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01-12-2012 | Original Article

Initial Data Characterizing the Progression from Obsessions and Compulsions to Full-Blown Obsessive Compulsive Disorder

Auteurs: Meredith E. Coles, Ashley S. Hart, Casey A. Schofield

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2012

Abstract

Most individuals who develop obsessive compulsive disorder (OCD) experience years of obsessions and/or compulsions preceding onset of the full-blown disorder (Angst in Current insights in obsessive compulsive disorder, Wiley, Chirchester, New York, Brisbane, 1994; Coles et al. in Behav Cogn Psychother 11:1–11, 2011; Pinto et al. in J Clin Psychiatry 67(5):703–711, 2006). However, little is known about experiences during this period and about factors that are involved in the generation of interference or distress that signals the onset of diagnosable OCD. Therefore, the current study was designed to provide data on the characteristics of the symptom phase of OCD and potential markers of the transition from symptoms to the full-blown disorder. Individuals that eventually developed full-blown OCD retrospectively reported that generalized anxiety, perfectionism, impaired work or school performance, social isolation, preoccupation with details and intolerance of uncertainty, frequently emerged after their initial OC symptoms but before full-criteria for OCD were met. Increases in stress level, the desire for things to feel ‘just right’, and the amount of attention paid to one’s thoughts were perceived as having played an important role in the transition to OCD. Additional data and theory development regarding the progression from symptoms to OCD is warranted.

vorige artikel Mothers of Children Infected with HIV: How Mothers’ Cognitive Coping Strategies are Related to Their Psychological Distress and Acceptance of Their Children

volgende artikel Idiosyncratic Severity Profiles of Obsessive Compulsive Dysfunction: A Detailed Self Report Assessment of a Multifaceted Syndrome

The period characterized by the presence of OC symptoms without significant interference or distress is referred to as the “symptom phase” throughout the paper.

Formal statistical tests were not conducted due to the exploratory nature of the study and the large number of comparisons that would need to be conducted.

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Titel: Initial Data Characterizing the Progression from Obsessions and Compulsions to Full-Blown Obsessive Compulsive Disorder
Auteurs: Meredith E. Coles
Ashley S. Hart
Casey A. Schofield
Publicatiedatum: 01-12-2012
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 6/2012
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-011-9404-9

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Initial Data Characterizing the Progression from Obsessions and Compulsions to Full-Blown Obsessive Compulsive Disorder

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Andere artikelen Uitgave 6/2012

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