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Journal of Technology in Behavioral Science

, Volume 4, Issue 4, pp 297–302 | Cite as

Exploring Retrospective Biases in Obsessive-Compulsive Disorder: an Experience-Sampling Study

  • J. MacLaren KellyEmail author
  • Sarah J. Kertz
  • Ryan Simpson
  • Michael H. Bloch
  • Christopher Pittenger
BRIEF REPORT

Abstract

Standard methods of symptom assessment for obsessive-compulsive disorder (OCD) entail retrospective report of symptoms over a specified period (e.g., a week, a month). However, such methods may be subject to recall bias, leading to symptom assessments potentially discrepant from actual patient experience. The current study explored potential recall biases in two domains of symptom severity, distress, and interference, using experience-sampling methods (ESMs). Twenty-one adults with a primary diagnosis of OCD rated distress and interference of their two most upsetting obsessions and compulsions four times daily for 6 to 10 days using a modified version of the Yale-Brown Obsessive Compulsive Scale. After the ESM period, participants provided retrospective estimates of the same symptoms. Overall, participant’s retrospective ratings were significantly greater than their average ESM ratings. Results suggest the presence of recall biases of OCD symptom severity, potentially obscuring detection of symptom change and interfering with progress monitoring. Future directions and implications are discussed.

Keywords

Experience-sampling Retrospective bias Obsessive-compulsive disorder OCD assessment 

