The relationship between emotion regulation strategies and obsessive-compulsive disorder: An experimental study
Yıl 2024,
Cilt: 8 Sayı: 1, 18 - 33, 25.04.2024
Tuğba Çapar Taşkesen
Müjgan İnözü
Öz
Due to the limited number of studies in the literature conducted to examine the relationship between emotion regulation strategies and the obsessive-compulsive disorder symptoms, the current study aimed at examining the role of emotion regulation strategies in obsessive compulsive disorder via an experimental design. The study consisted of two stages. In the first stage, the aim was to determine the participants’ symptom severity of obsessive-compulsive disorder. In the second stage, the participants were presented with a scenario that triggered the feeling of disgust, and the “Emotion Regulation Scale” was given to the participants before and after the scenario. The sample consisted of 328 university students. Findings indicated that the group with severe symptoms used significantly more “the suppression strategies” compared to the group with less severe symptoms. The use of “the cognitive reappraisal strategy” was significantly low in the group with severe symptoms before the scenario was given. However, the difference between these groups after the scenario was not found to be significant. Furthermore, it was found that the participants with severe obsessive-compulsive symptoms experienced more difficulty in emotion regulation than the group with less severe symptoms in all the sub-dimensions of the “Difficulties in Emotion Regulation Scale.” On the other hand, according to the regression analysis, only the sub-dimensions concerning the impulse control and the ability to choose appropriate emotion regulation strategy predicted obsessive-compulsive disorder. As the symptom severity in obsessive-compulsive disorder intensified, more difficulties in emotion regulation were observed. Findings regarding the current study are presented in the discussion section.
Etik Beyan
The current research was approved by Hacettepe University Ethics Committee (Date: 10.04.2020; Issue: 12908312-300/00001074666).
Destekleyen Kurum
The present study is based on the doctoral thesis of the first author under the supervision of the second author, as a requirement of the Hacettepe University Clinical Psychology Doctorate Program.
Kaynakça
- Abramowitz, J. S. (1997). Effectiveness of psychological and pharmacological treatments for obsessive-compulsive disorder: A quantitative review. Journal of Consulting and Clinical Psychology, 65(1), 44-52.
- Aka, B. T. ve Gençöz, T. (2014). Perceived parenting styles, emotion recognition and regulation in relation to psychological well-being. Procedia-Social and Behavioral Sciences, 159, 529-533.
- Akan, Ş. (2014). Obsesif kompulsif bozukluk ve depresyon tanısı alan kişilerde duygu düzenleme süreçlerinin Gross' un süreç modeline göre incelenmesi (Yayınlanmamış doktora tezi). Hacettepe Üniversitesi, Ankara.
- Akan, Ş. ve Barışkın, E. (2018). Tiksinti, öfke, utanma, üzüntü ve mutluluk duygularını tetikleyen durumlar ve senaryolar. Türk Psikoloji Dergisi, 33(82), 1-19.
- Aldao, A., Nolen-Hoeksema, S. ve Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217-237.
- Allen, L. B. ve Barlow, D. H. (2009). Relationship of exposure to clinically irrelevant emotion cues and obsessive-compulsive symptoms. Behavior Modification, 33(6), 743-762.
- American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5. baskı).
- Berman, N. C., Shaw, A. M., Curley, E. E. ve Wilhelm, S. (2018). Emotion regulation and obsessive-compulsive phenomena in youth. Journal of Obsessive-Compulsive and Related Disorders, 19, 44-49.
- Calkins, A., Berman, N. ve Wilhelm, S. (2013). Recent advances in research on cognition and emotion in OCD: A review. Current Psychiatry Reports, 15(5), 1-7.
- Cisler, J. M., Olatunji, B. O., Feldner, M. T. ve Forsyth, J. P. (2010). Emotion regulation and the anxiety disorders: An integrative review. Journal of Psychopathology and Behavioral Assessment, 32(1), 68-82.
- Clark, D. A. (2004). Cognitive-behavioral therapy for OCD. Guilford Press.
