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What's control got to do with it? A systematic review of control beliefs in obsessive-compulsive disorder
Clinical Psychology Review ( IF 12.8 ) Pub Date : 2023-12-05 , DOI: 10.1016/j.cpr.2023.102372
Andrea Sandstrom , Sandra Krause , Catherine Ouellet-Courtois , Kenneth Kelly-Turner , Adam S. Radomsky

Current conceptualizations of control-related beliefs in Obsessive-Compulsive Disorder (OCD) have largely been limited to beliefs about the need to control thoughts. Although growing evidence supports the notion of considering broader control-related constructs in this disorder, there has been limited research aimed at integrating findings across studies, making it difficult to determine how different control-related beliefs may influence OCD symptoms. The current review sought to systematically analyze findings from all studies investigating the relationship between control beliefs and OCD. The systematic search identified 157 eligible articles that assessed the relationship between control beliefs and OCD symptoms. Results suggested that certain control beliefs (e.g., importance of/need to control of thoughts, sense of control, beliefs about losing control) may be more closely associated with OCD than others (e.g., locus of control, and desire for control). In general, control beliefs were positively associated with OCD, with effect sizes ranging from small to large depending on the symptom domain. Based on limited studies, the only control belief which demonstrated specificity to OCD was ICT. Findings support the importance of integrating additional control beliefs in conceptualizations of OCD and provide evidence to support the benefits of targeting these beliefs in cognitive behavioural therapy.



中文翻译:

控制有什么关系?强迫症控制信念的系统回顾

目前对强迫症(OCD)中与控制相关的信念的概念化在很大程度上仅限于关于需要控制思想的信念。尽管越来越多的证据支持在这种疾病中考虑更广泛的与控制相关的概念,但旨在整合跨研究结果的研究有限,因此很难确定不同的与控制相关的信念如何影响强迫症症状。当前的综述试图系统地分析所有研究控制信念与强迫症之间关系的研究结果。系统搜索确定了 157 篇符合条件的文章,评估了控制信念与强迫症症状之间的关系。结果表明,某些控制信念(例如,控制思想的重要性/需要、控制感、失去控制的信念)可能比其他信念(例如,控制源和控制欲望)与强迫症更密切相关。一般来说,控制信念与强迫症呈正相关,效应大小范围从小到大,具体取决于症状领域。根据有限的研究,证明强迫症特异性的唯一控制信念是信息通信技术。研究结果支持在强迫症概念化中整合额外控制信念的重要性,并提供证据支持在认知行为治疗中针对这些信念的益处。

更新日期:2023-12-05
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