Comparing attentional control and intrusive thoughts in obsessive-compulsive disorder, generalized anxiety disorder and non clinical population.

  • Mehri Moradi Mail Department of Psychology, Roozbeh hospital, Tehran University of medical sciences, Tehran, Iran
  • Ladan Fata Education Development Center (EDC), Iran University of Medical Sciences and Health Services (IUMS)
  • Ali Ahmadi Abhari Psychiatry and Psychology Research Centre, Department of Psychiatry, Tehran University of Medical Sciences, Roozbeh hospital, Tehran, Iran
  • Imaneh Abbasi University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Keywords:
Attention, Obsession, Rumination, Worry

Abstract

Objective: Attention is an important factor in information processing; obsessive- compulsive disorder (OCD) and generalized anxiety disorder (GAD) are two main emotional disorders with a chronic course. This research examined the relationship among attentional control and intrusive thoughts (worry, rumination and obsession) in these disorders. It was hypothesized that attentional control is a common factor in OCD and GAD. In addition, we compared worry, rumination and obsession among OCD, GAD and non- clinical participants .
Method: The research sample included three groups: OCD (n = 25), GAD (n = 30) and non- clinical samples (n = 56). Data were collected using the Attentional Control Scale (ACS), Rumination Response Scale (RRS), Pennsylvania State Worry Questionnaire (PSWQ), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Obsessive-Compulsive Inventory-Revised (OCI-R) and General Health Questionnaire (GHQ-28). Data were analyzed using MANOVA and MANCOVA by SPSS-17 .
Result: Multivariate Analy is of Variance revealed that the OCD and GAD groups reported greater deficits in attentional control, higher obsessive-compulsive symptoms, rumination, worry, anxiety and depression compared to the control group.
Conclusion:
This research indicated a great attentional deficit in obsessive- compulsive disorder and generalized anxiety disorder. However, no significant difference was found between these two disorders.

References

Bardeen JR, Orcutt HK. Attentional control as a moderator of the relationship between posttraumatic stress symptoms and attentional threat bias. J Anxiety Disord 2011; 25: 1008-1018.

Armstrong T, Zald DH, Olatunji BO. Attentional control in OCD and GAD: Specificity and associations with core cognitive symptoms. Behav Res Ther 2011; 49: 756-762.

Irak M, Flament MF. Attention in sub-clinical obsessive-compulsive checkers. J Anxiety Disord. 2009; 23: 320-326.

Cohen Y, Lachenmeyer JR, Springer C. Anxiety and selective attention in obsessive–compulsive disorder. Behav Res Ther 2003; 41: 1311-1323.

Lavy E, Van Oppen P, Van Den Hout M. Selective processing of emotional information in obsessive compulsive disorder. Behav Res Ther 1994; 32: 243-246.

Ólafsson RP, Smári J, Guðmundsdóttir F, Olafsdóttir G, Harðardóttir HL, Einarsson SM. Self reported attentional control with the Attentional Control Scale: Factor structure and relationship with symptoms of anxiety and depression. J Anxiety Disord 2011;25: 777-782.

Derakshan N, Salt M, Koster EH. Attentional control in dysphoria: An investigation using the antisaccade task. Biol Psychol 2009; 80: 251-255.

Muris P, de Jong PJ, Engelen S. Relationships between neuroticism, attentional control, and anxiety disorders symptoms in non-clinical children. Pers Indiv Differ 2004; 37: 789-797.

Derryberry D, Reed MA. Anxiety-related attentional biases and their regulation by attentional control. J Abnorm Psychol 2002; 111: 225-227.

Derryberry D, Rothbart MK. Arousal, affect, and attention as components of temperament. J Pers Soc Psychol. 1988; 55: 958-1005.

Comer JS, Kendall PC, Franklin ME, Hudson JL, Pimentel SS. Obsessing/worrying about the overlap between obsessive–compulsive disorder and generalized anxiety disorder in youth. Clin Psychol Rev 2004; 24: 663-683.

Psychiatry AA. Diagnostic and statistical manual of mental disorders: DSM-IV-TR®: American Psychiatric Pub; 2000.

1Borkovec T, Robinson E, Pruzinsky T, DePree JA. Preliminary exploration of worry: Some characteristics and processes. Behav Res Ther 1983; 21: 9-16.

1Calleo JS, Hart J, Björgvinsson T, Stanley MA. Obsessions and worry beliefs in an inpatient OCD population. J Anxiety Disord. 2010;24: 903-908.

Turner SM, Beidel DC, Stanley MA. Are obsessional thoughts and worry different cognitive phenomena? Clin Psychol Rev 1992; 12: 257-270.

Tallis F, de Silva P. Worry and obsessional symptoms: A correlational analysis. Behav Res Ther 1992; 30: 103-105.

Wells A, Papageorgiou C. Relationships between worry, obsessive-compulsive symptoms and meta-cognitive beliefs. Behav Res Ther 1998; 36: 899-913.

NOLEN-HOEKSEMA S. 6 The Response Styles Theory. Depressive rumination. 2004.

