Disgust and fear responding in contamination-based obsessive-compulsive disorder during pictorial exposure
Abstract
The emotion of disgust has been implicated in the development and maintenance of contamination-based obsessive-compulsive disorder (OCD). In the present study nonclinical participants with high (n=26) and low (n=28) levels of OCD contamination symptoms were exposed to 2 categories of disgust stimuli (blood injury and body waste) across 4 blocks using standardized disgust images. Self-report disgust and fear were recorded, as well as cardiovascular heart rate. In both groups, an initial primary disgust reaction was observed. Self-report disgust and fear, but not heart rate deceleration, was greater in the high symptom group. The high symptom group showed reductions in heart rate deceleration, whereas the low symptom group did not. Significant differences in self-report changes across time were observed between the groups, with fear increasing to a greater extent for high contamination fearful individuals when viewing body waste images. The implications of these findings for theoretical models and clinical treatment of OCD with prominent contamination symptoms are discussed.
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Disorder specific stimuli have been found to elicit negative facial expressions and subjective feelings of fear and disgust.
“Furthermore, disorder specific stimuli have been found to elicit negative facial expressions and subjective feelings of fear and disgust (Broderick et al., 2013;Soussignan et al., 2011;Uher et al., 2004).”
From Meta-analytic review of the effects of a single dose of intranasal oxytocin on threat processing in humans (2018) · cites this paper as Broderick et al., 2013
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- Authors
- Broderick, J., Grisham, J. R., & Weidemann, G.
- Affiliations
- UNSW Sydney (AU)
- Venue
- Behavior Therapy
- Publisher
- Elsevier BV
- Published
- 2013-03
- Volume
- 44
- Issue
- 1
- Pages
- 27-38
- ISSN
- 0005-7894 (ISSN-L)
- OpenAlex
- W1996745714
- Cited by
- 22
- References
- 68
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 5 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 1
- FWCI
- 1.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavior Therapy (publishedVersion)
- PubMed (publishedVersion)
- 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 › Psychoanalysis and Psychopathology Research
- Keywords
- disgust, fear, heart rate deceleration, emotion regulation
- MeSH terms
- Adolescent, Adult, Emotions, Fear, Female, Heart Rate, Humans, Male, Obsessive-Compulsive Disorder, Photic Stimulation, Surveys and Questionnaires, Self Report
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