Clinical presentation of not-just right experiences (NJREs) in individuals with OCD: Characteristics and response to treatment.

Abstract:

:There is increasing recognition that instead of being motivated by a desire to prevent harm and reduce anxiety, some obsessive-compulsive symptoms may be driven by a desire to get things 'just right' or 'complete' and to reduce a sense of discomfort. However, existing data is largely from non-clinical samples. Therefore, in the current paper we examine the clinical presentation of not just right experiences (NJREs) in patients diagnosed with OCD and compare their experiences to both anxious and unselected controls. Then, we provide preliminary data on NJREs before and after cognitive behavioral therapy (exposure and response prevention). First, individuals with OCD were found to report experiencing significantly more NJREs and being more distressed by them compared to anxious controls and unselected controls. Next, there was some support for the specificity of NJREs to feelings of incompleteness. Finally, we found that after completing treatment, patients reported experiencing significantly less NJREs and experienced less distress associated with the NJREs. In conclusion we believe that more work on the role of NJREs is warranted and that characterizing OCD symptoms as either based on harm avoidance or incompleteness/NJREs may be a useful framework for classifying OCD symptoms.

journal_name

Behav Res Ther

authors

Coles ME,Ravid A

doi

10.1016/j.brat.2016.09.013

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

182-187

eissn

0005-7967

issn

1873-622X

pii

S0005-7967(16)30170-X

journal_volume

87

pub_type

杂志文章
  • The relationship between disgust sensitivity, anxiety and obsessions.

    abstract::Three hundred participants, including volunteers from an obsessional support group, filled in questionnaires relating to disgust sensitivity, health anxiety, anxiety, fear of death, fear of contamination and obsessionality as part of an investigation into the involvement of disgust sensitivity in types of obsessions. ...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/s0005-7967(03)00058-5

    authors: Thorpe SJ,Patel SP,Simonds LM

    更新日期:2003-12-01 00:00:00

  • A test of written emotional disclosure as an intervention for posttraumatic stress disorder.

    abstract::This study examined the efficacy of the written emotional disclosure (WED) procedure with a sample of young adults who met diagnostic criteria for posttraumatic stress disorder (PTSD). Participants were randomly assigned to either WED or a control writing condition and were assessed at baseline and one month following...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.brat.2011.02.001

    authors: Sloan DM,Marx BP,Greenberg EM

    更新日期:2011-04-01 00:00:00

  • Explicit and implicit attitudes towards food and physical activity in childhood obesity.

    abstract::This study investigated differences in the explicit and implicit attitudes towards food and physical activities between children with obesity (n=38) and a matched control group (n=38). The implicit attitude was assessed using the Extrinsic Affective Simon Task (EAST; J. Exp. Psychol. (50) (2003) 77), a modified versio...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2004.07.007

    authors: Craeynest M,Crombez G,De Houwer J,Deforche B,Tanghe A,De Bourdeaudhuij I

    更新日期:2005-09-01 00:00:00

  • Empirical fear profiles among American youth.

    abstract::Fears among children can range from relatively innocuous fears of simple objects to significant phobias that affect youths' everyday functioning in the home, school, or community environments. This study investigated empirically derived fear profiles among American youth ages 7-19 (N=556). Based upon youths' scores on...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/s0005-7967(02)00258-9

    authors: Schaefer BA,Watkins MW,Burnham JJ

    更新日期:2003-09-01 00:00:00

  • Children's pain predictions and memories.

    abstract::A cross-sectional descriptive design was utilized to explore expected, experienced and recalled pain, and anxiety. Subjects were 138 children (5-17 yr) who were attending an outpatient laboratory for venipuncture. They reported state anxiety and expected visual analogue scale pain prior to having venipuncture. Followi...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/0005-7967(92)90134-3

    authors: Lander J,Hodgins M,Fowler-Kerry S

    更新日期:1992-03-01 00:00:00

  • Effects of a brief behavioral treatment for PTSD-related sleep disturbances: a pilot study.

    abstract:OBJECTIVE:Sleep disturbances are a core feature of post-traumatic stress disorder (PTSD), and are often resistant to first-line pharmacological and psychological PTSD interventions. The goal of this pilot study was to explore the effects of a very brief intervention for PTSD-related nightmares and insomnia in victims o...

