Obsessive-compulsive disorder and its relationship with disgust vulnerability and conscientiousness
- Felix Inchausti 1
- Ana R. Delgado 2
- Gerardo Prieto 2
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1
Hospital Universitario de Badajoz
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Hospital Universitario de Badajoz
Badajoz, España
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2
Universidad de Salamanca
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ISSN: 0214-9915
Year of publication: 2015
Volume: 27
Issue: 3
Pages: 254-260
Type: Article
More publications in: Psicothema
Abstract
Background: The aim of this study was to analyze the relationship between Obsessive-Compulsive Disorder (OCD) symptoms, disgust vulnerability, and the Five Factor Model (FFM) of personality. Method: The sample consisted of 100 adult patients with OCD as a primary diagnosis and 246 with other anxiety disorders (OADs), who responded to OCD, disgust vulnerability, anxiety, depression and personality questionnaires. To perform parametric statistical calculations, all questionnaire scores were transformed from raw ordinal-scale scores to Rasch measures, with interval properties. Results: OCD patients scored significantly higher than OAD patients on DPSS-R Disgust Sensitivity and DPSS-R Disgust Propensity, with a large effect size observed on Disgust Propensity. Furthermore, strong correlations were observed between DPSS-R Propensity to Disgust model scores and DOCS Contamination model scores. Finally, NEO FFI Conscientiousness trait was significantly higher in OCD patients.
Bibliographic References
- Abramowitz, J.S., Deacon, B., Olatunji, B., Wheaton, M.G., Berman, N., Losardo, D., Timpano, K., McGrath, P., Riemann, B., Adams, T., Bjorgvinsson, T., Storch, E.A., & Hale, L. (2010). Assessment of obsessive-compulsive symptom dimensions: Development and evaluation of the Dimensional Obsessive-Compulsive Scale. Psychological Assessment, 22, 180-198.
- Abramowitz, J.S., Wheaton, M., & Storch, A. (2008). The status of hoarding as a symptom of obsessive-compulsive disorder. Behavior Research and Therapy, 46, 1026-1033.
- Alonso, P., Menchon, J.M., Jiménez, S., Segalas, J., Mataix-Cols, D., Jaurrieta, N., Labad, J., Vallejo, J., Cardoner, N., & Pujol, J. (2008). Personality dimensions in obsessive-compulsive disorder: Relation to clinical variables. Psychiatry Research, 15, 159-168.
- American Psychiatric Association (APA) (2013). Diagnostic and statistical manual of mental disorders 5th ed. Washington: American Psychiatric Publishing Group.
- Beck, A.T., Epstein, N., Brown, G., & Steer, R.A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.
- Beck, A.T., Steer, R.A., & Brown, G.K. (1996). BDI-II. Beck Depression Inventory Second Edition. Manual. San Antonio, TX: The Psychological Corporation.
- Cisler, J.M., Olatunji, B.O., & Lohr, J.M. (2009). Disgust, fear, and the anxiety disorders: A critical review. Clinical Psychology Review, 29, 34-46.
- Cohen, J., & Cohen, P. (1983). Applied multiple regression/Correlation analysis for the behavioral sciences (2nd edition). Hillsdale: L. Erlbaum Associates.
- Costa, P.T., & McCrae, R.R. (1992). Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory (NEO-FFI) professional manual. Odessa, FL: Psychological Assessment Resources.
- Costa, P.T., & McCrae, R.R. (1999). Inventario de Personalidad NEO Revisado (NEO-PI-R) [NEO Personalty Inventory Revised (NEO PI-R)]. Madrid: TEA Ediciones.
- Crego, C., Samuel, D.B., & Widiger, T.A. (2015). The FFOCI and other measures and models of OCPD. Assessment, 22(2), 135-151.
- Deacon, B., & Olatunji, B.O. (2007). Specificity of disgust sensitivity in the prediction of behavioral avoidance in contamination fear. Behaviour Research and Therapy, 45, 2110-2120.
- First, M.B., Spitzer, R.L., Gibbon, M., & Williams, J.B.W. (2002). Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition With Psychotic Screen (SCID-I/P W/ PSY SCREEN). New York: Biometrics Research, New York State Psychiatric Institute.
- Foa, E.B., Huppert, J.D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., & Salkovskis, P.M. (2002). The Obsessive-Compulsive Inventory: Development and validation of a short version. Psychological Assessment, 14, 485-496.
