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The Relationship Between Obsessive-Compulsive Symptoms, Perfectionism, and Anxiety Sensitivity for Not Just Right Experiences
BEHAVIOUR CHANGE ( IF 1.5 ) Pub Date : 2017-08-22 , DOI: 10.1017/bec.2017.10
Lauren D. Irwin , Mairwen K. Jones

The obsessive-compulsive core dimensions model posits that compulsions are driven by harm avoidance, or to counteract a sense of incompleteness, known as ‘not just right experiences’ (NJREs). Evidence suggests NJREs are associated with obsessive-compulsive disorder (OCD) symptoms and maladaptive perfectionism. However, manipulations of NJREs have focused on the visual system, and have not been examined in the context of arousal fears associated with anxiety sensitivity (AS). This study examined the relationship between OC symptoms, perfectionism, and AS using in vivo manipulations of NJREs across visual, auditory, and tactile sensory modalities. Using a 2 (NJRE vs. JRE) × 2 (AS vs. no AS) between-subjects design, participants (N = 132) completed behavioural tasks designed to elicit NJREs and assess task discomfort and urge to counteract sensory-specific stimuli. Strong relationships were observed between task ratings and self-report measures of NJREs, incompleteness, OCD symptoms, maladaptive perfectionism, and AS. Those in the NJRE conditions gave significantly higher task ratings compared to JRE conditions; however, there was no main effect for AS. While maladaptive perfectionism and AS were significant predictors of task performance, there was no interaction between the two. The results confirm and extend research suggesting a strong association between NJREs and incompleteness motivations, as well as sensory-affective disturbance in OCD.

中文翻译:

强迫症状、完美主义和对不只是正确体验的焦虑敏感性之间的关系

强迫症核心维度模型假设强迫症是由避免伤害驱动的,或者是为了抵消一种不完整感,被称为“不只是正确的体验”(NJREs)。有证据表明,NJRE 与强迫症 (OCD) 症状和适应不良的完美主义有关。然而,NJRE 的操作主要集中在视觉系统上,并且尚未在与焦虑敏感性 (AS) 相关的唤醒恐惧的背景下进行检查。本研究通过视觉、听觉和触觉感官方式对 NJRE 进行体内操作,检查了 OC 症状、完美主义和 AS 之间的关系。使用 2(NJRE 与 JRE)×2(AS 与无 AS)的受试者间设计,参与者(ñ= 132) 完成了旨在引发 NJRE 并评估任务不适和抵制感觉特定刺激的冲动的行为任务。在任务评分和 NJRE、不完整性、强迫症症状、适应不良完美主义和 AS 的自我报告测量之间观察到强相关性。与 JRE 条件相比,NJRE 条件下的任务评分明显更高;但是,AS 没有主效应。虽然适应不良的完美主义和 AS 是任务绩效的重要预测因素,但两者之间没有相互作用。结果证实并扩展了研究,表明 NJRE 与不完整动机以及强迫症中的感觉情感障碍之间存在密切关联。
更新日期:2017-08-22
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