3 research outputs found
The Obsessive Compulsive Scale of the Child Behavior Checklist predicts obsessive-compulsive disorder: a receiver operating characteristic curve analysis
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/71857/1/j.1469-7610.2005.01465.x.pd
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Cognitive appraisals in young people with obsessive-compulsive disorder
Background: A number of cognitive appraisals have been identified as important in the manifestation
of obsessive-compulsive disorder (OCD) in adults. There have, however, been few attempts to explore
these cognitive appraisals in clinical groups of young people. Method: This study compared young
people aged between 11 and 18 years with OCD (N ¼ 28), young people with other types of anxiety
disorders (N ¼ 28) and a non-clinical group (N ¼ 62) on three questionnaire measures of cognitive
appraisals. These were inflated responsibility (Responsibility Attitude Scale; Salkovskis et al., 2000),
thought–action fusion – likelihood other (Thought–Action Fusion Scale; Shafran, Thordarson & Rachman,
1996) and perfectionism (Multidimensional Perfectionism Scale; Frost, Marten, Luhart &
Rosenblate, 1990). Results: The young people with OCD had significantly higher scores on inflated
responsibility, thought–action fusion – (likelihood other), and one aspect of perfectionism, concern over
mistakes, than the other groups. In addition, inflated responsibility independently predicted OCD
symptom severity. Conclusions: The results generally support a downward extension of the cognitive
appraisals held by adults with OCD to young people with the disorder. Some of the results, however,
raise issues about potential developmental shifts in cognitive appraisals. The findings are discussed in
relation to implications for the cognitive model of OCD and cognitive behavioural therapy for young
people with OCD. Keywords: Cognitive models, inflated responsibility, obsessive-compulsive disorder,
perfectionism, thought–action fusion. Abbreviations: ADIS-C: Anxiety Disorders Interview Schedule
for Children; ADIS-P: Anxiety Disorders Interview Schedule for Parents; E/RP: Exposure/Response
Prevention; LOI-CV: Leyton Obsessional Inventory – Child Version; MPS: Multidimensional Perfectionism
Scale; OCD: Obsessive-Compulsive Disorder; RAS: Responsibility Attitude Scale; TAF-LO:
Thought–Action Fusion – (Likelihood Other)