- Fullana, M.A., López-Sola, C., & Pertusa, A. (2010). Spanish traslation and adaptation of the DOCS scale. University of North Caroline [on line]: Dimensional Obsessive Compulsive Scale (DOCS). [Chapel Hill, NC]: UNC. <http://www.unc.edu/~jonabram/DOCS.html> [Last consulted 23th May 2011].
- Fullana, M.A., Tortella-Feliu, M., Caseras, X., Andion, O., Torrubia, R., & Mataix-Cols, D. (2005). Psychometric properties of the Spanish version of the Obsessive-Compulsive Inventory-Revised in a non-clinical sample. Journal of Anxiety Disorders, 19, 893-903.
- Gillham, B. (2008). Developing a questionnaire (2nd ed.). London, UK: Continuum International Publishing Group Ltd.
- Gore, W.L., & Widiger, T.A. (2013). The DSM-5 dimensional trait model and five-factor models of general personality. Journal of Abnormal Psychology, 122(3), 816-821.
- Gottesman, I.I., & Gould, T.D. (2003). The endophenotype concept in psychiatry: Etymology and strategic intentions. American Journal of Psychiatry, 160, 636-645.
- Hopwood, C.J., Quigley, B.D., Grilo, C.M., Sanislow, C.A., McGlashan, T.H., Yen, S., Shea, M.T., Zanarini, M.C., Gunderson, J.G., Skodol, A.E., Markowitz, J.C., & Morey, L.C. (2008). Personality traits and mental health treatment utilization. Personality and Mental Health, 2, 207-217.
- Inchausti, F., & Delgado, A.R. (2012). Revisión de las medidas del Trastorno Obsesivo-Compulsivo (TOC) [Revision of the Obsessive Compulsive Disorder (OCD) measures]. Papeles del Psicólogo, 33, 22-29.
- Inchausti, F., Prieto, G., & Delgado, A.R. (2014). Rasch analysis of the Spanish version of the Mindful Attention Awareness Scale (MAAS) in a clinical sample. Revista de Psiquiatría y Salud Mental, 7(1), 32-41.
- Leckman, J.F., Denys, D., Simpson, H.B., et al. (2010). Obsessive-compulsive disorder: A review of the diagnostic criteria and possible subtypes and dimensional specifies for DSM-V. Depression and Anxiety, 27, 507-527.
- Linacre, J.M. (2002). Optimizing rating scale category effectiveness. Journal of Applied Measurement, 3, 85-106.
- Linacre, J.M. (2013). A user’s guide do Winstep Ministep: Rasch model computer program. Winsteps.com
- López-Sola, C., Gutiérrez, F., Alonso, P., Rosado, S., Taberner, J., Segalàs, C., Real, E., Menchón, J.M., & Fullana, M.A. (2014). Spanish version of the Dimensional Obsessive-Compulsive Scale (DOCS): Psychometric properties and relation to obsessive beliefs. Comprehensive Psychiatry, 55(1), 206-214.
- Loschiavo, F., Yumi, C., Sediyama, N., Vasconcelos, A., Neves, F., et al. (2013). Clinical Application of DEX-R for patients with Bipolar Disorder type I and II. Clinical Neuropsychiatry, 10(2), 86-94.
- Malpica, M.J., Ruiz, V.M., Godoy, A., & Gavino, A. (2009). Inventario de Obsesiones y Compulsiones-Revisado (OCI-R): aplicabilidad a la población general [Obsessions and Compulsions Inventory-Revised (OCI-R): Applicability to the general population]. Anales de Psicología, 25, 217-226.
- Mataix-Cols, D., Frost, R.O., Pertusa, A., Clark, L.A., Saxena, S., Leckman, J.F., et al. (2010). Hoarding disorder: A new diagnosis for DSM-V? Depression and Anxiety, 27, 556-572.
- Mataix-Cols, D., Rosario-Campos, M.C., & Leckman, J.F. (2005). A multidimensional model of obsessive-compulsive disorder. American Journal of Psychiatry, 162, 228-238.
- McKay, D., Abramowitz, J.S., Calamari, J.E., Kyrios, M., Radomsky, A., Sookman, D., Taylor, S., & Wilhelm, S. (2004). A critical evaluation of obsessive-compulsive disorder subtypes: Symptoms vs. mechanisms. Clinical Psychology Review, 24, 283-313.
- Miller, J.D., Pilkonis, P.A., & Mulvey, E.P. (2006). Treatment utilization and satisfaction: Examining the contributions of Axis II psychopathology and the Five-Factor Model of personality. Journal of Personality Disorders, 20, 369-387.
