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Relationships between thought-action fusion, thought suppression and obsessive–compulsive symptoms: a structural equation modeling approach
Open accessAbstract
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 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
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Metadata
- 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
About these checks
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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