    journal_title:Behaviour research and therapy

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.brat.2006.04.009

    authors: Germain A,Shear MK,Hall M,Buysse DJ

    更新日期:2007-03-01 00:00:00

  • Assessment of eating disorder psychopathology in obese children and adolescents: interview versus self-report questionnaire.

    abstract::The present study compared two methods for assessing binge eating and related eating disorder psychopathology in obese children and adolescents. A comparison was made between the child version of the Eating Disorder Examination (ChEDE) and the self-report version of the interview (ChEDE-Q). A total of 139 children and...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2003.07.008

    authors: Decaluwé V,Braet C

    更新日期:2004-07-01 00:00:00

  • Rumination in anorexia nervosa: Cognitive-affective and neuroendocrinological aspects.

    abstract::Rumination about body weight/figure as well as food is common in patients with Anorexia Nervosa (AN) and may be a maintenance factor of the disorder. While rumination can generally be considered as a cognitive-affective process, food-related rumination may be driven primarily by a physiological response to undernutrit...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2018.10.001

    authors: Fürtjes S,Seidel M,King JA,Biemann R,Roessner V,Ehrlich S

    更新日期:2018-12-01 00:00:00

  • Increased tactile sensitivity and deficient feed-forward inhibition in pathological hair pulling and skin picking.

    abstract::An increasing body of evidence has linked pathological body-focused repetitive behaviors (BFRBs) to excessive sensory sensitivity and difficulty modulating sensory inputs. Likewise, neurobiological evidence points to deficits in feed-forward inhibition and sensory habituation in conditions with similar symptomatology....

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2019.103433

    authors: Houghton DC,Tommerdahl M,Woods DW

    更新日期:2019-09-01 00:00:00

  • Magnitude of negative interpretation bias depends on severity of depression.

    abstract::The present study investigated the hypothesis that the magnitude of negative interpretation bias displayed by those with depression is related to the degree of depression they experience. Seventy one depressed participants (scoring 14 and above on the Beck Depression Inventory II) completed tasks spanning three domain...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2016.05.007

    authors: Lee JS,Mathews A,Shergill S,Yiend J

    更新日期:2016-08-01 00:00:00

  • Offspring of anxious parents: reactivity, habituation, and anxiety-proneness.

    abstract::Reactivity and habituation patterns were examined in the offspring of anxious and non-anxious parents. Although no differences emerged for magnitude of response to either fear-relevant visual or auditory stimuli, offspring of anxious parents displayed significantly more electrodermal activity during resting baseline a...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2004.09.005

    authors: Turner SM,Beidel DC,Roberson-Nay R

    更新日期:2005-10-01 00:00:00

  • Fearful and non-fearful panic attacks in a student population.

    abstract::The phenomenon of non-fearful panic was investigated in a sample of 83 university students who reported histories of unexpected panic attacks. Based on severity ratings of individual panic symptoms, Ss were classified as having panic attacks characterized by No Fear (N = 22), Low Fear (N = 30) or High Fear (N = 31). T...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/0005-7967(93)90098-f

    authors: Wilson KG,Sandler LS,Asmundson GJ

    更新日期:1993-05-01 00:00:00

  • A cognitive theory of obsessions: elaborations.

    abstract::The theory that obsessions are caused by catastrophic misinterpretations of one's intrusive thoughts/ images/impulses is elaborated in an attempt to explain the frequency of obsessions and why they persist. The internal and external provocations of obsessions are considered, and an explanatory framework for the varyin...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/s0005-7967(97)10041-9

    authors: Rachman S

    更新日期:1998-04-01 00:00:00

  • Graded exposure in vivo in the treatment of pain-related fear: a replicated single-case experimental design in four patients with chronic low back pain.

    abstract::The aim of this investigation was to examine the effectiveness of a graded exposure in vivo treatment with behavioural experiments as compared to usual graded activity in reducing pain-related fears, catastrophising and pain disability in chronic low back pain patients reporting substantial fear of movement/(re)injury...