- De la Cruz, L. F., Landau, D., Iervolino, A. C., Santo, S., Pertusa, A., Singh, S. ve Mataix-Cols, D. (2013). Experiential avoidance and emotion regulation difficulties in hoarding disorder. Journal of Anxiety Disorders, 27(2), 204-209.
- Eichholz, A., Schwartz, C., Meule, A., Heese, J., Neumüller, J. ve Voderholzer, U. (2020). Self‐compassion and emotion regulation difficulties in obsessive–compulsive disorder. Clinical Psychology & Psychotherapy, 27(5), 630-639.
- Fergus, T. A. ve Bardeen, J. R. (2014). Emotion regulation and obsessive–compulsive symptoms: A further examination of associations. Journal of Obsessive-Compulsive and Related Disorders, 3(3), 243-248.
- Ferreira, S., Couto, B., Sousa, M., Vieira, R., Sousa, N., Picó-Pérez, M. ve Morgado, P. (2021). Stress influences the effect of obsessive-compulsive symptoms on emotion regulation. Frontiers in Psychiatry, 11, Article 594541.
- Fink, J., Pflugradt, E., Stierle, C. ve Exner, C. (2018). Changing disgust through imagery rescripting and cognitive reappraisal in contamination-based obsessive-compulsive disorder. Journal of Anxiety Disorders, 54, 36-48.
- Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G. ve Salkovskis, P. M. (2002) The Obsessive–Compulsive Inventory: Development and validation of a short version. Psychological Assessment, 14, 485-496.
- Foa, E. B., Kozak, M. J., Salkovskis, P. M., Coles, M. E. ve Amir, N. (1998). The validation of a new obsessive–compulsive disorder scale: The Obsessive–Compulsive Inventory. Psychological Assessment, 10(3), 206-214.
- Fontenelle, L. F., Mendlowicz, M. V. ve Versiani, M. (2006). The descriptive epidemiology of obsessive–compulsive disorder. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 30(3), 327-337.
- Fullana, M. À., Mataix‐Cols, D., Trujillo, J. L., Caseras, X., Serrano, F., Alonso, P., Menchón, J. M., Vallejo, J. ve Torrubia, R. (2004). Personality characteristics in obsessive‐compulsive disorder and individuals with subclinical obsessive‐compulsive problems. British Journal of Clinical Psychology, 43(4), 387-398.
- Gratz, K. L. ve Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavior Assessment, 26(1), 41-54.
- Gross, J. J. (1998). Antecedent-and response-focused emotion regulation: Divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology, 74(1), 224-237.
- Gross, J. J. ve John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348-362.
- Haciömeroğlu, A. B., Keser, E. ve İnözü, M. (2018). Farklı psikopatolojilerde duyguların rolü: Tiksinme, öfke, suçluluk ve anksiyete. Anadolu Psikiyatri Dergisi, 19(1), 13-20.
- Khosravani, V., Samimi Ardestani, S. M., Sharifi Bastan, F. ve Malayeri, S. (2020). Difficulties in emotion regulation and symptom dimensions in patients with obsessive-compulsive disorder. Current Psychology, 39(5), 1578-1588.
- Mataix-Cols, D., Vallejo, J. ve Sanchez-Turet, M. (2000). The cut-off point in sub-clinical obsessive-compulsive research. Behavioural and Cognitive Psychotherapy, 28(3), 225-233.
- McKay, D., Sookman, D., Neziroglu, F., Wilhelm, S., Stein, D. J., Kyrios, M., Matthews, K. ve Veale, D. (2015). Efficacy of cognitive-behavioral therapy for obsessive–compulsive disorder. Psychiatry Research, 225(3), 236-246.
- McKenzie, M. L., Donovan, C. L., Mathieu, S. L., Hyland, W. J. ve Farrell, L. J. (2020). Variability in emotion regulation in paediatric obsessive-compulsive disorder: Associations with symptom presentation and response to treatment. Journal of Obsessive-Compulsive and Related Disorders, 24, 100502.
