Relationship of exposure to clinically irrelevant emotion cues and obsessive–compulsive symptoms
Abstract
Research has highlighted the role of emotion regulation as a common factor underlying emotional disorders. The current study examined the relationship of emotion regulation skills to obsessive-compulsive disorder (OCD) symptoms. Seven participants with a principal diagnosis of OCD in a multiple-baseline across subjects design were taught the skill of prevention of emotional avoidance in the context of emotion provocation procedures to clinically irrelevant (nonspecific) cues prior to practicing this skill with clinically relevant (OCD-specific) cues. Results suggested successful acquisition of emotion regulation skills (as evidenced by decreased thought suppression and increased acceptance of thoughts and feelings) in clinically irrelevant contexts. Acquisition of this skill was associated with decreases in obsessive-compulsive symptoms, even though clinically relevant cues were not introduced during this phase. Implementation of skills in clinically relevant contexts was associated with greater reductions in OCD symptoms. Discussion focuses on implications for emotion regulatory processes in the maintenance and treatment of emotional disorders.
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Both case series reported an increase in distress tolerance and a reduction in OCD symptoms.
“Both studies reported an increase in distress tolerance and a reduction in OCD symptoms.”
From Emotion and internal experience in Obsessive Compulsive Disorder: Reviewing the role of alexithymia, anxiety sensitivity and distress tolerance (2014) · cites this paper as Allen & Barlow, 2009
The intervention was more successful for reducing obsessions than compulsions.
“Linking with earlier findings, the intervention was more successful for reducing obsessions than compulsions.”
From Emotion and internal experience in Obsessive Compulsive Disorder: Reviewing the role of alexithymia, anxiety sensitivity and distress tolerance (2014) · cites this paper as Allen & Barlow, 2009
Two case series in patients with OCD identified that reducing experiential avoidance is associated with an improvement in symptoms, especially obsessions.
“Two case series in patients with OCD identified that reducing experiential avoidance is associated with an improvement in symptoms, especially obsessions.”
From Emotion and internal experience in Obsessive Compulsive Disorder: Reviewing the role of alexithymia, anxiety sensitivity and distress tolerance (2014) · cites this paper as Allen & Barlow, 2009
Both were case series of treatment using Acceptance and Commitment Therapy (ACT) or some of its components.
“Both were case series of treatment using Acceptance and Commitment Therapy (ACT) or some of its components.”
From Emotion and internal experience in Obsessive Compulsive Disorder: Reviewing the role of alexithymia, anxiety sensitivity and distress tolerance (2014) · cites this paper as Allen & Barlow, 2009
Both studies reported an increase in distress tolerance and a reduction in OCD symptoms.
“Both studies reported an increase in distress tolerance and a reduction in OCD symptoms.”
From Emotion and internal experience in Obsessive Compulsive Disorder: Reviewing the role of alexithymia, anxiety sensitivity and distress tolerance (2014) · cites this paper as Allen & Barlow, 2009
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- Authors
- Allen, L. B., & Barlow, D. H.
- Affiliations
- University of California, Los Angeles (US)
- Boston University (US)
- Corresponding author
- Allen, Laura B.
- ORCID
- Barlow, David H.
- Venue
- Behavior Modification
- Publisher
- SAGE Publications
- Published
- 2009-11
- Volume
- 33
- Issue
- 6
- Pages
- 743-762
- ISSN
- 0145-4455 (ISSN-L)
- 1552-4167
- OpenAlex
- W2096734778
- Cited by
- 49
- References
- 49
- Citations by year
- 2025: 4 · 2024: 5 · 2023: 8 · 2022: 4 · 2020: 7 · 2019: 3 · 2018: 4 · 2017: 3 · 2016: 1 · 2015: 2 · 2014: 4 · 2012: 1
- FWCI
- 1.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavior Modification (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 symptoms, obsessive-compulsive disorder, emotion regulation, emotion regulation skills, thought suppression, skill acquisition, skill generalization
- MeSH terms
- Adult, Affect, Behavior Therapy, Cues, Emotions, Female, Humans, Male, Obsessive-Compulsive Disorder, Personality Assessment, Surveys and Questionnaires, Patient Selection, Diagnostic and Statistical Manual of Mental Disorders
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