    journal_title:Behaviour research and therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0005-7967(99)00174-6

    authors: Vlaeyen JW,de Jong J,Geilen M,Heuts PH,van Breukelen G

    更新日期:2001-02-01 00:00:00

  • Understanding the relationship between PTSD and social support: the role of negative network orientation.

    abstract::Network orientation is conceptualized as an individual's attitudes and expectations regarding the usefulness of support networks in coping with stress. The present research examined the potential for network orientation to explicate the well documented association between post-traumatic stress disorder (PTSD) and atte...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2008.12.006

    authors: Clapp JD,Gayle Beck J

    更新日期:2009-03-01 00:00:00

  • Sudden gains in behavioural activation for depression.

    abstract::Sudden gains have been linked to improved outcomes in cognitive behaviour therapy for depression. The relationship between sudden gains and outcome is less clear in other treatment modalities, including interpersonal psychotherapy and supportive expressive therapy, which may indicate different mechanisms of change bet...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.brat.2014.06.008

    authors: Masterson C,Ekers D,Gilbody S,Richards D,Toner-Clewes B,McMillan D

    更新日期:2014-09-01 00:00:00

  • Selective attention for masked and unmasked threatening words in anxiety: Effects of trait anxiety, state anxiety and awareness.

    abstract::We investigated the effects of awareness on selective attention for masked and unmasked verbal threat material using a computerised version of the emotional Stroop. Participants were assigned to the high trait anxious (HTA) and low trait anxious (LTA) groups on the basis of questionnaire scores, and state anxiety was ...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2009.11.003

    authors: Edwards MS,Burt JS,Lipp OV

    更新日期:2010-03-01 00:00:00

  • Are changes in beliefs and attitudes about sleep related to sleep improvements in the treatment of insomnia?

    abstract::Dysfunctional beliefs and attitudes about sleep are presumed to play an important mediating role in perpetuating insomnia. The present study evaluated the impact of cognitive-behavioral and pharmacological treatments for insomnia on sleep-related beliefs and attitudes and the relationship between those changes and sle...

    journal_title:Behaviour research and therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0005-7967(01)00055-9

    authors: Morin CM,Blais F,Savard J

    更新日期:2002-07-01 00:00:00

  • Strategies of thought control in obsessive-compulsive disorder.

    abstract::Intrusive anxiety-provoking thoughts are a core feature of obsessive-compulsive disorder (OCD). Recent research suggests that individuals use five different techniques of thought control including: distraction, punishment, re-appraisal, social control, and worry. The purpose of the present study was to examine the str...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/s0005-7967(97)00030-2

    authors: Amir N,Cashman L,Foa EB

    更新日期:1997-08-01 00:00:00

  • Excessive generalisation of conditioned fear in trait anxious individuals under ambiguity.

    abstract::Trait anxiety has been widely accepted as a vulnerability factor for the development of anxiety disorders. However, few studies have examined how trait anxiety may affect fear generalisation, which is believed to be a core feature of anxiety disorders. Using a single-cue conditioning paradigm, the current study found ...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2018.05.012

    authors: Wong AHK,Lovibond PF

    更新日期:2018-08-01 00:00:00

  • Revealing negative thinking in recovered major depression: a preliminary investigation.

    abstract::Previous research suggests that formerly dysphoric individuals engage in effortful strategies (e.g., thought suppression) that may mask underlying depressive thinking. The addition of a cognitive load, such as recalling a 6-digit number, which interferes with effortful mental control, reveals depressive thinking in fo...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.brat.2007.05.001

    authors: Watkins ER,Moulds M

    更新日期:2007-12-01 00:00:00

  • Trauma management therapy: a preliminary evaluation of a multicomponent behavioral treatment for chronic combat-related PTSD.

    abstract::The development and initial evaluation of a new, comprehensive and multicomponent behavioral treatment (Trauma Management Therapy, or TMT) for chronic combat-related Post-Traumatic Stress Disorder (PTSD) is described. The program utilizes elements of intensive exposure therapy, programmed practice, and structured soci...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/0005-7967(96)00020-4

    authors: Frueh BC,Turner SM,Beidel DC,Mirabella RF,Jones WJ

    更新日期:1996-07-01 00:00:00

  • A cross-sectional evaluation of the factorial invariance of anxiety sensitivity in adolescents and young adults.

