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Effects of Memory Confidence and Responsibility on Obsessive-Compulsive Symptoms: Mediation of Maladaptive Perfectionism

Abstract

This study was conducted to examine the influence of responsibility, memory confidence, and maladaptive perfectionism on obsessive-compulsive symptoms. Four hundred fifteen college students (223 male students (53.7%) and 192 female students (46.3%)) from Jinju, Busan, Cheongju, and Masan participated in this study. Their average age was 21.5. To measure the variables of this study, we used the Obsessive Belief Questionnaire-Responsibility (OBQ-R), the Multidimensional Perfectional Scale (FMPS), the Memory and Cognitive Confidence Scale (MACCS), and the Padua Inventory (PI). The following summarizes the results of the analysis using structural equation modeling. It was verified that responsibility, memory confidence, and maladaptive perfectionism have a significant influence on obsessive-compulsive symptoms. Responsibility and memory confidence influenced the obsessive-compulsive symptoms with maladaptive perfectionism as a mediator. This finding indicated that maladaptive perfectionism is a critical variable for the generation and continuation of obsessive-compulsive symptoms. The meaning and limitations of this study were also discussed.

keywords
책임감, 기억확신, 부적응적 완벽주의, 강박증상, memory confidence, responsibility, maladaptive perfectionism, obsessive-compulsive symptoms

Reference

1.

권석만 (2003). 현대 이상심리학. 학지사.

2.

권준수 외 (2009). 강박증의 통합적 이해. 학지사.

3.

김윤희, 서수균 (2008). 완벽주의에 대한 고찰: 평가와 치료. 한국심리학회지: 상담 및 심리치료, 20, 581-613

4.

민병배, 원호택 (1999). 한국판 Maudsley 강박행동질문지와 Padua강박질문의 신뢰도 타당도. 한국 심리학회지: 임상, 18, 163-182.

5.

손은미 (2002). 완벽성향과 책임지각이 수행불안과 강박행동에 미치는 영향. 경북대 석사학위 논문.

6.

이순희 (2000). 도덕적, 인과적 책임감 및 불이행에 대한 책임감과 강박증상과의 관계. 서울대학교 석사학위 논문.

7.

현진원 (1992). 완벽주의 성향과 평가 수준이 과제수행에 미치는 영향. 연세대학교 석사학위논문.

8.

American Psychiatric Association (2000). Diagnostic and Statistical manual of mental disorders(4th ed. test rev.). washington, DC.

9.

Arntz, A., Voncken, M., Goosen, A. C. A. (2007). Responsibility and obsessive-compulsive disorder: An experimental study. Behaviour research and Therapy, 45, 425-435.

10.

Bouchard, C., Rhéaume, J., & Ladouceur, R. (1999). Responsibility and perfectionism in OCD: an experimental study. Behaviour research and Therapy, 37, 239-248.

11.

Burns, G. L., Keortge, S., Formea, G., & Sternberger, L. (1996). Revision of the Padua Inventory of obsessive-compulsive disorder symptoms: Distinction between worry, obsession, and compulsions. Behaviour research and Therapy, 34, 163-173.

12.

Constans, J. I., Foa, E. B., Franklin, M. E., & Mathews, A. (1995). Memory for actual an imagined events in OC checkers. Behaviour research and Therapy, 33, 571-665.

13.

Cougle, J. R., Lee, H. J. & Salkovskis, P. M. (2007). Are responsibility beliefs inflated in non-checking OCD patients? Journal of Anxiety Disorders, 21, 153-159.

14.

Ecker, W., Engelkamp, J. (1995). Memory for actions in obsessive-compulsive disorder. Behaviour and cognitive Psychotherapy, 23, 349-371.

15.

Frost, R. O., Marten, P., Lahart, C. & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449-468.

16.

Gibbs, N. A. (1996). Nonclinical Populations In Research On Obsessive-Compulsive Disorder: A Critical Review. Clinical Psychology Review 16, 729-773.

17.

Hewitt, P. L., & Flett, G. L. (1991). Perfectionism in the Self and Social Contexts: Conceptualization, Assessment, and Association With Psychopathology. Journal of Personality and Social Psychology, 60, 456-470.

