Perseveration induces dissociative uncertainty in obsessive-compulsive disorder.

J Behav Ther Exp Psychiatry

Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands; Altrecht Academic Anxiety Centre, Utrecht, The Netherlands.

Published: September 2016

AI Article Synopsis

  • The study explored the relationship between obsessive-compulsive-like perseveration and feelings of uncertainty, suggesting that perseveration may make it harder to access meaning.
  • Participants, including OCD patients and controls, repeated words multiple times and made relatedness judgments, which showed that both groups felt increased uncertainty after perseveration.
  • Despite the lack of speed differences in judgments, OCD patients experienced more dissociative uncertainty, indicating that perseveration could actually worsen their symptoms.

Article Abstract

Background And Objectives: Obsessive compulsive (OC)-like perseveration paradoxically increases feelings of uncertainty. We studied whether the underlying mechanism between perseveration and uncertainty is a reduced accessibility of meaning ('semantic satiation').

Methods: OCD patients (n = 24) and matched non-clinical controls (n = 24) repeated words 2 (non-perseveration) or 20 times (perseveration). They decided whether this word was related to another target word. Speed of relatedness judgments and feelings of dissociative uncertainty were measured. The effects of real-life perseveration on dissociative uncertainty were tested in a smaller subsample of the OCD group (n = 9).

Results: Speed of relatedness judgments was not affected by perseveration. However, both groups reported more dissociative uncertainty after perseveration compared to non-perseveration, which was higher in OCD patients. Patients reported more dissociative uncertainty after 'clinical' perseveration compared to non-perseveration..

Limitations: Both parts of this study are limited by some methodological issues and a small sample size.

Conclusions: Although the mechanism behind 'perseveration → uncertainty' is still unclear, results suggest that the effects of perseveration are counterproductive.

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Source
http://dx.doi.org/10.1016/j.jbtep.2016.02.001DOI Listing

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