Changes in Metacognition, Obsessional Beliefs, and OCD Severity over the Course of Treatment
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Rachel C. Leonard, Ph.D.1, Chad T. Wetterneck, Ph.D. 2, Tannah Little, B.S. 2, & Bradley C. Riemann, Ph.D. 1...
Rachel C. Leonard, Ph.D.1, Chad T. Wetterneck, Ph.D. 2, Tannah Little, B.S. 2, & Bradley C. Riemann, Ph.D. 1
Both metacognitions (MC) and obsessional beliefs (OB) are related to OCD severity, however, only one study has compared them related to treatment outcome. Solem and colleagues (2009) found that changes in MC predicted changes in OCD severity above and beyond changes in depression and OB. Replication of this study is needed. Therefore, the present study examined whether changes in cognitions (OB about responsibility/threat estimation and perfectionism/certainty) and MC (including beliefs about the importance and need to control thoughts) predicted changes in OCD symptom severity following treatment. Results indicated that, when controlling for changes in depressive symptoms, neither changes in OB nor changes in MC significantly predicted changes in OCD symptom severity.
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