Hacia la comprensión de factores comunes entre trastornos clínicamente distintosLas intrusiones mentales en el espectro obsesivo-compulsivo

  1. Belén Pascual-Vera 1
  2. M. Ángeles Ruiz 1
  3. Amparo Belloch 2
  1. 1 Universidad Nacional de Educación a Distancia
    info

    Universidad Nacional de Educación a Distancia

    Madrid, España

    ROR https://ror.org/02msb5n36

  2. 2 Universidad de Valencia, Valencia, España
Revista:
Revista de psicopatología y psicología clínica

ISSN: 1136-5420

Año de publicación: 2022

Volumen: 27

Número: 1

Páginas: 1-11

Tipo: Artículo

DOI: 10.5944/RPPC.30174 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Revista de psicopatología y psicología clínica

Resumen

Este estudio examina si la propensión a experimentar intrusiones mentales no deseadas (IM) con contenidos obsesivos, dismórficos, hipocondríacos y alimentarios es un factor común de vulnerabilidad para esos trastornos. Un total de 149 estudiantes universitarios completaron el Inventario de Pensamientos Intrusos Desagradables (INPIDES), que evalúa la frecuencia y el malestar con que se experimentan los cuatro contenidos de IM, junto con autoinformes de síntomas. El 26.17% había experimentado las cuatro IM en los tres meses previos. Las puntuaciones de cada IM correlacionaron con su autoinforme específico de síntomas y predijeron las puntuaciones en ellos. El 61.53% de quienes tuvieron las cuatro IM, presentó riesgo de trastorno obsesivo-compulsivo (TOC). Estas personas, comparadas con quienes también habían experimentado las cuatro IM pero tenían bajo riesgo de TOC, informaron de más consecuencias negativas cuando tenían una IM, independientemente de su contenido. Las IM podrían ser factores transdiagnósticos y de vulnerabilidad comunes a trastornos mentales distintos.

