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Cognitive Therapy and Research

, Volume 43, Issue 2, pp 498–513 | Cite as

The Impact of Enhanced Responsibility and Threat Beliefs on Self-Report and Behavioural Indices During a Sorting Task for Young People with OCD

  • Sharlene C. Mantz
  • Margot O’Brien
  • Felicity A. Waters
  • Maree J. AbbottEmail author
Original Article
  • 122 Downloads

Abstract

We aimed to experimentally assess the role of cognitive processes in provoking anxiety and compulsive behaviours in young people with OCD, and to determine whether specific cognitive appraisal subtypes (e.g., threat) best explain OCD symptoms. 29 young people with a principal diagnosis of OCD, 30 young people with an anxiety disorder other than OCD, and 25 young people meeting no diagnostic criteria completed a sorting task designed to increase or decrease responsibility/threat biases. We expected that OCD participants in the high responsibility/threat group would demonstrate higher scores on subjective (belief and anxiety ratings) and behavioural variables (e.g., urge to check, time taken to sort) compared to anxious and nonclinical control groups. Young people with OCD in the inflated responsibility/threat condition were more anxious and showed enhanced delay behaviours (e.g., slower on the task, more time checking) compared to control groups, who were not affected by the manipulation. Regression analyses revealed that threat appraisals played a more prominent role than responsibility beliefs in state anxiety ratings, overall time taken and time spent checking. The present study supports cognitive models of OCD showing a clear relationship between inflated responsibility beliefs, threat beliefs and perfectionism levels and OCD-related behaviours.

Keywords

Obsessive compulsive disorder OCD Paediatric Beliefs Responsibility Threat Child Adolescent Anxiety 

Notes

Acknowledgements

We would like to thank the young people and their families who participated, Rivendell Hospital staff, as well as Benjamin Chen, Aberdine Donaldson, Alice Lo, and Chloe McGrath for their research assistance.

Funding

We have no funding sources to declare and have received no funding from external sources.

Compliance with Ethical Standards

Conflict of interest

Sharlene Mantz, Margot O’Brien, Felicity Waters and Maree Abbott declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Animal Rights

This article does not contain any studies with animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Sharlene C. Mantz
    • 1
  • Margot O’Brien
    • 2
  • Felicity A. Waters
    • 2
  • Maree J. Abbott
    • 1
    Email author
  1. 1.Clinical Psychology Unit (M02F), School of PsychologyThe University of SydneySydneyAustralia
  2. 2.Rivendell Child and Adolescent UnitConcord HospitalConcord WestAustralia

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