- Obsessive Compulsive Cognitions Working Group (2005). Psychometric validation of the Obsessive Beliefs Questionnaire and the Interpretation of Intrusions Inventory: Part 2: Factor analyses and testing of a brief version. Behaviour Research and Therapy, 43, 1527-1542.
- Olatunji, B.O., Moretz, M., Wolitzky-Taylor, K.B., McKay, D., McGrath, P., & Ciesielski, B. (2010). Disgust vulnerability and symptoms of contamination-based OCD: Descriptive tests of incremental specificity. Behavior Therapy, 41, 475-490.
- Olatunji, B.O., Tart, C., Ciesielski, B., McGrath, P.M., & Smits, J.A.J. (2011). Specificity of disgust vulnerability in the discrimination and treatment of OCD. Journal of Psychiatric Research, 45, 1236-1242.
- Prieto, G., & Delgado, A.R. (2003). Rasch-modelling a Test. Psicothema, 15, 94-100.
- Rasch, G. (1960). Probabilistic models for some intelligence and attainment test. Copenhagen, Denmark: Danish Institute for Educational Research.
- Reckase, M. (1979). Unifactor latent trait models applied to multi-factor tests: Results and implications. Journal of Educational Statistics, 4, 207-230.
- Rector, N.A., Hood, K., Richter, M.A., & Bagby, R.M. (2002). Obsessive-compulsive disorder and the five-factor model of personality: Assessing the distinction and overlap with major depressive disorder. Behavioural Research and Therapy, 40, 1205-1219.
- Saly Rosas, H.J., Vega-Dienstmaier, J.M., Mazzotti, S.G., Vidal, H., Guimas, B., Adrianzén, C., & Vivar, R. (2002). Validación de una versión en español de la Escala Yale-Brown para el Trastorno Obsesivo-Compulsivo [Validation of a version in Spanish of the Yale-Brown Obsessive-Compulsive Scale]. Actas Españolas de Psiquiatría, 30, 30-25.
- Samuel, D.B., Riddell, A.D.B., Lynam, D.R., Miller, J.D., & Widiger, T.A. (2012). A five-factor measure of obsessive-compulsive personality traits. Journal of Personality Assessment, 94, 456-465.
- Samuels, J., Nestadt, G., Bienvenu, O.J., Costa, P.T., Riddle, M.A., & Liang, K. (2000). Personality disorders and normal personality dimensions in obsessive-compulsive disorder. British Journal of Psychiatry, 177, 457-462.
- Sandín, B., Chorot, P., Olmedo, M., & Valiente, R.M. (2008). Escala de propensión y sensibilidad al asco revisada (DPSS-R): propiedades psicométricas y relación del asco con los miedos y los síntomas obsesivo-compulsivos [Disgust Propensity and Sensitivity Scale-Revised (DPSS-R): Psychometric properties and relationships of disgust with fears and obsessive-compulsive symptoms]. Análisis y Modificación de Conducta, 34, 93-136.
- Sanz, J., & Navarro, M.E. (2003). Propiedades psicométricas de una versión española del Inventario de Ansiedad de Beck (BAI) en estudiantes universitarios [The psychometric properties of a Spanish version of the Beck Anxiety Inventory (BAI) in a university students]. Ansiedad y Estrés, 9, 59-84.
- Sanz, J., Navarro, M.E., & Vázquez, C. (2003). Adaptación española del Inventario para la Depresión de Beck-II (BDI-II): propiedades psicométricas en estudiantes universitarios [Spanish adaptation of the Beck Depression Inventory-II (BDI-II): Psychometric properties with university students]. Análisis y Modificación de Conducta, 29, 239-288.
- Simblett, S.K., & Bateman, A. (2011). Dimensions of the Dysexecutive (DEX) questionnaire examined using Rasch analysis. Neuropsychological Rehabilitation, 21, 1-25.
- Steketee, G., Frost, R., & Bogart, K. (1996). The Yale-Brown Obsessive Compulsive Scale: Interview vs. Self-report. Behavioral Research and Therapy, 43, 675-684.
- van Overveld, J.M., de Jong, P.J., Peters, M.L., Cavanagh, K., & Davey, C.L. (2006). Disgust propensity and disgust sensitivity: Separate constructs that are differentially related to specific fears. Personality and Individual Differences, 41, 1241-1252.
- Wilson, M. (2005). Constructing measures. Mahwah, NJ: LEA
- Wright, B.D., & Stone, M.H. (1979). Best test design. Chicago: MESA Press.