Heightened but Inefficient Thought-Action Fusion in Obsessive-Compulsive Disorder: New Insight From a Multiple Trial Version of the Classic Thought-Action Fusion Experiment
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Objective Thought-action fusion (TAF), which is a tendency to make the relationship between one’s thoughts and external consequences, is a dysfunctional belief linked to obsessive-compulsive disorder (OCD). While the TAF is commonly evaluated using the Thought-Action Fusion Scale (TAFS), it cannot fully reflect the actual experience of experimentally evoked TAF. In the present study, we applied a multiple-trial version of the classic TAF experiment and evaluate two variables, reaction time (RT) and emotional intensity (EI).Methods Ninety-three patients with OCD and 45 healthy controls (HCs) were recruited. The participants were asked to read the name of a close or neutral person embedded in different positive (PS) or negative (NS) TAF statements. During the experiments, RT and EI were gathered.Results The OCD patients presented with longer RT and lower EI in the NS condition than HCs. In each group, the HCs showed a significant relationship between RT in the NS condition and TAFS scores, whereas the patients did not, although they had higher TAFS scores than the HCs. In contrast, the patients showed a trend toward a correlation between RT in the NS condition and guilt.Conclusion These findings may indicate our multiple-trial version of the classical TAF showed reliable results of the two new variables, especially RT, in the task and allow to newly identify paradoxical patterns in which the TAFS scores are high but actual performance is impaired, that is, the inefficient activation of TAF in OCD.
Abstract
Objective Thought-action fusion (TAF), which is a tendency to make the relationship between one’s thoughts and external consequences, is a dysfunctional belief linked to obsessive-compulsive disorder (OCD). While the TAF is commonly evaluated using the Thought-Action Fusion Scale (TAFS), it cannot fully reflect the actual experience of experimentally evoked TAF. In the present study, we applied a multiple-trial version of the classic TAF experiment and evaluate two variables, reaction time (RT) and emotional intensity (EI).Methods Ninety-three patients with OCD and 45 healthy controls (HCs) were recruited. The participants were asked to read the name of a close or neutral person embedded in different positive (PS) or negative (NS) TAF statements. During the experiments, RT and EI were gathered.Results The OCD patients presented with longer RT and lower EI in the NS condition than HCs. In each group, the HCs showed a significant relationship between RT in the NS condition and TAFS scores, whereas the patients did not, although they had higher TAFS scores than the HCs. In contrast, the patients showed a trend toward a correlation between RT in the NS condition and guilt.Conclusion These findings may indicate our multiple-trial version of the classical TAF showed reliable results of the two new variables, especially RT, in the task and allow to newly identify paradoxical patterns in which the TAFS scores are high but actual performance is impaired, that is, the inefficient activation of TAF in OCD.
참고문헌 (48)
- Clark DA, "The assessment of unwanted intrusive thoughts : a review and critique of the literature", Behav Res Ther, 33, pp.967~976 (1995)
- Salkovskis PM, "Obsessional-compulsive problems : a cognitive-behavioural analysis", Behav Res Ther, 23, pp.571~583 (1985)
- Abramowitz JS, "Is thought-action fusion specific to obsessive-compulsive disorder? : a mediating role of negative affect", Behav Res Ther, 41, pp.1069~1079 (2003)
- Berle D, "Thought-action fusion : review of the literature and future directions", Clin Psychol Rev, 25, pp.263~284 (2005)
- Emmelkamp PMG, "Metacognition, specific obsessive–compulsive beliefs and obsessive–compulsive behaviour", Clin Psychol Psychother, 6, pp.139~145 (1999)
- Shafran R, "Thought-action fusion : a review", J Behav Ther Exp Psychiatry, 35, pp.87~107 (2004)
- Thompson-Hollands J, "Thought-action fusion across anxiety disorder diagnoses : specificity and treatment effects", J Nerv Ment Dis, 201, pp.407~413 (2013)
- Rachman S, "Cognitive distortions : thought-action fusion", Clin Psychol Psychother, 6, pp.80~85 (1999)
- Shafran R, "Thought-action fusion in obsessive compulsive disorder", J Anxiety Disord, 10, pp.379~391 (1996)
- Rachman S, "Obsessions, responsibility and guilt", Behav Res Ther, 31, pp.149~154 (1993)
- Cartwright-Hatton S, "Beliefs about worry and intrusions : the meta-cognitions questionnaire and its correlates", J Anxiety Disord, 11, pp.279~296 (1997)
- Myers SG, "An experimental manipulation of metacognition : a test of the metacognitive model of obsessive-compulsive symptoms", Behav Res Ther, 51, pp.177~184 (2013)
- Obsessive Compulsive Cognitions Working Group, "Cognitive assessment of obsessive-compulsive disorder", Behav Res Ther, 35, pp.667~681 (1997)
