Relationships between thought-action fusion, thought suppression and obsessive–compulsive symptoms: a structural equation modeling approach
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Research has shown that there are strong similarities in content between the obsessions and compulsions that characterize obsessive-compulsive disorder and nonclinical obsessions and compulsions. However, clinical and nonclinical obsessions and compulsions do differ with respect to characteristics like frequency, intensity, discomfort and elicited resistance. Two separate concepts have been invoked to explain how normal obsessions and compulsions may develop into clinical phenomena. First, it is suggested that thought-action fusion (TAF) contributes to obsessive-compulsive symptoms. Second, thought suppression may intensify obsessive-compulsive symptoms due to its paradoxical effect on intrusive thoughts. Although both phenomena have been found to contribute to obsessive-compulsive symptoms, possible interactions between these two have never been investigated. The current study explored how TAF and thought suppression interact in the development of obsessive-compulsive symptoms. Undergraduate psychology students (N = 173) completed questionnaires pertaining to TAF, thought suppression and obsessive-compulsive symptoms. Covariances between the scores on these questionnaires were analyzed by means of structural equation modeling. Results suggest that TAF triggers thought suppression, while thought suppression, in turn, promotes obsessive-compulsive symptoms.
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Several studies have shown associations between OCD and cognitive variables including inflated responsibility, threat perceptions, lowered memory confidence, difficulty tolerating uncertainty, perfectionism, thought-action fusion, and over-importance/need to control thoughts.
“Several studies have shown associations between OCD and cognitive variables including inflated responsibility and threat perceptions, lowered confidence in memory, difficulty tolerating uncertainty, perfectionism, thought-action fusion, and the over-importance of and need to control thoughts (e.g. Abramowitz et al., 2006; Moore & Abramowitz, 2007; Rassin et al., 2000; Salkovskis et al., 2000; Shaf”
From An update on the efficacy of psychological treatments for obsessive-compulsive disorder in adults (2013) · cites this paper as Rassin et al., 2000
The Discussion reports correlations between thought-action fusion, thought suppression, and obsessive–compulsive symptom scores. This supports citing the study for those cognitive associations, but its participants were undergraduate students, so it does not establish associations in people diagnosed with OCD; it also does not test every variable in the citing sentence. (LLM, conf=0.85)
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What is Neuroticism, and Can We Treat it?
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- Authors
- Rassin, E., Muris, P., Schmidt, H., & Merckelbach, H.
- Affiliations
- Maastricht University (NL)
- Corresponding author
- Rassin, Eric
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2000-09
- Volume
- 38
- Issue
- 9
- Pages
- 889-897
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2124559892
- Cited by
- 127
- References
- 22
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 4 · 2022: 11 · 2020: 5 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 4 · 2015: 7 · 2014: 3 · 2013: 11 · 2012: 9
- FWCI
- 5.80
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, other-oa)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- 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
- thought-action fusion, thought suppression, obsessive-compulsive symptoms, obsession, compulsive behavior, intrusive thoughts, paradoxical effects, obsessive-compulsive disorder, undergraduate students
- MeSH terms
- Adolescent, Adult, Compulsive Behavior, Female, Humans, Male, Models, Psychological, Obsessive Behavior, Obsessive-Compulsive Disorder, Psychiatric Status Rating Scales, Surveys and Questionnaires, Repression, Psychology, Thinking, Models, Statistical
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