바로가기메뉴

본문 바로가기 주메뉴 바로가기

logo

Excessive Need for Thought Control, Cognitive Self-Consciousness, and Obsessions: The Mediational Role of Intrusive-Thought-Focused Coping Strategies

Abstract

This study was designed to explore the mediating effects of intrusive-thought-focused coping strategies on the relationship between excessive need for thought control, cognitive self-consciousness, and level of obsessions. A total of 312 university students participated in this study and completed questionnaires on intrusive thoughts (IOWQ), obsessional symptoms (PI), need for control (OBQ), cognitive self-consciousness (CSC-E), and use of coping strategies (WCCL). The data were analyzed using Structural Equation Modeling. The results showed that intrusive-thought-focused coping significantly mediated the relationship between the need for thought control, cognitive self-consciousness, and level of obsessions. In addition, in comparison to a fully mediated model, a partially mediated model including an additional direct path between need for thought control and level of obsessions better explained the data. The results of this study extend prior our understanding of the contribution of cognitive factors contributing to the development of obsessions by investigating developmental pathways. The implications and limitations of this study are also discussed, along with directions for future research, are also discussed.

keywords
사고통제욕구, 인지적 자의식, 침투사고중심 대처방략, 강박사고, excessive need for thought control, cognitive self-consciousness, obsessions, intrusive-thought-focused coping strategy, excessive need for thought control, cognitive self-consciousness, obsessions, intrusive-thought-focused coping strategy

Reference

1.

김교헌, (1994) 대학생의 심리적 스트레스와 대처 및 그 효과, 대한심신스트레스학회지

2.

김정희, (1985) 스트레스 대처방식의 구성요인 및 우울과의 관계, 행동과학연구

3.

김정희, (1987) 지각된 스트레스,인지세트 및 대처 방식의 우울에 대한 연구,

4.

김창윤, (2000) 정신장애 평가도구, 하나의학사

5.

민병배, (1999) 강박증상과 걱정의 관계, 한국심리학회지:임상

6.

민병배, (2000) 강박사고와 걱정:침투사고 대처과정 및 관련 성격특성에서의 유사점과 차이점,

7.

이서정, (2007) 사고통제욕구와 대처방략의 종류가 비임상집단의 강박증상에 미치는 영향, 한국임상심리학회 2007년 추계학술대회 자료집

8.

홍세희, (2000) 구조방정식 모형의 적합도 지수 선정기준과 그 근거, 한국심리학회지:임상

9.

Abramowitz, J. S., (2003) Thought control strategies in obsessive-compulsive disorder: a replication and extension, Behaviour Research and Therapy

10.

Amir, N., (1997) Strategies of thought control in obsessive -compulsive disorder, Behaviour Research and Therapy

11.

American Psychiatric Association, (1994) Diagnostic and statistical manual of mental disorders, The American Psychiatric Association

12.

Amstadter, A, Emotion regulation and anxiety disorders. Journal of Anxiety Disorders,

13.

Cartwright-Hatton, S., (1997) Beliefs about worry and intrusions: the Meta- Cognitions Questionnaire and its correlates, Journal of Anxiety Disorders

14.

Clark, D. A., (2003) The Meta-Cognitive Beliefs Questionnaire: development of a measure of obsessional beliefs, Behaviour Research and Therapy

15.

Cohen, R. J., (2004) Thought-focused attention and obsessive- compulsive symptoms: an evaluation of cognitive self-consciousness in a nonclinical sample, Cognitive Therapy and Research

16.

Foa, E. B., (1995) DSM-IV field trial: obsessive compulsive disorder, The American Journal of Psychiatry

17.

Forsythe, C., (1987) Interaction of cognitive appraisals of stressful events and coping: Testing the goodness of fit hypothesis, Cognitive Therapy and Research

18.

Freeston, M. H., (1997) What do patient do with their obsessive thoughts?, Behaviour Research and Therapy

19.

Frost, R. O., (1997) Perfectionism in obsessive-compulsive disorder patients, Behaviour Research and Therapy

20.

Gilbar, O., (2007) The correlation between coping strategies, doctor-patient/ spouse relationships and psychological distress among women cancer patients and their spouses, Psychooncology

21.

