Background: Obsessive-compulsive disorder (OCD) is associated with particular cognitive processes, such as beliefs about the importance of intrusive thoughts. The present study examined the explanatory power of guilt sensitivity to OCD symptom dimensions after controlling for well-established cognitive predictors.
Methods: 164 patients with OCD completed self-reported measures of OCD and depressive symptoms, obsessive beliefs, and guilt sensitivity. Bivariate correlations were examined, and latent profile analysis (LPA) was used to generate groups based on symptom severity scores. Differences in guilt sensitivity were examined across latent profiles.
Results: Guilt sensitivity was most strongly associated with unacceptable thoughts and responsibility for harm OCD symptoms, and moderately with symmetry. After controlling for depression and obsessive beliefs, guilt sensitivity added explanatory power to the prediction of unacceptable thoughts. LPA identified 3 profiles; profile-based subgroups significantly differed from one another in terms of guilt sensitivity, depression, and obsessive beliefs.
Conclusions: Guilt sensitivity is relevant to various OCD symptom dimensions. Above and beyond depression and obsessive beliefs, guilt sensitivity contributed to the explanation of repugnant obsessions. Theory, research, and treatment implications are discussed.
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Article Synopsis
- Relational utility is the concept that emphasizes how valuable another person is to achieving one's personal goals through social interactions, which can affect feelings of guilt when one harms that person.
- A study by Nelissen (2014) suggested that people experience stronger guilt for hurting someone with high relational utility, but this connection wasn't consistently replicated in newer research, especially regarding the role of regret.
- The present research aimed to explore the relationship between relational utility, guilt, and regret by conducting two studies, finding a link between relational utility and regret in one study but not in the other, prompting discussions on potential reasons for the differing results.
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