Cited by 65Obsessive-Compulsive Spectrum DisordersAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMindfulness and Compassion Interventions

Self‐compassion and emotion regulation difficulties in obsessive–compulsive disorder

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Eichholz, Angelika, Schwartz, Caroline, Meule, Adrian, Heese, Julia, Neumüller, Jakob, Voderholzer, Ulrich·2020·Clinical Psychology & Psychotherapy

Abstract

Lack of self‐compassion and deficits in emotion regulation are associated with various psychopathological symptoms and may play a role in the development and maintenance of obsessive–compulsive disorder (OCD). However, further empirical research is still needed to better understand these constructs in the context of this disorder. The present study investigated the relation between self‐compassion, emotion regulation difficulties, obsessive beliefs, and obsessive–compulsive symptom severity in 90 patients with OCD using self‐report questionnaires. Symptom severity and obsessive beliefs were negatively correlated to self‐compassion and positively associated with emotion regulation difficulties. Additionally, self‐compassion showed a negative relation to emotion regulation difficulties. Emotion regulation difficulties—but not self‐compassion—predicted symptom severity when controlling for obsessive beliefs and depression in a hierarchical regression analysis. Further analyses showed that emotion regulation deficits mediated the relationship between self‐compassion and OCD symptom severity. Our results provide preliminary evidence that targeting self‐compassion and putting more emphasis on emotion regulation deficits might be promising treatment approaches for patients with OCD. Future studies could investigate which specific interventions that directly address these variables improve treatment outcome.

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  • There is a well-established link between trait self-compassion and OCD, such that greater OCD symptom severity is associated with low self-compassion.

    “There is a well‐established link between trait self‐compassion and OCD (Eichholz et al., 2020; Leeuwerik et al., 2019), such that greater OCD symptom severity is associated with low self‐compassion.”

    From A preliminary investigation of the relationships between attachment insecurity, fear of compassion, and <scp>OCD</scp> severity (2025) · cites this paper as Eichholz et al., 2020

    The Results (§3.1) report that self-compassion was negatively correlated with the other study variables, including OCD symptom severity, in patients with OCD. But §1.1 says only a few studies had examined self-compassion in OCD, so calling the link “well-established” overstates the paper’s characterization of the evidence. (LLM, conf=0.88)

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1 of the 86 references couldn’t be matched to a known paper.

Research works printed but not linked: 3

  1. Dilling, H., Mombour, W., & Schmidt, M. H. (Eds.) (2015). Weltgesundheitsorganisation. Internationale Klassifikation psychischer Störungen. ICD-10 Kapitel V (F). Klinisch-diagnostische Leitlinien (0th ed.). Bern: Hogrefe.
  2. a000088 · DOI · Paper page
  3. L60 · DOI

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Authors
Eichholz, A., Schwartz, C., Meule, A., Heese, J., Neumüller, J., & Voderholzer, U.
Affiliations
  • Ludwig-Maximilians-Universität München (DE)
  • Schön Klinik Roseneck (DE)
  • University Medical Center Freiburg (DE)
Corresponding author
Eichholz, Angelika
Venue
Clinical Psychology & Psychotherapy
Publisher
Wiley
Published
2020-04-14
Volume
27
Issue
5
Pages
630-639
ISSN
  • 1063-3995 (ISSN-L)
  • 1099-0879
OpenAlex
W3013920540
Cited by
65
References
86
Citations by year
2026: 4 · 2025: 15 · 2024: 13 · 2023: 17 · 2022: 9 · 2021: 5 · 2020: 2
FWCI
3.30
Type
journal article
Language
en
Open access
Locations
  • Clinical Psychology & Psychotherapy (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • OPUS Repository (Kooperativer Bibliotheksverbund Berlin-Brandenburg) (submittedVersion, cc-by-nc-nd)
  • Open access LMU (Ludwid Maxmilian's Universitat Munchen) (submittedVersion, cc-by-nc-nd)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Keywords
self-compassion, emotional dysregulation, obsessive-compulsive disorder, obsessive beliefs, symptom severity, depression, mediation, treatment goals
MeSH terms
Emotional Regulation, Adolescent, Adult, Aged, Empathy, Female, Humans, Male, Middle Aged, Obsessive-Compulsive Disorder, Surveys and Questionnaires, Self Concept, Young Adult

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