Comparing early maladaptive schemas, perseverative thinking, and somatoform dissociation in patients with obsessive-compulsive disorder with normal population

Authors

  • Niloofar Mikaeili Department of Psychology, School of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran https://orcid.org/0000-0001-5510-5983
  • Seyed Javad Daryadel Department of Psychology, School of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
  • Hamid Reza Samadifard Department of Psychology, School of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
  • Sara Moradi-Kelarde Department of Psychology, School of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
  • Hadees Heidarirad Department of Psychology, School of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

DOI:

https://doi.org/10.22122/cdj.v7i2.384

Keywords:

Early Maladaptive Schemas, Thinking, Somatoform Dissociation, Obsessive-Compulsive Disorder

Abstract

BACKGROUND: Considering the importance of psychological factors in exacerbating diseases such as obsessive-compulsive disorder (OCD), this study was carried out aiming to compare the early maladaptive schemas (EMSs), perseverative thinking, and somatoform dissociation among normal individuals and patients with OCD.

METHODS: The causal-comparative (ex post facto) method was used in this study. The population consisted of all patients with OCD referring to the centers for comprehensive urban health services of Ardabil, Iran, in the second half of 2017. The research cluster sampling included 30 patients with OCD whose disease was diagnosed by a responsible physician or clinical psychologist, selected by random sampling method. Moreover, 30 normal people were selected in the sampling method by matching age, sex, and marital status and included in the study. The subjects responded to the Maudsley Obsessive-Compulsive Inventory (MOCI), Young Schema Questionnaire (YSQ), Perseverative Thinking Questionnaire (PTQ), and Somatoform Dissociation Questionnaire (SDQ). Data were analyzed using multivariate analysis of variance (MANOVA).

RESULTS: The results showed that the mean scores of patients with OCD in EMSs, perseverative thinking, and Somatoform dissociation were significantly higher than normal subjects (P < 0.001).

CONCLUSION: The results of this study showed that patients with OCD differ in a wide range of EMSs, perseverative thinking, Somatoform dissociation from normal subjects. Therefore, it is necessary to pay attention to these cognitive components in the treatment process.

References

Clark DM. Developing new treatments: on the interplay between theories, experimental science and clinical innovation. Behav Res Ther 2004; 42(9): 1089-104.

Yoosofnejad Shirvani M, Peyvastegar M. The relationship between life satisfaction and early maladaptive schemas in university students. Knowledge & Research in Applied Psychology 2011; 12(44): 55-65. [In Persian].

Wong JJ, McEvoy PM, Rapee RM. A Comparison of Repetitive Negative Thinking and Post-Event Processing in the Prediction of Maladaptive Social-Evaluative Beliefs: A Short-Term Prospective Study. J Psychopathol Behav Assess 2016; 38(2): 230-41.

Briggs ES, Price IR. The relationship between adverse childhood experience and obsessive-compulsive symptoms and beliefs: the role of anxiety, depression, and experiential avoidance. J Anxiety Disord 2009; 23(8): 1037-46.

Wilhelm S, Berman NC, Keshaviah A, Schwartz RA, Steketee G. Mechanisms of change in cognitive therapy for obsessive compulsive disorder: Role of maladaptive beliefs and schemas. Behav Res Ther 2015; 65: 5-10.

Kwak KH, Lee SJ. A comparative study of early maladaptive schemas in obsessive-compulsive disorder and panic disorder. Psychiatry Res 2015; 230(3): 757-62.

Ghaedi F, Shabankareh E, Moghadam Barzegar M. Differentiation of self and repetitive negative thinking: the mediating role of learned helplessness. Social Cognition 2016; 5(1): 35-51. [In Persian].

Sorg S, Vogele C, Furka N, Meyer AH. Perseverative thinking in depression and anxiety. Front Psychol 2012; 3: 20.

Drost J, van der Does W, van Hemert AM, Penninx BW, Spinhoven P. Repetitive negative thinking as a transdiagnostic factor in depression and anxiety: A conceptual replication. Behav Res Ther 2014; 63: 177-83.

Rodriguez-Testal JF, Senin-Calderon MC, Perona-Garcelan S, Ruiz-Veguilla M, Fernandez-Jimenez E. Predictor of referential thinking: Analyses of clinical subjects and controls. J Clin Health Psychol 2012; 8: 45-54.

Raines AM, Vidaurri DN, Portero AK, Schmidt NB. Associations between rumination and obsessive-compulsive symptom dimensions. Pers Individ Dif 2017; 113: 63-7.

Aghajani S, Samadifard H. The relationship between cognitive fusion and cognitive distortion with death anxiety in patients with diabetes mellitus. Chron Dis J 2018; 6(1): 18-22.

Aruna P, Puviarasan N, Palaniappan B. An investigation of neuro-fuzzy systems in psychosomatic disorders. Expert Syst Appl 2005; 28(4): 673-9.

Nijenhuis ER, Spinhoven P, Van Dyck R, Van der Hart O, Vanderlinden J. The development and psychometric characteristics of the somatoform dissociation questionnaire (SDQ-20). J Nerv Ment Dis 1996; 184(11): 688-94.

Tolin DF, Hamlin C, Foa EB. Directed forgetting in obsessive-compulsive disorder: replication and extension. Behav Res Ther 2002; 40(7): 793-803.

van den Hout MA, Engelhard IM, de Boer C, du Bois A, Dek E. Perseverative and compulsive-like staring causes uncertainty about perception. Behav Res Ther 2008; 46(12): 1300-4.

Lysaker PH, Dimaggio G, Buck KD, Callaway SS, Salvatore G, Carcione A, et al. Poor insight in schizophrenia: links between different forms of metacognition with awareness of symptoms, treatment need, and consequences of illness. Compr Psychiatry 2011; 52(3): 253-60.

Hodgson RJ, Rachman S. Obsessional-compulsive complaints. Behav Res Ther 1977; 15(5): 389-95.

Storch EA, Rasmussen SA, Price LH, Larson MJ, Murphy TK, Goodman WK. Development and psychometric evaluation of the Yale-Brown Obsessive-Compulsive Scale--Second Edition. Psychol Assess 2010; 22(2): 223-32.

Raisi F, Ghassemzadeh H, Meysami A, Firoozikhojastefar R, Karamghadiri N, Sorayani M, et al. Sexual dysfunction in obsessive-compulsive disorder. Tehran Univ Med J 2015; 73(2): 101-9.

[In Persian].

Young JE, Brown G. Young schema questionnaire short form. New York, NY: Cognitive Therapy Center; 1998.

Ehring T, Zetsche U, Weidacker K, Wahl K, Schönfeld S, Ehlers A. The perseverative thinking questionnaire (PTQ): validation of a content-independent measure of repetitive negative thinking. J Behav Ther Exp Psychiatry 2011; 42(2): 225-32.

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Published

2019-03-09

How to Cite

1.
Mikaeili N, Daryadel SJ, Samadifard HR, Moradi-Kelarde S, Heidarirad H. Comparing early maladaptive schemas, perseverative thinking, and somatoform dissociation in patients with obsessive-compulsive disorder with normal population. Chron Dis J. 2019;7(2):66–72.

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