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Hashemi F, Naami A, Davodi I, Hashemi S E. Designing and Testing a Model of Relationships Between Some Antecedents of OCD Symptoms in Students. MEJDS 2025; 15 (0) :15-15
URL: http://jdisabilstud.org/article-1-3285-en.html
Designing and Testing a Model of Relationships Between Some Antecedents of OCD Symptoms in Students
Farah Hashemi1 , Abdulzahra Naami *2 , Iran Davodi3 , Seyed Esmaeil Hashemi2
1- PhD Student in Psychology, Department of Psychology, Faculty of Education and Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran
2- Professor, Department of Psychology, Faculty of Education and Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran
3- Assistant Professor, Department of Psychology, Faculty of Education and Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran
Abstract:   (579 Views)

Abstract
Background & Objectives: Over the past four decades, the treatment of Obsessive–Compulsive Disorder (OCD) has been under the influence of cognitive–behavioral models. These models consider intrusive thoughts as universally experienced and normal phenomena. However, interpreting these thoughts negatively leads to distress, prompting individuals to seek relief from these thoughts. Nevertheless, these models do not consider significant differences in symptom severity, prompting researchers to focus on underlying psychological processes, including attachment styles. Various studies indicate that insecure attachments are associated with different forms of psychological pathology. However, few studies have examined the role of attachment in OCD. Additionally, individuals with OCD exhibit weak emotional recognition. Another underlying factor is self–ambivalence, wherein individuals suffering from OCD lack a unified perception of self and perceive intrusive thoughts as a criterion for internal conflict perception. Given that current interventions primarily focus on cognition, behavior, and biochemistry, background phenomena might be overlooked. Therefore, further exploration in this area holds significant potential value. This present study aimed to examine the design of a path analysis model for some predictors of obsessive–compulsive symptoms.
Methods: The research method was a descriptive correlational approach based on path analysis. The study population consisted of master's students at Ferdowsi University, Mashhad City, Iran, in the academic year 2022–2023. A total of 206 students were selected using a multi–stage cluster sampling method. First, four faculties were randomly selected. Then, three fields of study were chosen randomly from each of the selected faculties, and two classes were randomly selected from the classes related to that field. The research instruments included the Obsessive–Compulsive Inventory–Revised (OCI–R) (Foa et al., 2002), the Experiences in Close Relationship Scale (ECR) –Short Form (Wei et al., 2007), the Self–Ambivalence Measure (SAM) (Bhar & Kyrios, 2007), the Perception of Threat from Emotion Questionnaire (PTEQ) (McCubbin & Sampson, 2006), Obsessive Beliefs Questionnaire (Obsessive–Compulsive Cognitions Working Group, 2005), and the Interpretation of Intrusions Inventory (Obsessive–Compulsive Cognitions Working Group, 2005). In this study, data analysis was performed using the Pearson correlation coefficient and path analysis method in SPSS version 26 and AMOS version 24 software at a significance level of 0.01.
Results: The results indicated that the direct effect of anxiety attachment on obsessive–compulsive symptoms (β=0.209, p=0.002) was significant. Also, the indirect effect of anxiety attachment on obsessive–compulsive symptoms mediated by the perception of threat from emotions (β=0.066, p=0.004), the self–ambivalence (β=0.153, p=0.001), the obsessive beliefs (β=0.044, p=0.016), the interpretation of intrusive thoughts (β=0.044, p=0.017), the simultaneous effect of obsessive beliefs and interpretation of intrusive thoughts (β=0.013, p=0.008), the simultaneous effect of self–ambivalence and obsessive beliefs (β=0.169, p=0.002), the simultaneous effect of self–ambivalence and interpretation of intrusive thoughts (β=0.179, p=0.001), and the simultaneous effect of self–ambivalence, obsessive beliefs and interpretation of intrusive thoughts (β=0.035, p=0.001) was significant. Further, the indirect effect of avoidant attachment on obsessive–compulsive symptoms mediated by the perception of threat from emotions (β=0.023, p=0.010), the self–ambivalence (β=0.105, p=0.001), the simultaneous effect of self–ambivalence and obsessive beliefs (β=0.131, p=0.002), the simultaneous effect of self–ambivalence and interpretation of intrusive thoughts (β=0.020, p=0.001), and the simultaneous effect of self–ambivalence, obsessive beliefs and interpretation of intrusive thoughts (β=0.012, p=0.001) was significant. However, the direct effect of avoidant attachment on obsessive–compulsive symptoms (β=0.028, p=0.608) was not significant. Also, the indirect effect of avoidant attachment on obsessive–compulsive symptoms mediated by interpretation of intrusive thoughts (p=0.412, β=–0.004), mediated by obsessive beliefs (β=0.013, p=0.090), and the simultaneous effect of obsessive beliefs and interpretation of intrusive thoughts (β=0.003, p=0.081) was not significant. The goodness–of–fit indices indicated an adequate fit for the model (χ²/df=2.788, IFI=0.981, GFI=0.978, CFI=0.981, RMSEA=0.093)
Conclusion: Based on these results, the present study highlights the importance of developmental and underlying factors in obsessive–compulsive symptoms, affirming the necessity to consider these factors in interventions related to obsessive–compulsive disorder.

