Why Do People with OCD and Health Anxiety Seek Reassurance Excessively? An Investigation of Differences and Similarities in Function
Open accessAbstract
Excessive reassurance seeking (ERS) is commonly reported in patients who have OCD or health anxiety. Despite its prevalence and associated risk of ongoing difficulties, little is known about the function of ERS. It has been conceptualised as a type of compulsive checking behaviour, but could also be seen as being a supportive maneuver. This study offers a new approach towards defining ERS and support seeking (SS), and similarities between these two constructs in a sample of OCD and health anxious patients. A semi-structured interview was employed. Participants reflected on the nature and goals of their reassurance and support seeking-its impact on themselves and other people. Twenty interviews were conducted, transcribed and analysed in accordance to framework thematic analysis. Six overarching themes were identified in terms of ERS and five for SS. Results revealed limited diagnosis specificity of ERS. Strikingly, participants with health anxiety did not report seeking support.
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Individuals with GAD likely seek reassurance from their partners with the aim of bolstering their feelings of safety and certainty regarding a particular outcome.
“It is likely that individuals with GAD seek reassurance from their partners with the aim of bolstering their feelings of safety and certainty regarding a particular outcome (Gústavsson et al ., 2021; Halldorsson and Salkovskis, 2017; Neal and Radomsky, 2020).”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Halldorsson and Salkovskis, 2017
The Introduction (page unavailable) defines excessive reassurance seeking as an attempt to increase one's perceived certainty of safety from harm. The Results and Discussion (pages unavailable) identify safety and certainty as motives among participants with OCD or health anxiety, but the paper does not establish that people with GAD seek reassurance specifically from partners for this purpose. (LLM, conf=0.86)
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- Authors
- Halldorsson, B., & Salkovskis, P. M.
- Affiliations
- University of Bath (GB)
- Corresponding author
- Halldorsson, Brynjar
- Venue
- Cognitive Therapy and Research
- Published
- 2017-02-18
- Volume
- 41
- Issue
- 4
- Pages
- 619-631
- ISSN
- 0147-5916 (ISSN-L)
- 1573-2819
- PMC
- PMC5504131
- OpenAlex
- W2588628161
- Cited by
- 48
- References
- 45
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 3 · 2023: 8 · 2022: 6 · 2021: 2 · 2020: 3 · 2019: 11 · 2018: 5 · 2017: 1
- FWCI
- 6.78
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Cognitive Therapy and Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- CentAUR (University of Reading) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- obsessive-compulsive disorder, health anxiety, support seeking, compulsive checking
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