- Rachman S, "Perceived responsibility : structure and significance", Behav Res Ther, 33, pp.779~784 (1995)
- Fleming SM, "How to measure metacognition", Front Hum Neurosci, 8, pp.443~ (2014)
- Berman NC, "Evaluation of an in vivo measure of thought–action fusion", J Cogn Psychother, 25, pp.155~164 (2011)
- Bocci L, "Does magical thinking produce neutralising behaviour? An experimental investigation", Behav Res Ther, 45, pp.1823~1833 (2007)
- Fergus TA, "Examining associations between thought-action fusion and state mental contamination following an in vivo thought induction task", J Obsessive Compuls Relat Disord, 17, pp.16~22 (2018)
- Rachman S, "How to remain neutral : an experimental analysis of neutralization", Behav Res Ther, 34, pp.889~898 (1996)
- Rassin E, "The contribution of thought-action fusion and thought suppression in the development of obsession-like intrusions in normal participants", Behav Res Ther, 39, pp.1023~1032 (2001)
- van den Hout M, "On becoming neutral : effects of experimental neutralizing reconsidered", Behav Res Ther, 39, pp.1439~1448 (2001)
- Berman NC, "The effects of familiarity on thought--action fusion", Behav Res Ther, 49, pp.695~699 (2011)
- Cougle JR, "Clarifying relations between thought-action fusion, religiosity, and obsessive–compulsive symptoms through consideration of intent", Cognit Ther Res, 37, pp.221~231 (2013)
- Siev J, "Predicting negative emotions in response to in vivo triggers of thought-action fusion", J Obsessive Compuls Relat Disord, 33, pp.100723~ (2022)
- Lee SW, "The neural correlates of thought-action fusion in healthy adults : a functional magnetic resonance imaging study", Depress Anxiety, 36, pp.732~743 (2019)
- Knyazev GG, "Predisposition to depression and implicit emotion processing", J Clin Exp Neuropsychol, 37, pp.701~709 (2015)
- Kim Ji Eun, "Thought-Action Fusion as Predictors of Obsessive-Compulsive Symptom Dimensions", PSYCHIATRY INVESTIGATION, 17(12), pp.1226~1235 (2020), 대한신경정신의학회[DOI]
- Reuman L, "Uncertain and fused : cognitive fusion, thought-action fusion, and the intolerance of uncertainty as predictors of obsessive-compulsive symptom dimensions", J Cogn Psychother, 31, pp.191~203 (2017)
- Salkovskis P, "Multiple pathways to inflated responsibility beliefs in obsessional problems : possible origins and implications for therapy and research", Behav Res Ther, 37, pp.1055~1072 (1999)
- Abramovitch A, "The neuropsychology of adult obsessive-compulsive disorder : a meta-analysis", Clin Psychol Rev, 33, pp.1163~1171 (2013)
- Shin NY, "Cognitive functioning in obsessivecompulsive disorder : a meta-analysis", Psychol Med, 44, pp.1121~1130 (2014)
- Lee SW, "Aberrant functional connectivity of neural circuits associated with thought-action fusion in patients with obsessive-compulsive disorder", Psychol Med, 52, pp.2106~2115 (2022)
- Lee Seung Jae, "Korean Version of the Thought-Action Fusion Scale: The Evidence for Its Psychometric Properties", PSYCHIATRY INVESTIGATION, 18(4), pp.348~356 (2021), 대한신경정신의학회[DOI]
- Abramowitz JS, "Assessment of obsessive-compulsive symptom dimensions : development and evaluation of the dimensional obsessivecompulsive scale", Psychol Assess, 22, pp.180~198 (2010)
- 김혜원, "한글판 차원적 강박척도의 표준화 연구", 신경정신의학, 52(3), pp.130~142 (2013), 대한신경정신의학회
- Myers SG, "Belief domains of the obsessive beliefs questionnaire-44(OBQ-44)and their specific relationship with obsessive-compulsive symptoms", J Anxiety Disord, 22, pp.475~484 (2008)
- 우충환, "강박신념의 강박증상 특이성 검증: 비임상 대학생 집단을 대상으로", Korean Journal of Clinical Psychology, 29(1), pp.35~52 (2010), 한국임상심리학회[DOI]
- Jones WH, "The guilt inventory", Psychol Rep, 87(3 Pt 2), pp.1039~1042 (2000)
- Lee S, "The relationships of OC symptoms with moral and causal responsibility and with omission", pp.2000
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Lee YH, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", Kor J Clin Psychol, 10, pp.98~113 (1991)
- Snyder HR, "Obsessive-compulsive disorder is associated with broad impairments in executive function : a meta-analysis", Clin Psychol Sci, 3, pp.301~330 (2015)
- Jansen M, "Social cognition and obsessive-compulsive disorder : a review of subdomains of social functioning", Front Psychiatry, 11, pp.118~ (2020)
- Fontenelle LF, "Decoding moral emotions in obsessive-compulsive disorder", Neuroimage Clin, 19, pp.82~89 (2018)
- Kang JI, "Abnormalities of emotional awareness and perception in patients with obsessive-compulsive disorder", J Affect Disord, 141, pp.286~293 (2012)
- Fergus TA, "Emotion regulation and obsessive–compulsive symptoms : a further examination of associations", J Obsessive Compuls Relat Disord, 3, pp.243~248 (2014)
- Robinson LJ, "Emotion and internal experience in obsessive compulsive disorder : reviewing the role of alexithymia, anxiety sensitivity and distress tolerance", Clin Psychol Rev, 34, pp.256~271 (2014)
- Rassin E, "Thought-action fusion as a causal factor in the development of intrusions", Behav Res Ther, 37, pp.231~237 (1999)