The role of feared possible selves in the relationship between inferential confusion and obsessive-compulsive symptoms: A replication and extension in a clinical sample.

Autor: Aminaee M; Department of Clinical Psychology, Faculty of Education and Psychology, Shiraz University, Shiraz, Iran., Khosravani V; Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Moulding R; The Faculty of Psychology, Counselling and Psychotherapy, The Cairnmillar Institute, Hawthorn East, Victoria, Australia., Aardema F; Montreal Mental Health University Institute Research Center, Department of Psychiatry and Addictology, University of Montreal, Montreal, Quebec, Canada., Wong SF; Department of Psychological Sciences, Swinburne University of Technology, Melbourne, Victoria, Australia., Samimi Ardestani SM; Department of Psychiatry, Behavioral Sciences Research Center, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Jazyk: angličtina
Zdroj: The British journal of clinical psychology [Br J Clin Psychol] 2024 Nov; Vol. 63 (4), pp. 507-521. Date of Electronic Publication: 2024 Jun 12.
DOI: 10.1111/bjc.12481
Abstrakt: Objectives: The feared possible self refers to an imagined version of self that one is afraid of being or becoming. Previous evidence has shown that dysfunctional reasoning (i.e., inferential confusion) is associated with obsessive-compulsive disorder (OCD) symptoms, which is partially mediated by a feared self. However, the evidence is reliant on non-clinical samples and a general measure of the feared self.
Methods: Using a cross-sectional design, the current study attempted to replicate and extend this literature in a sample clinically diagnosed with OCD (n = 350) to assess the pathway from inferential confusion to OCD symptoms when feared self is accounted for as a mediator, particularly the individual dimensions of feared self (i.e., corrupted, culpable, and malformed feared selves). Participants completed a structured clinical interview for DSM-5, as well as measures of inferential confusion (Dysfunctional Reasoning Processes Task), obsessive beliefs, feared self, OCD symptoms, and psychological distress.
Results: Inferential confusion directly, and indirectly through the feared corrupted self, affected OCD symptoms, even after adjusting for obsessive beliefs, psychological distress, and comorbidity. However, the feared culpable and malformed selves did not play a role in this pathway.
Conclusions: The study underscores that the feared corrupted self links inferential confusion to OCD symptoms, translating to the need to consider both dysfunctional reasoning processes and this specific feared self in clinical settings when treating OCD. Furthermore, the study provides more support for the inference-based approach (IBA) to OCD.
(© 2024 British Psychological Society.)
Databáze: MEDLINE
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