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Journals / Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi / 2017 / Cilt: 6 - Sayı: 3

Obsessive Beliefs in Generalized Anxiety Disorder

Yaygın Anksiyete Bozukluğunda Obsesif İnançlar

Güliz ŞENORMANCI
Ramazan KONKAN
ÖMER ŞENORMANCI
Pages
115–122
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The 'perfectionism/intolerance of uncertainty' may contribute to development and persistence of GAD symptoms, and evaluation and development of approaches to change these beliefs may improve results of cognitive behavioral therapy in GAD patients.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Several studies have shown that obsessive beliefs are not specific for OCD, may also play a role in occurence of other anxiety disorders and depression.
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Key Findings & Data:The current study compared 119 patients with GAD and 137 healthy controls.
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Conclusion & Impact:The 'perfectionism/intolerance of uncertainty' may contribute to development and persistence of GAD symptoms, and evaluation and development of approaches to change these beliefs may improve results of cognitive behavioral therapy in GAD patients.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Several studies have shown that obsessive beliefs are not specific for OCD, may also play a role in occurence of other anxiety disorders and depression. However, in these studies, anxiety disorders were evaluated together, with mixed samples of anxiety disorders. Obsessive beliefs are assessed in a sample of generalized anxiety disorder (GAD) and compared with the healthy control group. The current study compared 119 patients with GAD and 137 healthy controls. Written informed consent was provided and Obsessive Beliefs Questionnaire-44 (OBQ-44), Generalized Anxiety Disorder-7 (GAD-7) scale, Beck Depression Inventory (BDE), State-Trait Anxiety Inventory (STAI) were administered to each participant. Total scores and subscale scores for OBQ-44 in the GAD group were found to be significantly higher the control group (p<0.05). When state anxiety level and the confounding effect of trait anxiety were controlled, OBQ-44 subscales and total scores were found not to be significant except 'perfectionism/intolerance of uncertainty' subscale (p=0.000 and p=0.002 respectively). When confounding effect of depression level was controlled, OBQ-44 subscales and total scores were found not to be significant (p>0.05) except 'perfectionism/intolerance of uncertainty' subscale (p=0.000). According to of our study, 'perfectionism/intolerance of uncertainty' continues to be statistically significant when state anxiety, trait anxiety and depression levels were controlled respectively. The 'perfectionism/intolerance of uncertainty' may contribute to development and persistence of GAD symptoms, and evaluation and development of approaches to change these beliefs may improve results of cognitive behavioral therapy in GAD patients.

Özet

Bazı çalışmalarda obsesif inançların sadece Obsesif Kompulsif Bozukluğa (OKB) özgü olmadıkları; anksiyete bozuklukları ve depresyonun oluşumunu sağlayan ortak bir özellik olabileceği ileri sürülmektedir. Ancak, bu çalışmalarda genellikle anksiyete bozuklukları bir arada karışık örneklem olarak değerlendirilmiştir. Yaygın anksiyete bozukluğu (YAB) olan kişilerden oluşan bir örneklemde obsesif inançlar değerlendirilmiş ve sonuçları sağlıklı kontrol grubu ile karşılaştırılmıştır. Çalışmada 119 YAB hastası ile 137 sağlıklı kontrol grubu karşılaştırıldı. Katılımcılardan çalışmaya katılım ile ilgili yazılı onam alındı ve Obsesif İnanışlar Ölçeği-44 (OİÖ-44), Yaygın Anksiyete Bozukluğu-7 (YAB-7) testi, Beck Depresyon Envanteri (BDE), Durumluk ve Sürekli Kaygı Envanteri (DSKE) uygulandı. YAB grubunun OİÖ-44 toplam ve alt ölçek puanları kontrol grubundan anlamlı derecede yüksekti (p 0,05). Çalışmamızın sonuçlarına göre 'mükemmeliyetçilik/belirsizliğe tahammülsüzlük' inancı durumluk, sürekli ve depresyon düzeyleri sırasıyla kontrol edildiğinde istatistiksel olarak anlamlılığını sürdürmektedir. 'Mükemmeliyetçilik/belirsizliğe tahammülsüzlük' inancının YAB belirtilerinin gelişimi ve sürdürümüne katkıda bulunabileceği bilişsel davranışçı terapilerde bu inançların saptanması ve değişimine yönelik girişimlerin geliştirilmesinin YAB'nin tedaviye yanıtını arttırabileceği düşünülmüştür.

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Cite This Article

ŞENORMANCI, G., KONKAN, R., ŞENORMANCI, Ö. (2017). Obsessive Beliefs in Generalized Anxiety Disorder. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, Cilt: 6 - Sayı: 3, 115–122. https://ajindex.com/articles/161502

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References (11)

  1. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders. (4th ed.). Washington, DC: American Psychiatric Association. Anholt, G. E., Cath, D. C., Emmelkamp, P. M., vanOppen, P., Smit, J. H., & vanBalkom, A. J. (2006). Do obsessional beliefs discriminate OCD without tic patients from OCD with tic and Tourette's syndrome patients? Behaviour Research and Therapy, 44, 1537-1543.
  2. Baptista, M. N., Magna, L. A., McKay, D., & Del-Porto, J. A. (2011). Assessment of obsessive beliefs: Comparing individuals with obsessive-compulsive disorder to a medical sample. Journal of Behavior Therapy and Experimental Psychiatry, 42, 1-5.
  3. Beck, A. T. (1961). An Inventory for measuring depression. Arch Gen Psychiatry, 7, 151-169.
  4. Belloch, A., Morillo, C., Luciano, J. V., García-Soriano, G., Cabedo, E., & Carrió, C. (2010). Dysfunctional belief domains related to obsessive-compulsive disorder: a further examination of their dimensionality and specificity. The Spanish Journal of Psychology, 13, 376-388.
  5. Bomyea, J., Ramsawh, H., Ball, T. M., Taylor, C. T., Paulus, M. P., Lang, A. J.,. Stein, M. B. (2015). Intolerance of uncertainty as a mediator of reductions in worry in a cognitive behavioral treatment program for generalized anxiety disorder. Journal of Anxiety Disorders, 33, 90-94.
  6. Boysan, M., Beşiroğlu, L., Çetinkaya, N., Atlı, A., & Aydın, A. (2010). Obsesif İnanışlar Ölçeği- 44'ün (OİÖ-44) Türkçe Formunun Geçerlik ve Güvenirliği. Nöropsikiyatri Arşivi, 47, 216-222.
  7. Bredemeier, K., & Berenbaum, H. (2008). Intolerance of uncertainty and perceived threat. Behaviour Research and Therapy, 46, 28-38.
  8. Buhr, K., & Dugas, M. J. (2002). The Intolerance of Uncertainty Scale: psychometric properties of the English version. Behaviour Research and Therapy, 40, 931-945.
  9. Buhr, K., & Dugas, M. J. (2006). Investigating the construct validity of intolerance of uncertainty and its unique relationship with worry. Journal of Anxiety Disorders, 20, 222-236.
  10. Dugas, M. J., Buhr, K., & Ladouceur, R. (2004). The role of intolerance of uncertainty in the etiology and maintenance of generalized anxiety disorder. In R. G. Heimberg, C. L. Turk, D. S. Menin (Eds). Generalized anxiety disorder: advances in research and practice (pp, 143-163). New York: Guilford Press.
  11. Dugas, M. J., Freeston, M. H., Ladouceur, R., & Freeston, M. H. (1998). Worry themes in primary GAD, secondary GAD, and other anxiety disorders. Journal of Anxiety Disorders, 12, 253- 261. Dugas, M. J.