- Melli, G., Gremigni, P., Elwood, L. S., Stopani, E., Bulli, F. ve Carraresi, C. (2015). The relationship between trait guilt, disgust propensity, and contamination fear. International Journal of Cognitive Therapy, 8(3), 193-205.
- Momeni, F. ve Kami, M. (2021). The relationship between emotion dysregulation with obsessive compulsive disorder regarding generalized anxiety disorder symptoms. ASEAN Journal of Psychiatry, 22(3), 1-12.
- Moulding, R. ve Kyrios, M. (2006). Anxiety disorders and control related beliefs: The exemplar of obsessive–compulsive disorder (OCD). Clinical Psychology Review, 26(5), 573-583.
- Napolitano, L. A. (2017). Emotion regulation in the obsessive‐compulsive spectrum disorders. J. S. Abramowitz, D. McKay ve E. A. Storch (Ed.), The Wiley handbook of obsessive-compulsive disorders 2 içinde (s. 1152-1174). John Wiley & Sons Ltd.
- Nicholson, E. ve Barnes-Holmes, D. (2012). Developing an implicit measure of disgust propensity and disgust sensitivity: Examining the role of implicit disgust propensity and sensitivity in obsessive-compulsive tendencies. Journal of Behavior Therapy and Experimental Psychiatry, 43(3), 922-930.
- Obsessive Compulsive Cognitions Working Group (1997). Cognitive assessment of obsessive-compulsive disorder. Behaviour Research and Therapy, 35(7), 667-681.
- Oktay, F. (2019). Uyuma yönelik olmayan bir duygu düzenleme stratejisi olarak kompulsiyonlar. Türk Psikoloji Yazıları, 22(43), 74-86.
- Olatunji, B. O. (2010). Changes in disgust correspond with changes in symptoms of contamination-based OCD: A prospective examination of specificity. Journal of Anxiety Disorders, 24(3), 313-317.
- Olatunji, B. O., Williams, B. J., Haslam, N., Abramowitz, J. S. ve Tolin, D. F. (2008). The latent structure of obsessive‐compulsive symptoms: A taxometric study. Depression and Anxiety, 25(11), 956-968.
- Picó-Pérez, M., Ipser, J., Taylor, P., Alonso, P., López-Solà, C., Real, E., ... & Soriano-Mas, C. (2018). S12. Intrinsic Functional and Structural Connectivity of Emotion Regulation Networks in Obsessive-Compulsive Disorder. Biological Psychiatry, 83(9), S351.
- Rachman, S. (1997). A cognitive theory of obsessions. Behavior Research and Therapy, 35(9), 793-802.
- Rugancı, R. N. ve Gençöz, T. (2010). Psychometric properties of a Turkish version of the Difficulties in Emotion Regulation Scale. Journal of Clinical Psychology, 66(4), 442-455.
- Salkovskis, P. M. (1985). Obsessional-compulsive problems: A cognitive-behavioural analysis. Behaviour research and therapy, 23(5), 571-583.
- See, C. C., Tan, J. M., Tan, V. S. ve Sündermann, O. (2022). A systematic review on the links between emotion regulation difficulties and obsessive-compulsive disorder. Journal of Psychiatric Research, 154, 341-353.
- Stein, D. J., Fineberg, N. A., Bienvenu, O. J., Denys, D., Lochner, C., Nestadt, G., Leckman, J. F., Rauch, S. L. ve Phillips, K. A. (2010). Should OCD be classified as an anxiety disorder in DSM‐V? Depression and Anxiety, 27(6), 495-506.
- Stern, M. R., Nota, J. A., Heimberg, R. G., Holaway, R. M. ve Coles, M. E. (2014). An initial examination of emotion regulation and obsessive-compulsive symptoms. Journal of Obsessive-Compulsive and Related Disorders, 3(2), 109-114.
- Storch, E. A., Geffken, G. R., Merlo, L. J., Jacob, M. L., Murphy, T. K., Goodman, W. K., Larson, M. J., Fernandez, M. ve Grabill, K. (2007). Family accommodation in pediatric obsessive–compulsive disorder. Journal of Clinical Child and Adolescent Psychology, 36(2), 207-216.