Gross, J. J., (2003) Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being, Journal of Personality and Social Psychology

22.

Holaway, R. M., (2006) A comparison of intolerance of uncertainty in analogue obsessive-compulsive disorder and generalized anxiety disorder, Journal of Anxiety Disorders

23.

Hollander, E., (1996) Obsessive-compulsive and spectrum disorders: Overview and quality of life issues, Journal of Clinical Psychiatry

24.

Janeck, A. S., (2003) Too much thinking about thinking?: metacognitive differences in obsessive-compulsive disorder, Journal of Anxiety Disorders

25.

Julien, D., (2007) Intrusive thoughts, obsessions, and appraisals in obsessive-compulsive disorder: a critical review, Clinical Psychology Review

26.

Ladouceur, R., (2000) Strategies Used With Intrusive Thoughts: A Comparison of OCD Patients With Anxious and Community Controls, Journal of Abnormal Psychology

27.

Lazarus, R. S., (1988) Manual for the Ways of Coping Questionnaire, Consulting Psychologists Press

28.

Lee, H. J., (2003) Two different types of obsession: autogenous obsessions and reactive obsessions, Behaviour Research and Therapy

29.

Li, C. E., (2006) The roles of sex, gender, and coping in adolescent depression, Adolescence

30.

Libby, S., (2004) Cognitive appraisals in young people with obsessive-compulsive disorder, Journal of Child Psychology Psychiatry

31.

McCracken, L. M., (1997) Attention to pain in persons with chronic pain: a behavioral approach, Behavior Therapy

32.

Moore, E. L., (2007) The cognitive mediation of thought-control strategies, Behaviour Research and Therapy

33.

Moulding, R., (2007) Obsessive-compulsive behaviours in specific situations: the relative influence of appraisals of control, responsibility and threat, Behaviour Research and Therapy

34.

Obsessive Compulsive Cognitions Working Group, (2001) Development and initial validation of the Obsessive Beliefs Questionnaire and the Interpretation of Intrusions Inventory, Behaviour Research and Therapy

35.

Obsessive Compulsive Cognitions Working Group, (2005) Psychometric validation of the obsessive belief questionnaire and interpretation of intrusions inventory Part 2: Factor analyses and testing of a brief version, Behaviour Research and Therapy

36.

Purdon, C., (2005) Thought suppression and its effects on thought frequency, appraisal and mood state in individuals with obsessive-compulsive disorder, Behaviour Research and Therapy

37.

Rachman, S. , (1997) A cognitive theory of obsessions, Behaviour Research and Therapy

38.

Rheaume, J., (1995) Perfectionism, responsibility and obsessive- compulsive symptoms, Behaviour Research and Therapy

39.

Sanavio, E., (1988) Obsessions and compulsions: the Padua Inventory, Behaviour Research and Therapy

40.

Salkovskis, P. M., (1985) Obsessional-compulsive problems: a cognitive-behavioural analysis, Behaviour Research and Therapy

41.

Salkovskis, P. M. , (1999) Understanding and treating obsessive-compulsive disorder, Behaviour Research and Therapy

42.

Shafran, R., (1996) Thought-action fusion in obsessive-compulsive disorder, Journal of Anxiety Disorders

43.

Taylor, S., (2002) Cognitive approaches to obsessions and compulsions: theory, assessment, and treatment, Elsevier

44.

Tolin, D. F., (2003) Intolerance of uncertainty in obsessive-compulsive disorder, Journal of Anxiety Disorder

45.

Tolin, D. F., (2006) Are “obsessive” beliefs specific to OCD?: a comparison across anxiety disorders, Behaviour Research and Therapy

46.

Watkins, E. , (2004) Adaptive and maladaptive ruminative self-focus during emotional processing, Behaviour Research and Therapy

47.

Wegner, D. M., (1987) Paradoxical effects of thought suppression, Journal of Personality and Social Psychology

48.

Weissman, M. M., (1994) The cross national epidemiology of obsessive compulsive disorder. The Cross National Collaborative Group, Journal of Clinical Psychiatry

49.

Wells, A., (1994) The Thought Control Questionnaire: A measure of individual differences in the control of unwanted thoughts, Behaviour Research and Therapy

logo