References

  1. American Psychiatric Association. (2007) Practice guideline for the treatment of patients with obsessive-compulsive disorder. Arlington, VA, US: American Psychiatric Association. Retrieved from http://www.psych.org/psych_pract/treatg/pg/ prac_ guide.cfm.
  2. Baer, L. (1992). Getting control: overcoming your obsessions and compulsions. New York: Plume.Google Scholar
  3. Baer, L., Minichiello, W. E., Jenike, M. A., & Holland, A. (1988). Use of a portable computer program to assist behavioral treatment in a case of obsessive compulsive disorder. Journal of Behavior Therapy and Experimental Psychiatry, 19(3), 237–240.  https://doi.org/10.1016/0005-7916(88)90047-X.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Barta, W., Tennen, H., & Litt, M. (2012). Measurement reactivity in diary research. In Handbook of research methods for studying daily life (pp. 108–123). New York: Guilford Press.Google Scholar
  5. Ben-Zeev, D., McHugo, G. J., Xie, H., Dobbins, K., & Young, M. A. (2012). Comparing retrospective reports to real-time/real-place mobile assessments in individuals with schizophrenia and a nonclinical comparison group. Schizophrenia Bulletin, sbr171.  https://doi.org/10.1093/schbul/sbr171.CrossRefGoogle Scholar
  6. Ben-Zeev, D., & Young, M. A. (2010). Accuracy of hospitalized depressed patientsʼ and healthy controlsʼ retrospective symptom reports: an experience sampling study. The Journal of Nervous and Mental Disease, 198(4), 280–285.  https://doi.org/10.1097/NMD.0b013e3181d6141f.CrossRefPubMedPubMedCentralGoogle Scholar
  7. Bucarelli, B., & Purdon, C. (2015). A diary study of the phenomenology and persistence of compulsions. Journal of Behavior Therapy and Experimental Psychiatry, 49, Part B, 49, 209–215.  https://doi.org/10.1016/j.jbtep.2015.01.001.CrossRefGoogle Scholar
  8. Craske, M. G., Kircanski, K., Zelikowsky, M., Mystkowski, J., Chowdhury, N., & Baker, A. (2008). Optimizing inhibitory learning during exposure therapy. Behaviour Research and Therapy, 46(1), 5–27.  https://doi.org/10.1016/j.brat.2007.10.003.CrossRefPubMedPubMedCentralGoogle Scholar
  9. De Beurs, E., Lange, A., & Van Dyck, R. (1992). Self-monitoring of panic attacks and retrospective estimates of panic: discordant findings. Behaviour Research and Therapy, 30(4), 411–413.  https://doi.org/10.1016/0005-7967(92)90054-K.CrossRefPubMedPubMedCentralGoogle Scholar
  10. Ebner-Priemer, U. W., Kuo, J., Welch, S. S., Thielgen, T., Witte, S., Bohus, M., & Linehan, M. M. (2006). A valence-dependent group-specific recall bias of retrospective self-reports: a study of borderline personality disorder in everyday life. Journal of Nervous and Mental Disease, 194(10), 774–779.  https://doi.org/10.1097/01.nmd.0000239900.46595.72.CrossRefPubMedPubMedCentralGoogle Scholar
  11. Fahrenberg, J., Myrtek, M., Pawlik, K., & Perrez, M. (2007). Ambulatory assessment-monitoring behavior in daily life settings. European Journal of Psychological Assessment, 23(4), 206–213.CrossRefGoogle Scholar
  12. Field, A. P., & Wilcox, R. R. (2017). Robust statistical methods: a primer for clinical psychology and experimental psychopathology researchers. Behaviour Research and Therapy, 98, 19–38.  https://doi.org/10.1016/j.brat.2017.05.013.CrossRefPubMedPubMedCentralGoogle Scholar
  13. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (2002). Structured clinical interview for DSM-IV-TR Axis I disorders. In Research version, patient edition (SCID-I/P). New York: Biometrics Research, New York State Psychiatric Institute.Google Scholar
  14. Fredrickson, B. L., & Kahneman, D. (1993). Duration neglect in retrospective evaluations of affective episodes. Journal of Personality and Social Psychology, 65(1), 45–55.CrossRefGoogle Scholar
  15. Gloster, A. T., Richard, D. C. S., Himle, J., Koch, E., Anson, H., Lokers, L., & Thornton, J. (2008). Accuracy of retrospective memory and covariation estimation in patients with obsessive–compulsive disorder. Behaviour Research and Therapy, 46(5), 642–655.  https://doi.org/10.1016/j.brat.2008.02.010.CrossRefPubMedPubMedCentralGoogle Scholar
  16. Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., Heninger, G. R., & Charney, D. S. (1989). The Yale-Brown obsessive compulsive scale: I. development, use, and reliability. Archives of General Psychiatry, 46(11), 1006–1011.CrossRefGoogle Scholar
  17. Hektner, J. M., Schmidt, J. A., & Csikszentmihalyi, M. (2007). Experience sampling method: measuring the quality of everyday life. Thousand oaks, Sage Publications.CrossRefGoogle Scholar
  18. Herman, S., & Koran, L. M. (1998). In vivo measurement of obsessive-compulsive disorder symptoms using palmtop computers. Computers in Human Behavior, 14(3), 449–462.  https://doi.org/10.1016/S0747-5632(98)00016-8.CrossRefGoogle Scholar
  19. Hofmann, W., & Patel, P. V. (2015). SurveySignal: a convenient solution for experience sampling research using participants’ own smartphones. Social Science Computer Review, 33(2), 235–253.  https://doi.org/10.1177/0894439314525117.CrossRefGoogle Scholar
  20. Janeck, A. S., Calamari, J. E., Riemann, B. C., & Heffelfinger, S. K. (2003). Too much thinking about thinking?: metacognitive differences in obsessive–compulsive disorder. Journal of Anxiety Disorders, 17(2), 181–195.  https://doi.org/10.1016/S0887-6185(02)00198-6.CrossRefPubMedPubMedCentralGoogle Scholar
  21. Kahneman, D. (2000). Evaluation by moments: past and future. In Choices, values, and frames (pp. 693–708). New York: Cambridge University Press. Retrieved from http://www.vwl.tuwien.ac.at/hanappi/TEI/momentsfull.pdf CrossRefGoogle Scholar
