Abstract
Objective: This study aimed to explore the relationship among cognitive fusion, experiential avoidance, and obsessive–compulsive symptoms in patients with obsessive–compulsive disorder (OCD).Methods: A total of 118 outpatient and inpatient patients with OCD and 109 healthy participants, gender- and age-matched, were selected using cognitive fusion questionnaire (CFQ), acceptance and action questionnaire−2nd edition (AAQ-II), Yale–Brown scale for obsessive–compulsive symptoms, Hamilton anxiety scale, and Hamilton depression scale for questionnaire testing and data analysis.Results: The levels of cognitive fusion and experiential avoidance in the OCD group were significantly higher than those in the healthy control group (P < 0.05). Regression analysis results showed that, in predicting the total score of obsessive–compulsive symptoms, AAQ-II (β = 0.233, P < 0.05) and CFQ (β = 0.262, P < 0.01) entered the equation, which explained 17.1% variance. In predicting anxiety, only AAQ-II (β = 0.222, P < 0.05) entered the equation, which explained 13% variance. In the prediction of depression, AAQ-II (β = 0.412, P < 0.001) entered the equation, which explained 17.7% variance.Conclusion: Cognitive fusion and experiential avoidance may be important factors for the maintenance of OCD, and experiential avoidance can positively predict the anxiety and depression of OCD patients.
Highlights
Obsessive–compulsive disorder (OCD) is the fourth most common psychiatric disorder following depression, alcohol dependence, and phobia, with obsessions and compulsions as the main symptoms (De Putter and Koster, 2017)
Based on the theoretical basis of acceptance commitment therapy (ACT), using Chinese OCD patients as samples, this study intends to explore the relationship among obsessive–compulsive symptoms, cognitive fusion, and experiential avoidance; find treatment methods to alleviate symptoms based on two aspects, namely, cognitive fusion and experiential avoidance; provide a specific direction for ACT intervention in clinical OCD; and promote the localized development of ACT
One-way ANOVA results showed no significant difference in cognitive fusion (t = −1.097, P = 0.275) and experiential avoidance (t = 1.208, P = 0.23) scores among patients with OCD at age of onset
Summary
A total of 118 outpatient and inpatient patients with OCD and 109 healthy participants, gender- and age-matched, were selected using cognitive fusion questionnaire (CFQ), acceptance and action questionnaire−2nd edition (AAQ-II), Yale–Brown scale for obsessive–compulsive symptoms, Hamilton anxiety scale, and Hamilton depression scale for questionnaire testing and data analysis
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