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Journal of behavior therapy and experimental psychiatry · 2025

Repetitive negative thinking in OCD: Evaluation of novel scenarios for cognitive bias modification training.

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Bowles Chloe, White Rachel, Hirsch Colette R, Wahl Karina

Аннотация

BACKGROUND AND OBJECTIVES: Evidence suggests that repetitive negative thinking (RNT) is underpinned by interpretation bias which is heightened among individuals with OCD. Cognitive bias modification for interpretation training (CBM-I) may reduce RNT by modifying interpretation bias which could reduce OCD symptoms. This study evaluated novel scenarios in terms of appropriateness and validity for use in a future CBM-I study targeting OCD-related RNT. This included analysis of the associations between interpretation bias and OCD symptoms, RNT, and OCD-specific rumination, respectively.

METHODS: Forty-four novel CBM-I scenarios targeting RNT in OCD were developed based on clinical expertise and interviews of people with lived experience. A general population sample (N = 167) completed the missing word at the end of each scenario to resolve ambiguity. This provided a measure of interpretation bias, and item-level data on the materials' ability to assess negative and benign interpretations. Participants also completed measures of OCD symptoms, general RNT and OCD-specific rumination.

RESULTS: Most scenarios displayed strong item discrimination coefficients, and well-balanced valence of interpretation responses, with minimal improvements required for future use. Interpretation bias was moderately positively correlated with OCD symptoms, RNT, and OCD-specific rumination, indicating good criterion validity.

LIMITATIONS: The order of CBM-I scenarios was not randomised which may have led to order effects, and some participants failed to adhere to instructions causing missing data.

CONCLUSIONS: The evaluation of the CBM-I scenarios yielded encouraging results for their use in a future CBM-I single session study. This may lead the way for future interventions for OCD-related RNT.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты