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Cited by 16Obsessive-Compulsive Spectrum DisordersPsychoanalysis and Psychopathology ResearchChild Abuse and Trauma

Childhood emotional maltreatment, maladaptive coping and obsessive–compulsive symptoms in patients with obsessive–compulsive disorder

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Kadivari, Faranak, Najafi, Mahmoud, Khosravani, Vahid·2023·Clinical Psychology & Psychotherapy
DOI 10.1002/cpp.2829
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Abstract

Previous studies have reported childhood emotional maltreatment (CEM) to be associated with specific obsessive–compulsive (OC) symptoms, but maladaptive coping, which may be the underlying mechanism in this relationship, has not been evaluated yet. Thus, the present study aimed to examine the effects of CEM on the OC symptoms of responsibility for harm and unacceptable thoughts, as well as obsessive–compulsive disorder (OCD) severity, through maladaptive coping, including cognitive avoidance, experiential avoidance and emotional suppression in OCD patients (n = 360). The results showed that CEM had direct effects, as well as indirect effects via cognitive and experiential avoidance and emotional suppression, on responsibility for harm and unacceptable thoughts. In addition, the indirect effect of CEM on OCD severity was significantly mediated by the roles of cognitive avoidance and experiential avoidance. The present study adds new literature to evidence indicating the role of early childhood events in developing and maintaining OCD in which adverse maladaptive coping related to unpleasant childhood abuse plays an important role in OCD. More precisely, OCD patients who experience a history of CEM may further use maladaptive coping to cope with their distress and subsequently experience responsibility for harm, unacceptable thoughts and severe OCD.

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  • Emotional abuse in early childhood and traumatic experiences play a role in the development and maintenance of OCD and are associated with greater severity of obsessive-compulsive symptoms.

    “These findings, which focus on experiences of reproach, criticism, and threats to the relationship, could also be contextualized in light of other distal and proximal factors that contribute to increasing the risk of obsessions and compulsions, such as the presence of emotional abuse in early childhood and traumatic experiences (Kadivari et al., 2023; Santoro et al., 2023) that play a role in the”

    From TREATING GUILT-INDUCING SELF-TALK IN OCD WITH DRAMATIZED SOCRATIC DIALOGUE: A STEP BY STEP INTERVENTION (2024) · cites this paper as Kadivari et al., 2023

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Authors
Kadivari, F., Najafi, M., & Khosravani, V.
Affiliations
  • Semnan University (IR)
  • Shahid Beheshti University of Medical Sciences (IR)
Corresponding author
Najafi, Mahmoud
ORCID
Venue
Clinical Psychology & Psychotherapy
Publisher
Wiley
Published
2023-01-20
Volume
30
Issue
3
Pages
620-630
ISSN
  • 1063-3995 (ISSN-L)
  • 1099-0879
DOI
10.1002/cpp.2829
OpenAlex
W4316095847
Cited by
16
References
20
Citations by year
2026: 5 · 2025: 6 · 2024: 4 · 2023: 1
FWCI
4.66
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Clinical Psychology & Psychotherapy (publishedVersion)
  • PubMed (publishedVersion)
Funders
Semnan University
Topics
  • Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords
childhood emotional abuse, obsessive-compulsive disorder, maladaptive coping, cognitive avoidance, experiential avoidance, emotional suppression, responsibility for harm, unacceptable thoughts, OCD severity, early childhood adversity, mediation
MeSH terms
Adaptation, Psychological, Child, Child Abuse, Child, Preschool, Emotions, Humans, Obsessive-Compulsive Disorder, Patients

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

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