Implicit approach and avoidance in patients with obsessive-compulsive disorder
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Implicit approach and avoidance in patients with obsessive-compulsive disorder. / Cludius, Barbara; Külz, Anne Katrin; Landmann, Sarah; Moritz, Steffen; Wittekind, Charlotte E.
in: J ABNORM PSYCHOL, Jahrgang 126, Nr. 6, 08.2017, S. 761-773.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Implicit approach and avoidance in patients with obsessive-compulsive disorder
AU - Cludius, Barbara
AU - Külz, Anne Katrin
AU - Landmann, Sarah
AU - Moritz, Steffen
AU - Wittekind, Charlotte E
N1 - (c) 2017 APA, all rights reserved).
PY - 2017/8
Y1 - 2017/8
N2 - Avoidance is regarded as an important feature for the development and maintenance of obsessive-compulsive disorder (OCD) and is usually assessed using explicit measures such as self-report scales. However, some behavioral schemata are unavailable to introspection, making them partially inaccessible by explicit measures. We used an approach-avoidance task (AAT) as an implicit measure to examine behavioral tendencies in patients with OCD, including patients with checking- and contamination-related symptoms (n = 63), compared with a healthy control group (n = 30). Participants were asked to respond to the color of a stimulus or stimulus frame by pulling a joystick toward themselves or by pushing it away. The stimuli were comprised of checking-related, contamination-related, and neutral pictures and words. Patients with contamination-related symptoms were slower when responding to OCD-related stimuli, independent of approach or avoidance. Unexpectedly, patients with checking-related symptoms were faster at pulling (approaching) and slower at pushing (avoiding) checking-related material compared with neutral stimuli. The slower pushing (avoiding) of checking-related compared with neutral material correlated positively with explicit ratings of avoidance. These results suggest a biased approach-avoidance tendency in patients with checking-related symptoms of OCD, but not in those with contamination-related symptoms of OCD. Future studies are necessary to assess whether the AAT might be useful in the assessment of treatment gains as well as whether it might be a training tool to enhance psychotherapeutic changes in OCD. (PsycINFO Database Record
AB - Avoidance is regarded as an important feature for the development and maintenance of obsessive-compulsive disorder (OCD) and is usually assessed using explicit measures such as self-report scales. However, some behavioral schemata are unavailable to introspection, making them partially inaccessible by explicit measures. We used an approach-avoidance task (AAT) as an implicit measure to examine behavioral tendencies in patients with OCD, including patients with checking- and contamination-related symptoms (n = 63), compared with a healthy control group (n = 30). Participants were asked to respond to the color of a stimulus or stimulus frame by pulling a joystick toward themselves or by pushing it away. The stimuli were comprised of checking-related, contamination-related, and neutral pictures and words. Patients with contamination-related symptoms were slower when responding to OCD-related stimuli, independent of approach or avoidance. Unexpectedly, patients with checking-related symptoms were faster at pulling (approaching) and slower at pushing (avoiding) checking-related material compared with neutral stimuli. The slower pushing (avoiding) of checking-related compared with neutral material correlated positively with explicit ratings of avoidance. These results suggest a biased approach-avoidance tendency in patients with checking-related symptoms of OCD, but not in those with contamination-related symptoms of OCD. Future studies are necessary to assess whether the AAT might be useful in the assessment of treatment gains as well as whether it might be a training tool to enhance psychotherapeutic changes in OCD. (PsycINFO Database Record
KW - Journal Article
U2 - 10.1037/abn0000269
DO - 10.1037/abn0000269
M3 - SCORING: Journal article
C2 - 28425736
VL - 126
SP - 761
EP - 773
JO - J ABNORM PSYCHOL
JF - J ABNORM PSYCHOL
SN - 0021-843X
IS - 6
ER -