Wells A. Metacognitive therapy for anxiety and depression: Guilford press; 2011.

Amir N, Taylor CT. Combining computerized home-based treatments for generalized anxiety disorder: an attention modification program and cognitive behavioral therapy. Behav Ther 2012; 43: 546-559. Bacon AK, Ham LS. Attention to social threat as a vulnerability to the development of comorbid social anxiety disorder and alcohol use disorders: an avoidance-coping cognitive model. Addict Behav 2010; 35: 925-939.

Spurr JM, Stopa L. Self-focused attention in social phobia and social anxiety. Clin Psychol Rev 2002; 22: 947-975.

Mansell W, Clark DM, Ehlers A. Internal versus external attention in social anxiety: An investigation using a novel paradigm. Behav Res Ther. 2003; 41: 555-572.

Muris P, Mayer B, Lint Cv, Hofman S. Attentional control and psychopathological symptoms in children. Pers Indiv Differ 2008; 44: 1495-1505. Jonston C, Dorahi MJ, Courtney D, Bayles T, Okan M. Dysfunctional schema modes, childhood trauma and dissociation in borderline personality disorder. J Behav Ther Exp Psy 2009; 40: 248-225.

First MB, Gibbon M. User's guide for the structured clinical interview for DSM-IV axis I disorders: SCID-1 clinician version: American Psychiatric Pub; 1997. Lobbestael J, Leurgans M, Arntz A. Inter‐rater reliability of the Structured Clinical Interview for DSM‐IV Axis I disorders (SCID I) and Axis II disorders (SCID II). Clin Psychol Psychot 2011; 18: 75-79.

Sharifi V, Assadi SM, Mohammadi MR, Amini H, Kaviani H, Semnani Y, et al. Structured Clinical Interview for DSM-IV (SCID): Persian translation and cultural adaptation. Iran J Psychiatry. 2007; 1: 46-48.

Moradi M. the relation between attentional control and intrusive thoughts in obsessive-compulsive disorder, generalized anxiety disorder, and non clinical population. [M.A. Dissertation]. Tehran: Tehran university of medical scienses. 2012.

Foa EB, Sacks MB, Tolin DF, Prezworski A, Amir N. Inflated perception of responsibility for harm in OCD patients with and without checking compulsions: a replication and extension. J Anxiety Disord 2002; 16: 443-453.

Mohammadi A, Zamani R, Fata L. Validation of the Persian version of the obsessive-compulsive inventoryrevised in a student sample. Psychol Res 2008; 11: 66-78.

Meyer TJ, Miller ML, Metzger RL, Borkovec TD. Development and validation of the Penn State worry questionnaire. Behav Res Ther 1990; 28: 487-495.

Borjali A, Sohrabi F, Dehshiri GR, Golzari M. Psychometrics Particularity of Farsi Version of Pennsylvania State Worry Questionnaire for College Students. J clin psychol 2009; 4: 67-75.

Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev 1988; 8: 77-100.

Dabson K, Mohammadkhani P. Psychometric characteristics of Beck depression inventory–II in patients with major depressive disorder. J rehabil 2007; 8: 82-88.

Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J cons clin psychol 1988; 56: 893-898.

Kaviani H, Mousavi A. Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Teh U Medic J 2008; 65: 136-140.

Nolen-Hoeksema S. Responses to depression and their effects on the duration of depressive episodes. J Abnorm Psychol 1991; 100: 569-575.

39- Nolen-Hoeksema S, Parker LE, Larson J. Ruminative coping with depressed mood following loss. J Pers Soc Psychol 1994; 67: 92-107.

Mansouri A, Bakhshipour RA, Mahmoud AM, Farnam A, Fakhari A. The comparison of rumination in individual with generalized anxiety disorder, obsessive-compulsive disorder, major depression disorder and normal individual. J sabzv u med sci 2010; 3: 189-195.

Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychol Med 1979; 9: 139-145.

Taghavi MR. validity and reliability of Persian version of General Health Questionnaire. J Psychol 2001; 5: 381-398.

Van Rijsoort S, Emmelkamp P, Vervaeke G. Assessment of worry and OCD: how are they related? Pers Indiv Differ 2001; 31: 247-258.

Brown TA, Moras K, Zinbarg RE, Barlow DH. Diagnostic and symptom distinguishability of generalized anxiety disorder and obsessive-compulsive disorder. Behav Ther 1993; 24: 227-240.

Ricciardi JN, McNally RJ. Depressed mood is related to obsessions, but not to compulsions, in obsessive-compulsive disorder. J Anxiety Disord 1995; 9: 249-256.

Rachman S. A cognitive theory of obsessions: Elaborations. Behav Res Ther 1998; 36: 385-401.

How to Cite
1.
Moradi M, Fata L, Ahmadi Abhari A, Abbasi I. Comparing attentional control and intrusive thoughts in obsessive-compulsive disorder, generalized anxiety disorder and non clinical population. Iran J Psychiatry. 9(2):69-75.
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