    abstract::This study examined the cross-sectional factorial invariance of anxiety sensitivity in an ethnically diverse sample of adolescents (n = 173; mean age 15.5 years) and young adults (n = 291; mean age 20.1 years). Research in adult and youth samples suggests that anxiety sensitivity is best understood as a hierarchical c...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2004.06.008

    authors: Dehon C,Weems CF,Stickle TR,Costa NM,Berman SL

    更新日期:2005-06-01 00:00:00

  • Adolescent problem behavior: the influence of parents and peers.

    abstract::This paper presents evidence that the Patterson et al. (1992) model of development of antisocial behavior in children generalizes to the development of a wide array of problem behaviors during later adolescence and that youth antisocial behavior, high-risk sexual behavior, academic failure and substance use form a sin...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/s0005-7967(98)00133-8

    authors: Ary DV,Duncan TE,Duncan SC,Hops H

    更新日期:1999-03-01 00:00:00

  • Treating chronic worry: Psychological and physiological effects of a training programme based on mindfulness.

    abstract::The present study examines psychological and physiological indices of emotional regulation in non-clinical high worriers after a mindfulness-based training programme aimed at reducing worry. Thirty-six female university students with high Penn State Worry Questionnaire scores were split into two equal intervention gro...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.brat.2010.05.012

    authors: Delgado LC,Guerra P,Perakakis P,Vera MN,Reyes del Paso G,Vila J

    更新日期:2010-09-01 00:00:00

  • Effects of diazepam on approach, self-reported fear and psychophysiological responses in snake phobics.

    abstract::The effects of diazepam was assessed on a number of measures of phobic anxiety. Snake-phobic subjects underwent two sessions on either diazepam or placebo in a crossover design. In addition to a habituation series, a slide with the phobic object was displayed as well as a live snake which subjects were asked to approa...

    journal_title:Behaviour research and therapy

    pub_type: 临床试验,杂志文章

    doi:10.1016/0005-7967(90)90078-w

    authors: Sartory G,MacDonald R,Gray JA

    更新日期:1990-01-01 00:00:00

  • Studies of the vicarious traumatization of college students by the September 11th attacks: effects of proximity, exposure and connectedness.

    abstract::From mid-October 2001 through the end of November 2001, we collected fairly large sets of questionnaires from undergraduates at three public universities (Albany, NY, n = 507, Augusta, GA, n = 336, Fargo, ND, n = 526 ) to assess rate of acute stress disorder (ASD) and level of ASD symptoms following the September 11th...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/S0005-7967(03)00118-9

    authors: Blanchard EB,Kuhn E,Rowell DL,Hickling EJ,Wittrock D,Rogers RL,Johnson MR,Steckler DC

    更新日期:2004-02-01 00:00:00

  • Facilitating a benign interpretation bias in a high socially anxious population.

    abstract::Previous research has shown that high socially anxious individuals lack the benign interpretation bias present in people without social anxiety. The tendency of high socially anxious people to generate more negative interpretations may lead to anticipated anxiety about future social situations. If so, developing a mor...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2007.01.007

    authors: Murphy R,Hirsch CR,Mathews A,Smith K,Clark DM

    更新日期:2007-07-01 00:00:00

  • Manipulations of exposure-based therapy to reduce return of fear: a replication.

    abstract::Using exposure-based treatment for fear of heights, we tested two different manipulations, namely administering blocks of exposure trials on an expanding spaced schedule and varying the nature of the exposure, both of which have been shown to reduce return of fear [Rowe, M. K., & Craske, M. G. (1998a). Effects of an e...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/s0005-7967(99)00031-5

    authors: Lang AJ,Craske MG

    更新日期:2000-01-01 00:00:00

  • The presence of magical thinking in obsessive compulsive disorder.

    abstract::Two research groups have raised the possibility that magical ideation may be a fundamental feature of obsessive-compulsive disorder. It has been proposed to underlie thought action fusion and superstitious beliefs. In this study, the Magical Ideation scale, the Lucky Behaviours and Lucky Beliefs scales, the Thought Ac...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/S0005-7967(03)00160-8

    authors: Einstein DA,Menzies RG

    更新日期:2004-05-01 00:00:00