- Tolin, D. F., Abramowitz, J. S., Przeworski, A. ve Foa, E. B. (2002). Thought suppression in obsessive-compulsive disorder. Behaviour Research and Therapy, 40(11), 1255-1274.
- Wegner, D. M., Schneider, D. J., Carter, S. R. ve White, T. L. (1987). Paradoxical effects of thought suppression. Journal of Personality and Social Psychology, 53(1), 5-13.
- Yap, K., Mogan, C., Moriarty, A., Dowling, N., Blair‐West, S., Gelgec, C. ve Moulding, R. (2018). Emotion regulation difficulties in obsessive‐compulsive disorder. Journal of Clinical Psychology, 74(4), 695-709.
- Yazıcı, K.U. ve Yazıcı, I.P. (2019). Decreased theory of mind skills, increased emotion dysregulation and insight levels in adolescents diagnosed with obsessive compulsive disorder. Nordic Journal of Psychiatry, 73(7), 462-469.
- Yorulmaz, O., Inozu, M., Clark, D.A. ve Radomsky, A.S. (2015). Psychometric properties of the Obsessive—Compulsive Inventory—Revised in a Turkish analogue sample. Psychological Reports, 117(3), 781-793.
- Yurtsever, G. (2008). Negotiators' profit predicted by cognitive reappraisal, suppression of emotions, misrepresentation of information, and tolerance of ambiguity. Perceptual and Motor Skills, 106(2), 590-608.
- Zhang, Y., Tian, W., Wang, C., Guo, B., Yan, G., Yin, H., Zhang, Z., Tao, Y., Liu, Y., Zhou, Q. ve Wang, L. (2022). Parental rearing and personality traits as predictors for adolescents with obsessive–compulsive disorder (OCD). Development and Psychopathology, 34(1), 387-394.
Duygu düzenleme stratejilerinin obsesif kompulsif bozukluk ile ilişkisi: Deneysel bir çalışma
Yıl 2024,
Cilt: 8 Sayı: 1, 18 - 33, 25.04.2024
Tuğba Çapar Taşkesen
Müjgan İnözü
Öz
Duygu düzenleme ve obsesif kompulsif bozukluk belirti düzeyi arasındaki ilişkiyi inceleyen çalışmaların alanyazında kısıtlı olması nedeniyle mevcut çalışmada duygu düzenleme stratejilerinin obsesif kompulsif bozukluk belirti düzeyindeki rolü deneysel bir yöntem ile incelenmiştir. Mevcut çalışma iki aşamadan oluşmaktadır. İlk aşamada katılımcıların obsesif kompulsif bozukluk belirti düzeyini belirlemek amacıyla bir tarama çalışması yürütülmüştür. İkinci aşamada ise tiksinme duygusunu tetikleyen bir senaryo katılımcılara sunulmuş ve katılımcılardan hem senaryo öncesinde hem de senaryo sonrasında Duygu Düzenleme Ölçeğini doldurmaları istenmiştir. Araştırma örneklemi 328 üniversite öğrencisinden oluşmuştur. Senaryo öncesinde ve sonrasında elde edilen bulgular, obsesif kompulsif bozukluk belirti düzeyi yüksek olan grubun düşük olan grup ile karşılaştırıldığında anlamlı olarak daha yüksek “bastırma” stratejisi kullandığına işaret etmiştir. Senaryo öncesi puanlarda, “bilişsel yeniden değerlendirme” duygu düzenleme stratejisi obsesif kompulsif bozukluk belirti düzeyi yüksek olan grupta anlamlı olarak daha düşük düzeyde olmasına rağmen senaryo sonrası puanlarda gruplar arası anlamlı bir fark bulunamamıştır. Bununla birlikte, senaryo öncesinde katılımcılara Duygu Düzenlemede Güçlükler Ölçeği verilmiştir. Obsesif kompulsif bozukluk belirti düzeyi yüksek olan grubun düşük gruba kıyasla Duygu Düzenlemede Güçlükler Ölçeğinin tüm alt boyut puanlarında daha fazla duygu düzenleme güçlüğü rapor ettiği anlaşılmıştır. Diğer yandan, regresyon analizinden elde edilen bulgular obsesif kompulsif bozukluk belirtilerini yalnızca dürtü kontrolü ve uygun duygu düzenleme stratejisini seçebilmeye ilişkin alt boyut puanlarının anlamlı olarak yordadığına işaret etmiştir. Buna göre, duygu düzenlemede dürtü kontrolüne ve uygun bir duygu düzenleme stratejisi seçebilmeye ilişkin güçlük arttıkça obsesif kompulsif bozukluk belirtileri artış göstermiştir. Çalışma bulguları ilgili alanyazın eşliğinde tartışılmıştır.