Referencias bibliográficas

  • Abramowitz, J.S., & Jacoby, R.J. (2015). Obsessive-compulsive and related disorders: A critical review of the new diagnostic class. Annual Review of Clinical Psychology, 11, 165-186. http://dx.doi.org/10.1146/annurev-clinpsy-032813-153713
  • American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: Author.
  • Arnáez, S., García-Soriano, G., & Belloch, A. (2017). Hypochondriasis and illness intrusions: Development and validation of an assessment instrument. Behavioral Psychology/Psicología Conductual, 25, 165-186.
  • Avia, M.D. (1993). Hipocondría. (Hypochondriasis). Barcelona: Martínez Roca.
  • Aldao, A. (2012). Emotion regulation strategies as transdiagnostic processes: A closer look at the invariance of their form and function. Revista de Psicopatología y Psicología Clínica, 17, 261-277. http://dx.doi.org/10.5944/rppc.vol.17.num.3.2012.11843
  • Belloch, A. (2012). Propuestas para un enfoque transdiagnóstico de los trastornos mentales y del comportamiento: Evidencia, utilidad y limitaciones. Revista de Psicopatología y Psicología Clínica, 17 (3), 295-311. https://doi.org/10.5944/rppc.vol.17.num.3.2012.11845
  • Belloch, A., Carrió, C., Cabedo, E., & García-Soriano, G. (2015). Discovering what is hidden: The role of non-ritualized covert neutralizing strategies in obsessive-compulsive disorder. Journal of Behavior Therapy and Experimental Psychiatry, 49, 180-187. http://dx.doi.org/10.1016/j.jbtep.2015.02.006
  • Belloch, A., Roncero, M., García-Soriano, G., Carrió, C., Cabedo, E., & Fernández-Álvarez, H. (2013). The Spanish version of the Obsessive-Compulsive Inventory-Revised (OCI-R): Reliability, validity, diagnostic accuracy, and sensitivity to treatment effects in clinical samples. Journal of Obsessive-Compulsive and Related Disorders, 2, 249-256. https://dx.doi.org/10.1016/j.jocrd.2013.05.001
  • Belloch, A., Roncero, M., & Perpiñá, C. (2016). Obsessional and eating disorder‐related intrusive thoughts: Differences and similarities within and between individuals vulnerable to OCD or to EDs. European Eating Disorders Review, 24, 446-454. http://dx.doi.org/10.1002/erv.2458
  • Blackburn, J.F., Thompson, A.R., & May, J. (2012). Feeling good about being hungry: Food-related thoughts in eating disorders. Journal of Experimental Psychopathology, 3, 243-257. http://dx.doi.org/10.5127/jep.018711
  • Castro, J., Toro, J., Salamero, M., & Guimerá, E. (1991). The Eating Attitudes Test: Validation of the Spanish version. Evaluación Psicológica, 7, 175-189.
  • Clark, D.A., & Rhyno, S. (2005). Unwanted intrusive thoughts in non-clinical individuals. In: Clark, D.A. (Ed.) (2005). Intrusive thoughts in clinical disorders. Theory, research and treatment (pp.1-29). New York, NY: Guilford Press.
  • Fang, A., & Wilhelm, S. (2015). Clinical features, cognitive biases, and treatment of body dysmorphic disorder. Annual Review of Clinical Psychology, 11, 187-212. http://dx.doi.org/10.1146/annurev-clinpsy-032814-112849
  • Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., & Salkovskis, P. M. (2002). The Obsessive-Compulsive Inventory: development and validation of a short version. Psychological Assessment, 14, 485-496 http://dx.doi.org/10.1037/1040-3590.14.4.485
  • García-Soriano, G., Belloch, A., Morillo, C., & Clark, D.A. (2011). Symptom dimensions in obsessive-compulsive disorder: From normal cognitive intrusions to clinical obsessions. Journal of Anxiety Disorders, 25, 474-482. http://dx.doi.org/10.1016/j.janxdis.2010.11.012
  • García-Soriano, G., Roncero, M., Perpiñá, C., & Belloch, A. (2014). Intrusive thoughts in obsessive–compulsive disorder and eating disorder patients: A differential analysis. European Eating Disorders Review, 22, 191-199. http://dx.doi.org/10.1002/erv.2285
  • Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The eating attitudes test: psychometric features and clinical correlates. Psychological Medicine, 12 (4), 871-878. https://dx.doi.org/10.1017/S0033291700049163
  • Giraldo O'Meara, M. (2017). Universalidad y dimensionalidad de los pensamientos intrusos relacionados con el aspecto físico y su relación con la habilidad metacognitiva. (Universality and dimensionality of appearance-related defects intrusive thoughts and their relationsiphs with the metacognitive ability.) Tesis Doctoral. Universidad de Valencia, España. http://hdl.handle.net/10550/58521