Keywords: obsessive-compulsive disorder symptoms, anxiety attachment, avoidant attachment, Perception of Threat from Emotions, Self-Ambivalence, Obsessive Beliefs, Interpretation of Intrusions
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Type of Study: Original Research Article | Subject: Psychology
References
1. Robinson LJ, Freeston MH. Emotion and internal experience in obsessive compulsive disorder: reviewing the role of alexithymia, anxiety sensitivity and distress tolerance. Clin Psychol Rev. 2014;34(3):256–71. [DOI]
2. Godwin TL, Godwin HJ, Simonds LM. What is the relationship between fear of self, self–ambivalence, and obsessive–compulsive symptomatology? A systematic literature review. Clin Psychol Psychother. 2020;27(6):887–901. [DOI]
3. Smith AH, Wetterneck CT, Hart JM, Short MB, Björgvinsson T. Differences in obsessional beliefs and emotion appraisal in obsessive compulsive symptom presentation. Journal of Obsessive–Compulsive and Related Disorders. 2012;1(1):54–61. [DOI]
4. Bakes E. The relationship between mindfulness and obsessive compulsive symptoms in a community sample [Ph.D. dissertation]. [Colchester, UK]: University of Esssex; 2015. [Article]
5. van Leeuwen WA, van Wingen GA, Luyten P, Denys D, van Marle HJF. Attachment in OCD: a meta–analysis. J Anxiety Disord. 2020;70:102187. [DOI]
6. Aardema F, Moulding R, Melli G, Radomsky AS, Doron G, Audet JS, et al. The role of feared possible selves in obsessive-compulsive and related disorders: A comparative analysis of a core cognitive self–construct in clinical samples. Clin Psychol Psychother. 2018;25(1):e19–29. [DOI]
7. Ahern C. The role of self–construals in obsessive–compulsive disorder [Ph.D. dissertation]. [Melbourne, Australia]: Swinburne University of Technology; 2012. [Article]
8. Doron G, Moulding R, Nedeljkovic M, Kyrios M, Mikulincer M, Sar–El D. Adult attachment insecurities are associated with obsessive compulsive disorder. Psychol Psychother. 2012;85(2):163–78. [DOI]
9. Doron G, Kyrios M. Obsessive compulsive disorder: a review of possible specific internal representations within a broader cognitive theory. Clin Psychol Rev. 2005;25(4):415–32. [DOI]
10. Rachman S. A cognitive theory of obsessions. Behav Res Ther. 1997;35(9):793–802. [DOI]
11. McCubbin RA, Sampson MJ. The relationship between obsessive–compulsive symptoms and appraisals of emotional states. J Anxiety Disord. 2006;20(1):42–57. [DOI]
12. Stern MR, Nota JA, Heimberg RG, Holaway RM, Coles ME. An initial examination of emotion regulation and obsessive compulsive symptoms. Journal of Obsessive–Compulsive and Related Disorders. 2014;3(2):109–14. [DOI]
13. Coleman SL, Pietrefesa AS, Holaway RM, Coles ME, Heimberg RG. Content and correlates of checking related to symptoms of obsessive compulsive disorder and generalized anxiety disorder. J Anxiety Disord. 2011;25(2):293–301. [DOI]
14. Aardema F, Radomsky AS, Moulding R, Wong SF, Bourguignon L, Giraldo–O'Meara M. Development and validation of the multidimensional version of the fear of self questionnaire: corrupted, culpable and malformed feared possible selves in obsessive-compulsive and body–dysmorphic symptoms. Clin Psychol Psychother. 2021;28(5):1160–80. [DOI]
15. Guidano VF, Liotti G. Cognitive processes and emotional disorders: a structural approach to psychotherapy. Underlining/margin Notes edition. New York: The Guilford Press; 1983.