Etik Beyan
Mevcut çalışma, Hacettepe Üniversitesi Etik Komisyonu tarafından değerlendirilmiş olup 10.04.2020 tarihli ve 12908312-300/00001074666 sayılı karar ile etik ilke ve kurallara uygun bulunmuştur.
Destekleyen Kurum
Mevcut çalışma, ilk yazarın Hacettepe Üniversitesi Klinik Psikoloji Doktora Programının gerekliliği olarak ikinci yazarın danışmanlığında yürüttüğü doktora tez çalışmasına dayanmaktadır.
Kaynakça
- Abramowitz, J. S. (1997). Effectiveness of psychological and pharmacological treatments for obsessive-compulsive disorder: A quantitative review. Journal of Consulting and Clinical Psychology, 65(1), 44-52.
- Aka, B. T. ve Gençöz, T. (2014). Perceived parenting styles, emotion recognition and regulation in relation to psychological well-being. Procedia-Social and Behavioral Sciences, 159, 529-533.
- Akan, Ş. (2014). Obsesif kompulsif bozukluk ve depresyon tanısı alan kişilerde duygu düzenleme süreçlerinin Gross' un süreç modeline göre incelenmesi (Yayınlanmamış doktora tezi). Hacettepe Üniversitesi, Ankara.
- Akan, Ş. ve Barışkın, E. (2018). Tiksinti, öfke, utanma, üzüntü ve mutluluk duygularını tetikleyen durumlar ve senaryolar. Türk Psikoloji Dergisi, 33(82), 1-19.
- Aldao, A., Nolen-Hoeksema, S. ve Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217-237.
- Allen, L. B. ve Barlow, D. H. (2009). Relationship of exposure to clinically irrelevant emotion cues and obsessive-compulsive symptoms. Behavior Modification, 33(6), 743-762.
- American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5. baskı).
- Berman, N. C., Shaw, A. M., Curley, E. E. ve Wilhelm, S. (2018). Emotion regulation and obsessive-compulsive phenomena in youth. Journal of Obsessive-Compulsive and Related Disorders, 19, 44-49.
- Calkins, A., Berman, N. ve Wilhelm, S. (2013). Recent advances in research on cognition and emotion in OCD: A review. Current Psychiatry Reports, 15(5), 1-7.
- Cisler, J. M., Olatunji, B. O., Feldner, M. T. ve Forsyth, J. P. (2010). Emotion regulation and the anxiety disorders: An integrative review. Journal of Psychopathology and Behavioral Assessment, 32(1), 68-82.
- Clark, D. A. (2004). Cognitive-behavioral therapy for OCD. Guilford Press.
- De la Cruz, L. F., Landau, D., Iervolino, A. C., Santo, S., Pertusa, A., Singh, S. ve Mataix-Cols, D. (2013). Experiential avoidance and emotion regulation difficulties in hoarding disorder. Journal of Anxiety Disorders, 27(2), 204-209.
- Eichholz, A., Schwartz, C., Meule, A., Heese, J., Neumüller, J. ve Voderholzer, U. (2020). Self‐compassion and emotion regulation difficulties in obsessive–compulsive disorder. Clinical Psychology & Psychotherapy, 27(5), 630-639.
