | - Shanee Toledano
- Psychologist, Rogers Behavioral Health, Sandy Springs, Georgia
| | - Brian T Olsen
- Psychologist, St. Lukes Health System, Twin Falls, Idaho
| | - Megan A Barthle
- Psychologist and clinical assistant professor, Department of Psychiatry, College of Medicine, University of Florida, Gainesville, Florida
| | - Brittany A Bailey
- Clinical psychology doctoral student, Department of Psychiatry, College of Medicine, and the Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, Florida
| | - Andrea D Guastello
- Psychologist and clinical assistant professor, Department of Psychiatry, College of Medicine, University of Florida, Gainesville, Florida
| | - Lacie M Lazaroe
- Clinical psychology doctoral student, Department of Psychiatry, College of Medicine, and the Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, Florida
| | - Joseph P H McNamara
- Associate Professor and Chief, Department of Psychiatry, College of Medicine, and the Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, Florida
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