16. Seah R, Fassnacht D, Kyrios M. Attachment anxiety and self-ambivalence as vulnerabilities toward obsessive compulsive disorder. Journal of Obsessive–Compulsive and Related Disorders. 2018;18:40–6. [DOI]
17. Bhar SS, Kyrios M. An investigation of self-ambivalence in obsessive–compulsive disorder. Behav Res Ther. 2007;45(8):1845–57. [DOI]
18. Bhar SS. Self ambivalence in obsessive–compulsive disorder [Ph.D. dissertation]. [Melbourne, Australia]: University of Melbourne, Department of Psychology; 2004. [Article]
19. May E. Attachment security, self–concept clarity and beliefs in obsessive–compulsive disorder [Ph.D. dissertation]. [London, UK]: University of Hertfordshire; 2007. [Article]
20. Anderson J, Gerbing D. Structural equation modeling in practice: a review of recommended two–step approach. Psychological Bulletin. 1988;103(3):411–23. [DOI]
21. Chou CP, Bentler PM. Estimates and tests in structural equation modeling. In: Structural equation modeling: concepts, issues, and applications. Thousand Oaks, CA, US: Sage Publications, Inc; 1995. pp: 37–55.
22. Foa EB, Huppert JD, Leiberg S, Langner R, Kichic R, Hajcak G, et al. The Obsessive–Compulsive Inventory: development and validation of a short version. Psychol Assess. 2002;14(4):485–96.
23. Ghassemzadeh H, Shams G, Abedi J, Karamghadiri N, Ebrahimkhani N, Rajabloo M. Psychometric properties of a Persian–language version of the Obsessive–Compulsive Inventory–Revised: OCI–R–Persian. Psychology. 2011;2(3):210–5. [Persian] [DOI]
24. Brennan KA, Clark CL, Shaver PR. Self–report measurement of adult attachment: an integrative overview. In: Attachment theory and close relationships. New York, NY, US: The Guilford Press; 1998. pp: 46–76.
25. Wei M, Russell DW, Mallinckrodt B, Vogel DL. The Experiences in Close Relationship Scale (ECR) –Short Form: reliability, validity, and factor structure. Journal of Personality Assessment. 2007;88(2):187–204. [DOI]
26. Khojstemehr R, Kochki R, Rajabi G. Mediating role of relationship attributions and destructive conflict resolution strategies on the relationship between attachment styles and marital quality. Contemporary Psychology, Biannual Journal of the Iranian Psychological Association. 2013;7(2):3–14. [Persian] [Article]
27. Dadfarnia S, Moosavian E. The psychometric properties of Persian version of Self–Ambivalence Measure about obsessive compulsive disorder. Journal of Clinical Psychology. 2020;12(3):35–46. [Persian] [DOI]
28. Obsessive Compulsive Cognitions Working Group. Psychometric validation of the Obsessive Belief Questionnaire and Interpretation of Intrusions Inventory–part 2: factor analyses and testing of a brief version. Behav Res Ther. 2005;43(11):1527–42. [DOI]
29. Shams G, Karam Ghadiri N, Esmaeli Torkanbori Y, Ebrahimkhani N. Validation and reliability assessment of the Persian version of Obsessive Beliefs Questionnaire–44. Advances in Cognitive Science. 2004;6(1):23–36. [Persian] [Article]
30. Mehrabizadeh Honrmandan M, Davodi I, Shekarkan H, Najarian B. The role of cognitive factors, personality, family history and psychological stress in predicting obsessive–compulsive disorder. Journal of Educational Sciences and Psychology. 2007;14(1–2):27–56. [Persian]
31. Schumacker RE, Lomax RG. A beginner's guide to structural equation modeling. 4th ed. New York, London: Routledge; 2012. [DOI]
32. West SG, Finch JF, Curran PJ. Structural equation models with nonnormal variables: problems and remedies. In: Structural equation modeling: concepts, issues, and applications. Thousand Oaks, CA, US: Sage Publications, Inc; 1995. pp: 56–75.