- Fergus, T. A. ve Bardeen, J. R. (2014). Emotion regulation and obsessive–compulsive symptoms: A further examination of associations. Journal of Obsessive-Compulsive and Related Disorders, 3(3), 243-248.
- Ferreira, S., Couto, B., Sousa, M., Vieira, R., Sousa, N., Picó-Pérez, M. ve Morgado, P. (2021). Stress influences the effect of obsessive-compulsive symptoms on emotion regulation. Frontiers in Psychiatry, 11, Article 594541.
- Fink, J., Pflugradt, E., Stierle, C. ve Exner, C. (2018). Changing disgust through imagery rescripting and cognitive reappraisal in contamination-based obsessive-compulsive disorder. Journal of Anxiety Disorders, 54, 36-48.
- Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G. ve Salkovskis, P. M. (2002) The Obsessive–Compulsive Inventory: Development and validation of a short version. Psychological Assessment, 14, 485-496.
- Foa, E. B., Kozak, M. J., Salkovskis, P. M., Coles, M. E. ve Amir, N. (1998). The validation of a new obsessive–compulsive disorder scale: The Obsessive–Compulsive Inventory. Psychological Assessment, 10(3), 206-214.
- Fontenelle, L. F., Mendlowicz, M. V. ve Versiani, M. (2006). The descriptive epidemiology of obsessive–compulsive disorder. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 30(3), 327-337.
- Fullana, M. À., Mataix‐Cols, D., Trujillo, J. L., Caseras, X., Serrano, F., Alonso, P., Menchón, J. M., Vallejo, J. ve Torrubia, R. (2004). Personality characteristics in obsessive‐compulsive disorder and individuals with subclinical obsessive‐compulsive problems. British Journal of Clinical Psychology, 43(4), 387-398.
- Gratz, K. L. ve Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavior Assessment, 26(1), 41-54.
- Gross, J. J. (1998). Antecedent-and response-focused emotion regulation: Divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology, 74(1), 224-237.
- Gross, J. J. ve John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348-362.
- Haciömeroğlu, A. B., Keser, E. ve İnözü, M. (2018). Farklı psikopatolojilerde duyguların rolü: Tiksinme, öfke, suçluluk ve anksiyete. Anadolu Psikiyatri Dergisi, 19(1), 13-20.
- Khosravani, V., Samimi Ardestani, S. M., Sharifi Bastan, F. ve Malayeri, S. (2020). Difficulties in emotion regulation and symptom dimensions in patients with obsessive-compulsive disorder. Current Psychology, 39(5), 1578-1588.
- Mataix-Cols, D., Vallejo, J. ve Sanchez-Turet, M. (2000). The cut-off point in sub-clinical obsessive-compulsive research. Behavioural and Cognitive Psychotherapy, 28(3), 225-233.
- McKay, D., Sookman, D., Neziroglu, F., Wilhelm, S., Stein, D. J., Kyrios, M., Matthews, K. ve Veale, D. (2015). Efficacy of cognitive-behavioral therapy for obsessive–compulsive disorder. Psychiatry Research, 225(3), 236-246.
- McKenzie, M. L., Donovan, C. L., Mathieu, S. L., Hyland, W. J. ve Farrell, L. J. (2020). Variability in emotion regulation in paediatric obsessive-compulsive disorder: Associations with symptom presentation and response to treatment. Journal of Obsessive-Compulsive and Related Disorders, 24, 100502.
- Melli, G., Gremigni, P., Elwood, L. S., Stopani, E., Bulli, F. ve Carraresi, C. (2015). The relationship between trait guilt, disgust propensity, and contamination fear. International Journal of Cognitive Therapy, 8(3), 193-205.
- Momeni, F. ve Kami, M. (2021). The relationship between emotion dysregulation with obsessive compulsive disorder regarding generalized anxiety disorder symptoms. ASEAN Journal of Psychiatry, 22(3), 1-12.