  22. Kessler, R. C., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Wittchen, H.-U. (2012). Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States: anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21(3), 169–184.  https://doi.org/10.1002/mpr.1359.CrossRefPubMedPubMedCentralGoogle Scholar
  23. Kikul, J., Vetter, J., Lincoln, T. M., & Exner, C. (2011). Effects of cognitive self-consciousness on visual memory in obsessive–compulsive disorder. Journal of Anxiety Disorders, 25(4), 490–497.  https://doi.org/10.1016/j.janxdis.2010.12.002.CrossRefPubMedPubMedCentralGoogle Scholar
  24. Koch, J., & Exner, C. (2015). Selective attention deficits in obsessive–compulsive disorder: The role of metacognitive processes. Psychiatry Research, 225(3), 550–555.  https://doi.org/10.1016/j.psychres.2014.11.049.CrossRefPubMedPubMedCentralGoogle Scholar
  25. Lee, H.-J., Kwon, S.-M., Kwon, J. S., & Telch, M. J. (2005). Testing the autogenous-reactive model of obsessions. Depression and Anxiety, 21(3), 118–129.  https://doi.org/10.1002/da.20063.CrossRefPubMedPubMedCentralGoogle Scholar
  26. Mair, P., Schoenbrodt, F. D., & Wilcox, R. (2017). WRS2: Wilcox robust estimation and testing. Retrieved from https://CRAN.R-project.org/package=WRS2
  27. Markarian, Y., Larson, M. J., Aldea, M. A., Baldwin, S. A., Good, D., Berkeljon, A., Murphy, T. K., Storch, E. A., & McKay, D. (2010). Multiple pathways to functional impairment in obsessive–compulsive disorder. Clinical Psychology Review, 30(1), 78–88.  https://doi.org/10.1016/j.cpr.2009.09.005.CrossRefPubMedPubMedCentralGoogle Scholar
  28. Marks, M., & Hemsley, D. (1999). Retrospective versus prospective self-rating of anxiety symptoms and cognitions. Journal of Anxiety Disorders, 13(5), 463–472.  https://doi.org/10.1016/S0887-6185(99)00015-8.CrossRefPubMedPubMedCentralGoogle Scholar
  29. Matt, G. E., Vázquez, C., & Campbell, W. K. (1992). Mood-congruent recall of affectively toned stimuli: a meta-analytic review. Clinical Psychology Review, 12(2), 227–255.  https://doi.org/10.1016/0272-7358(92)90116-P.CrossRefGoogle Scholar
  30. McCabe, K. o., Mack, L., & Fleeson, W. (2012). A guide to data cleaning in experience sampling studies. In Handbook for research methods for studying daily life (pp. 321–338). New York: Guilford Press.Google Scholar
  31. Mill, A., Realo, A., & Allik, J. (2016). Retrospective ratings of emotions: the effects of age, daily tiredness, and personality. Frontiers in Psychology, 6.  https://doi.org/10.3389/fpsyg.2015.02020.
  32. Nota, J. A., Gibb, B. E., & Coles, M. E. (2014). Obsessions and time of day: a self-monitoring study in individuals with obsessive-compulsive disorder. Journal of Cognitive Psychotherapy, 28(2), 134–144.  https://doi.org/10.1891/0889-8391.28.2.134.CrossRefGoogle Scholar
  33. Priebe, K., Kleindienst, N., Zimmer, J., Koudela, S., Ebner-Priemer, U., & Bohus, M. (2013). Frequency of intrusions and flashbacks in patients with posttraumatic stress disorder related to childhood sexual abuse: an electronic diary study. Psychological Assessment, 25(4), 1370–1376.  https://doi.org/10.1037/a0033816.CrossRefPubMedPubMedCentralGoogle Scholar
  34. R Core Team. (2016). R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing. Retrieved from http://www.R-project.org/
  35. Radomsky, A. S., & Rachman, S. (2004). The importance of importance in OCD memory research. Journal of Behavior Therapy and Experimental Psychiatry, 35(2), 137–151.  https://doi.org/10.1016/j.jbtep.2004.04.005.CrossRefPubMedPubMedCentralGoogle Scholar
  36. Redelmeier, D. A., & Kahneman, D. (1996). Patients’ memories of painful medical treatments: real-time and retrospective evaluations of two minimally invasive procedures. Pain, 66(1), 3–8.CrossRefGoogle Scholar
  37. Schwarz, N. (2007). Retrospective and concurrent self-reports: the rationale for real-time data capture. In A. A. Stone, S. S. Shiffman, A. Atienza, & L. Nebeling (Eds.), The science of real-time data capture: Self-reports in health research (pp. 11–26). New York: Oxford University Press.Google Scholar
  38. Schwarz, N., & Sudman, S. (Eds.). (1994). Autobiographical memory and the validity of retrospective reports. New York: Springer-Verlag.Google Scholar
  39. Solhan, M. B., Trull, T. J., Jahng, S., & Wood, P. K. (2009). Clinical assessment of affective instability: comparing EMA indices, questionnaire reports, and retrospective recall. Psychological Assessment, 21(3), 425–436.  https://doi.org/10.1037/a0016869.CrossRefPubMedPubMedCentralGoogle Scholar
  40. Steketee, G., Frost, R., & Bogart, K. (1996). The Yale-Brown obsessive compulsive scale: interview versus self-report. Behaviour Research and Therapy, 34(8), 675–684.  https://doi.org/10.1016/0005-7967(96)00036-8.CrossRefPubMedPubMedCentralGoogle Scholar
  41. Timpano, K. R., Carbonella, J. Y., Bernert, R. A., & Schmidt, N. B. (2014). Obsessive compulsive symptoms and sleep difficulties: exploring the unique relationship between insomnia and obsessions. Journal of Psychiatric Research, 57, 101–107.  https://doi.org/10.1016/j.jpsychires.2014.06.021.CrossRefPubMedPubMedCentralGoogle Scholar
  42. Yuen, K. K. (1974). The two-sample trimmed t for unequal population variances. Biometrika, 61(1), 165–170.  https://doi.org/10.1093/biomet/61.1.165.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.Department of PsychologySouthern Illinois UniversityCarbondaleUSA
  2. 2.Department of PsychiatryYale School of MedicineNew HavenUSA
  3. 3.Child Study CenterYale School of MedicineNew HavenUSA
  4. 4.Interdepartmental Neuroscience ProgramYale UniversityNew HavenUSA

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