| Volume 5, Issue 4, 425-456, 2014 |
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|Cognitive Reactivity in Obsessional Rumination: A Naturalistic and Longitudinal Investigation|
| Yves Careau - Institut Universitaire en Sante Mentale de Montreal, Universite de Montreal, Canada and Clinique des Troubles Anxieux, Departement de psychologie, Institut Universitaire en Sante Mentale de Quebec |
| Kieron O'Connor - Institut Universitaire en Santé Mentale de Montréal, Université de Montréal, Canada and Département de psychiatrie, Université de Montréal, Canada |
| Lyse Turgeon - Institut Universitaire en Santé Mentale de Montréal, Université de Montréal, Canada and École de psychoéducation, Université de Montréal, Canada|
| Mark Freeston - Institut Universitaire en Santé Mentale de Montréal, Université de Montréal, Canada and School of Neurology, Neurobiology and Psychiatry, Faculty of Medical Sciences, University of Newcastle, UK|
|Volume 5, Issue 4, 2014, Pages 425-456|
|To date, evidence for cognitive reactivity in OCD has been provided through laboratory-based investigations assessing the impact of mood-states on obsessional appraisals and behaviours in experimenter controlled scenarios. In order to better grasp the dynamics of cognitive reactivity in OCD, the current study provides an extensive and intensive analysis of the longitudinal and naturalistic covariation between transient mood-states and appraisals across 8 individuals with obsessional rumination. Drawing on current models of cognitive reactivity, the use of different processing styles was hypothesised to differentially affect cognitive reactivity. Participants completed diaries recording mood-states and appraisals over the course of a cognitive behavior therapy (CBT) for OCD. Based on the sequential analysis of conditional probability, contingency magnitude estimations of covariations revealed the presence of cognitive reactivity in 7 out of 8 participants. Further, covariation between mood and cognition showed close relationships to the participants’ neutralization profiles associated with the Systematic, Superficial and Altered processing styles. |
|Table of Contents|
Adverse Mood-States, Thoughts, Appraisals, and Their Cues
Empirical Investigations of Cognitive Reactivity
Specific Processing Styles May Allow for the Operation of Cognitive Reactivity
Objectives and Hypotheses
Procedure and Measures
Participant selection measures.
Other cognitive, behavioural, and symptom measures.
Interval-contingent registration of mood-states and appraisals.
Sequential covariation of mood-states and appraisals.
CBT Tx impact on relevant variables.
Variables associated with cognitive reactivity.
Sequential Covariation of Mood-States and Appraisals
CBT Tx Impact on Relevant Variables
Variables Associated With Cognitive Reactivity
Correlates of Levels of Cognitive Reactivity
Correlates of Rates of Cognitive Reactivity
The Role of Dispositional Beliefs and Mood
|Yves Careau, Institut Universitaire en Santé Mentale de Québec, 2601, Ch. De la Canardière, local H-1113, Québec (Québec), Canada, H1N 3V2 |
|Obsessive-compulsive disorder, Cognitive reactivity, Neutralization, Processing styles, Daily process design, Longitudinal analysis |
|Received 13 Mar 2013; Revised 6 Feb 2014; Accepted 2 Mar 2014; In Press 14 Dec 2014 |