  • Giraldo-O’Meara, M., & Belloch, A. (2018). Escalation from normal appearance related intrusive cognitions to clinical preoccupations in Body Dysmorphic Disorder: A cross-sectional study. Psychiatry Research, 265, 137-143. https://doi.org/10.1016/j.psychres.2018.04.047
  • Giraldo-O'Meara, M., & Belloch, A. (2019). The Appearance Intrusions Questionnaire: A self-report questionnaire to assess the universality and intrusiveness of preoccupations about appearance defects. European Journal of Psychological Assessment, 35, 423-435. doi:10.1027/1015-5759/a000406
  • Kogan, C.S., Stein, D.J., Maj, M., First, M.B., Emmelkamp, P.M., & Reed, G.M. (2016). The classification of anxiety and fear-related disorders in the ICD-11. Depression and Anxiety, 33, 1141-1154. http://dx.doi.org/10.1002/da.22530
  • Kollei, I., Schieber, K., de Zwaan, M., Svitak, M., & Martin, A. (2013). Body dysmorphic disorder and nonweight-related body image concerns in individuals with eating disorders. International Journal of Eating Disorders, 46, 52-59. http://dx.doi.org/10.1002/eat.22067
  • Muse, K., McManus, F., Hackmann, A., Williams, M., & Williams, M. (2010). Intrusive imagery in severe health anxiety: Prevalence, nature and links with memories and maintenance cycles. Behaviour Research and Therapy, 48, 792-798. http://dx.doi.org/10.1016/j.brat.2010.05.008
  • Nolen-Hoeksema, S., & Watkins, E.R. (2011). A heuristic for developing transdiagnostic models of psychopathology: Explaining multifinality and divergent trajectories. Perspectives on Psychological Science 6, 589–609. http://dx.doi.org/10.1177/1745691611419672
  • Obsessive Compulsive Cognitions Working Group (2003). Psychometric validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory: Part I. Behaviour Research and Therapy, 41, 863-878. http://dx.doi.org/10.1016/S0005-7967(02)00099-2
  • Osman, S., Cooper, M., Hackmann, A., & Veale, D. (2004). Spontaneously occurring images and early memories in people with body dysmorphic disorder. Memory, 12, 428-436. http://dx.doi.org/10.1080/09658210444000043
  • Pascual-Vera, B., Akin, B., Belloch, A., Bottesi, G., Clark, D.A., Doron, G., et al. (2019). The cross-cultural expression and transdiagnostic nature of unwanted mental intrusions. International Journal of Clinical and Health Psychology, 19, 85-96. https://doi.org/10.1016/j.ijchp.2019.02.005
  • Pascual Vera, B., & Belloch, A. (2018a). El carácter transdiagnóstico de las intrusiones mentales: una revisión y una propuesta basada en datos. Revista de Psicopatología y Psicología Clínica, 23 (2), 135-147. https://doi.org/10.5944/rppc.vol.23.num.2.2018.20738
  • Pascual-Vera, B., & Belloch, A. (2018b). Functional links of obsessive, dysmorphic, hypochondriac, and eating-disorders related mental intrusions. International Journal of Clinical and Health Psychology, 18, 43-51. http://dx.doi.org/10.1016/j.ijchp.2017.09.001
  • Pascual-Vera, B., Roncero, M., & Belloch (2017). Are unwanted mental intrusions a transdiagnostic variable? Psicothema, 29, 166-171. http://dx.doi.org/10.7334/psicothema2016.199
  • Pilowsky, I., Spence, N., Cobb, J., & Katsikitis, M. (1984). The Illness Behavior Questionnaire as an aid to clinical assessment. General Hospital Psychiatry, 6, 123-130. https://dx.doi.org/10.1016/0163-8343(84)90070-7
  • Phillips, K.A., Atala, K.D., & Pope, H.G. (1995). Diagnostic instruments for body dysmorphic disorder. In American Psychiatric Association (Ed.). New research program and abstracts. 148th meeting of the American Psychiatric Association. Miami:American Psychiatric Association.
  • Phillips, K.A., Wilhelm, S., Koran, L.M., Didie, E.R., Fallon, B.A., Feusner, J., & Stein, D.J. (2010). Body dysmorphic disorder: Some key issues for DSM‐V. Depression and Anxiety, 27, 573-591. http://dx.doi.org/10.1002/da.20709
  • Purdon, C., Gifford, S., McCabe, R., & Antony, M. M. (2011). Thought dismissability in obsessive-compulsive disorder versus panic disorder. Behaviour Research and Therapy, 49, 646-653. https://dx. doi.org/10.1016/j.brat.2011.07.001
  • Rachman, S. (1981). Part 1. Unwanted intrusive cognitions. Advances in Behaviour Research and Therapy, 3, 89-99. http://dx.doi.org/10.1016/0146-6402(81)90007-2
  • Steketee, G (Ed.). (2012). The Oxford Handbook of Obsessive-Compulsive and Spectrum Disorders. New York, NY: Oxford Univ. Press.
  • Stein, D.J., Kogan, C.S., Atmaca, M., Fineberg, N.A., Fontenelle, L.F., Grant, J.E.,… Reed, G.M. (2016).The classification of obsessive-compulsive and related disorders in the ICD-11. Journal of Affective Disorders, 190, 663-674. http://dx.doi.org/10.1016/j.jad.2015.10.061
Fuente de los datos: Dialnet