18.

Kyrio, M., Wainwright, K., Purcell, R., Pantelis, C., & Maruff, P. (1999). Neuropsychological predictors of outcome following cognitive behaviour therapy for OCD. A pilot study. Paper presented at the Association for the Advancement of Behaviour Therapy, Toronto, Canada.

19.

McFall, M. E., & Wollersheim, J. P. (1979). Obsessive-compulsive neurosis: A cognitive -behavioral formulation and approach to treatment. Cognitive Therapy and Research, 3, 333-433.

20.

McKay, D., Abramowitz, J. S., Calamari, J. E., Kyrios, M., Radomsky, A., Sookman, D., Taylor, S. & Wilhelm, S. (2004). A critical evaluation of obsessive-compulsive disorder subtypes: Symptoms versus mechanisms. Clinical Psychology Review, 24, 283-313.

21.

McNally, R. J. & Kohlbeck, P. A. (1993). Reality monitoring in Obsessive-Compulsive Disorder. Behaviour research and Therapy, 31, 249-253.

22.

Muller, J. & Roberts, J. E. (2005). Memory and attention in Obsessive-Compulsive Disorder: a review. Journal of Anxiety Disorders, 19, 1-28.

23.

Nedeljkovic, M. & Kyrios, M. (2007). Confidence in memory and other cognitive processe in obsessive-compulsive disorder. Behaviour research and Therapy, 45, 2899-2914.

24.

Obsessive Compulsive Cognitions Working Group (1997). Cognitive Assessment Of Obsessive -Compulsive Disorder. Behaviour Research and Therapy 35, 667-681.

25.

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, 43, 1527-1542.

26.

Rachman, S. (1998). A cognitive theory of obsessions: elaborations. Behaviour Research and Therapy, 36, 385-401.

27.

Rhéaume, J., Freeston, M. H., Dugas, M. J., Letarte, H. & Ladouceur, R. (1995). Perfectionism, responsibility and Obsessive- Compulsive symptoms. Behaviour Research and Therapy, 33, 785-794.

28.

Rhéaume, J., Ladouceur, R. & Freeston, M. H. (2000). The prediction of obsessive-compulsive tendencies: does perfectionism play ansignificant role? Personality and Individual Differences, 28, 583-592.

29.

Salkovskis, P. M. (1985). Obsessional-Compulsive Problems: A Cognitive-Behavioural Analysis. Behaviour Research and Therapy, 23, 571-583.

30.

Salkovskis, P. M. (1989). Cognitive-behavioural factors and the persistence of intrusive thoughts in obsessional problems. Behaviour Research and Therapy, 27, 677-682.

31.

Salkovskis, P. M., Wroe, A. L., Gledhill, A., Morrison, N., Forrester, E., Richards, C., Reynolds, M. & Thorpe, S. (2000). Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder. Behaviour Research and Therapy 38, 347-372.

32.

Sanavio, E. (1988). Obsessions and compulsions: The Padua Inventory. Behaviour Research and Therapy, 26, 169-177.

33.

Tolin, D. F., Abramowitz, J. S., Brigidi, B. D., Amir, N., Street, G. P. & Foa, E. B. (2001). Memory and memory confidence in obsessive- compulsive disorder. Behaviour Research and Therapy 39, 913-927.

34.

Wilhem, S., McNally, R. J., Baer, L., & Florin, I. (1997). Autobiographical memory in Obsessive- Compulsive Disorder. British Journal of Clinical Psychology, 36, 21-31.

35.

Wood, C. M., Vevea, J. L., Chambless, D. L., & Bayen, U. J. (2002). Are compulsive checkers impaired in memory? A meta-analytic review. Clinical Psychology: Science and Practice, 9, 353-366.

36.

Wu, K. D. & Cortesi, G. T. (2009). Relations between perfectionism and obsessive-compulsive symptoms: Examination of specificity among the dimensions. Journal of Anxiety Disorders, 23, 393-400.

37.

Yorulmaz, O., Karanci, A. N., Tekok-Kilic, A. (2006). What are the role of perfectionism and responsibility in checking and cleaning compulsions? Journal of Anxiety Disorders, 20, 312-327.

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