- Moulding, R. ve Kyrios, M. (2006). Anxiety disorders and control related beliefs: The exemplar of obsessive–compulsive disorder (OCD). Clinical Psychology Review, 26(5), 573-583.
- Napolitano, L. A. (2017). Emotion regulation in the obsessive‐compulsive spectrum disorders. J. S. Abramowitz, D. McKay ve E. A. Storch (Ed.), The Wiley handbook of obsessive-compulsive disorders 2 içinde (s. 1152-1174). John Wiley & Sons Ltd.
- Nicholson, E. ve Barnes-Holmes, D. (2012). Developing an implicit measure of disgust propensity and disgust sensitivity: Examining the role of implicit disgust propensity and sensitivity in obsessive-compulsive tendencies. Journal of Behavior Therapy and Experimental Psychiatry, 43(3), 922-930.
- Obsessive Compulsive Cognitions Working Group (1997). Cognitive assessment of obsessive-compulsive disorder. Behaviour Research and Therapy, 35(7), 667-681.
- Oktay, F. (2019). Uyuma yönelik olmayan bir duygu düzenleme stratejisi olarak kompulsiyonlar. Türk Psikoloji Yazıları, 22(43), 74-86.
- Olatunji, B. O. (2010). Changes in disgust correspond with changes in symptoms of contamination-based OCD: A prospective examination of specificity. Journal of Anxiety Disorders, 24(3), 313-317.
- Olatunji, B. O., Williams, B. J., Haslam, N., Abramowitz, J. S. ve Tolin, D. F. (2008). The latent structure of obsessive‐compulsive symptoms: A taxometric study. Depression and Anxiety, 25(11), 956-968.
- Picó-Pérez, M., Ipser, J., Taylor, P., Alonso, P., López-Solà, C., Real, E., ... & Soriano-Mas, C. (2018). S12. Intrinsic Functional and Structural Connectivity of Emotion Regulation Networks in Obsessive-Compulsive Disorder. Biological Psychiatry, 83(9), S351.
- Rachman, S. (1997). A cognitive theory of obsessions. Behavior Research and Therapy, 35(9), 793-802.
- Rugancı, R. N. ve Gençöz, T. (2010). Psychometric properties of a Turkish version of the Difficulties in Emotion Regulation Scale. Journal of Clinical Psychology, 66(4), 442-455.
- Salkovskis, P. M. (1985). Obsessional-compulsive problems: A cognitive-behavioural analysis. Behaviour research and therapy, 23(5), 571-583.
- See, C. C., Tan, J. M., Tan, V. S. ve Sündermann, O. (2022). A systematic review on the links between emotion regulation difficulties and obsessive-compulsive disorder. Journal of Psychiatric Research, 154, 341-353.
- Stein, D. J., Fineberg, N. A., Bienvenu, O. J., Denys, D., Lochner, C., Nestadt, G., Leckman, J. F., Rauch, S. L. ve Phillips, K. A. (2010). Should OCD be classified as an anxiety disorder in DSM‐V? Depression and Anxiety, 27(6), 495-506.
- Stern, M. R., Nota, J. A., Heimberg, R. G., Holaway, R. M. ve Coles, M. E. (2014). An initial examination of emotion regulation and obsessive-compulsive symptoms. Journal of Obsessive-Compulsive and Related Disorders, 3(2), 109-114.
- Storch, E. A., Geffken, G. R., Merlo, L. J., Jacob, M. L., Murphy, T. K., Goodman, W. K., Larson, M. J., Fernandez, M. ve Grabill, K. (2007). Family accommodation in pediatric obsessive–compulsive disorder. Journal of Clinical Child and Adolescent Psychology, 36(2), 207-216.
- Tolin, D. F., Abramowitz, J. S., Przeworski, A. ve Foa, E. B. (2002). Thought suppression in obsessive-compulsive disorder. Behaviour Research and Therapy, 40(11), 1255-1274.
- Wegner, D. M., Schneider, D. J., Carter, S. R. ve White, T. L. (1987). Paradoxical effects of thought suppression. Journal of Personality and Social Psychology, 53(1), 5-13.
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