33. Meyers LS, Gamst GC, Guarino AJ. Applied multivariate research: design and interpretation. 3rd ed. Los Angeles: SAGE Publications, Inc; 2016.
34. Stevens JP. Applied multivariate statistics for the social sciences. New York, London: Routledge; 2012. [DOI]
35. Kutner M, Nachtsheim C, Neter J, Li W. Applied linear statistical models. 5th ed. McGraw–Hill/Irwin; 2004.
36. Beshlideh K. Resarch methodes and statistical analysis of research examples using SPSS and AMOS (for studies in humanities). Ahvaz: Shahid Chamran University of Ahvaz; 2011. [Persian]
37. Turgeon L, O'Connor KP, Marchand A, Freeston MH. Recollections of parent–child relationships in patients with obsessive–compulsive disorder and panic disorder with agoraphobia. Acta Psychiatr Scand. 2002;105(4):310–6. [DOI]
38. Ivarsson T, Saavedra F, Granqvist P, Broberg AG. Traumatic and adverse attachment childhood experiences are not characteristic of OCD but of depression in adolescents. Child Psychiatry Hum Dev. 2016;47(2):270–80. [DOI]
39. Hodny F, Prasko J, Ociskova M, Vanek J, Holubova M. Attachment in patients with an obsessive compulsive disorder. Neuro Endocrinol Lett. 2021;42(5):283–91.
40. Rowa K, Purdon C, Summerfeldt LJ, Antony MM. Why are some obsessions more upsetting than others? Behav Res Ther. 2005;43(11):1453–65. [DOI]
41. Yarbro J, Mahaffey B, Abramowitz J, Kashdan TB. Recollections of parent–child relationships, attachment insecurity, and obsessive–compulsive beliefs. Personality and Individual Differences. 2013;54(3):355–60. [DOI]
42. Asad S, Dawood S. Attachment orientation, obsessive beliefs, and symptom severity in patients with obsessive compulsive disorder. Pakistan Journal of Psychological Research. 2015;30(2):207–23.
43. van der Meer LB, van Duijn E, Giltay EJ, Tibben A. Do attachment style and emotion regulation strategies indicate distress in predictive testing? J Genet Couns. 2015;24(5):862–71. [DOI]
44. McDonald HM, Sherman KA, Petocz P, Kangas M, Grant KA, Kasparian NA. Mindfulness and the experience of psychological distress: the mediating effects of emotion regulation and attachment anxiety. Mindfulness. 2016;7(4):799–808. [DOI]
45. Mikulincer M, Shaver PR, Pereg D. Attachment theory and affect regulation: the dynamics, development, and cognitive consequences of attachment–related strategies. Motivation and Emotion. 2003;27(2):77–102. [DOI]
46. Gillath O, Bunge SA, Shaver PR, Wendelken C, Mikulincer M. Attachment–style differences in the ability to suppress negative thoughts: exploring the neural correlates. Neuroimage. 2005;28(4):835–47. [DOI]
47. Coles ME, Schofield CA, Pietrefesa AS. Behavioral inhibition and obsessive–compulsive disorder. J Anxiety Disord. 2006;20(8):1118–32. [DOI]
48. Carpenter L, Chung MC. Childhood trauma in obsessive compulsive disorder: the roles of alexithymia and attachment. Psychol Psychother. 2011;84(4):367–88. [DOI]
49. Ahern C, Kyrios M, Moulding R. Self–based concepts and obsessive–compulsive phenomena. Psychopathology. 2015;48(5):287–92. [DOI]
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