Cognitive self-consciousness, implicit learning and obsessive–compulsive disorder
Abstract
The negative appraisal of commonly experienced intrusive thoughts is posited to play an important role in obsessive-compulsive disorder (OCD), although why some people focus on thought experiences and have difficulties dismissing intrusions is not well understood. To elucidate how intrusive thoughts might become obsessional problems, relations between thought-focused attention (cognitive self-consciousness; CSC), implicit sequence learning and OCD were evaluated in individuals with OCD (n=43) and in a nonclinical comparison group (n=41). Impaired performance on a serial reaction time test, but enhanced recognition of the embedded stimulus pattern, was predicted for the OCD group based on hypothesized nonconscious processing differences. Predicted differences were found and CSC score predicted reaction time and pattern recognition. CSC might be a consequence of conscious processing gating problems that increase thought salience and the likelihood of the negative appraisal of intrusive thoughts. Implications for theory and treatment are discussed.
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Several studies pointed out the impact that dysfunctional metacognitive beliefs can have on mental health.
“Several studies pointed out the impact that those dysfunctional metacognitive beliefs can have on mental health [26–30].”
From Association between time perspective and metacognition among Lebanese adults: the mediating role of mindfulness (2023) · cites this paper as [29]
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- Authors
- Marker, C. D., Calamari, J. E., Woodard, J. L., & Riemann, B. C.
- Affiliations
- Rosalind Franklin University of Medicine and Science (US)
- Corresponding author
- Calamari, John E.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2006
- Volume
- 20
- Issue
- 4
- Pages
- 389-407
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2060295695
- Cited by
- 41
- References
- 59
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 3 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 0.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (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
- obsessive-compulsive disorder, cognitive self-consciousness, intrusive thoughts, implicit sequence learning, serial reaction time, pattern recognition, negative appraisals
- MeSH terms
- Adolescent, Adult, Analysis of Variance, Attention, Consciousness, Female, Humans, Male, Middle Aged, Models, Psychological, Obsessive-Compulsive Disorder, Pattern Recognition, Visual, Reaction Time, Serial Learning, Case-Control Studies
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