Title:
|
The Control of Unwanted Thoughts in Adolescence Implications for the Meta-Cognitive Model of Childhood Obsessive Compulsive Disorder
|
The Control of Unwanted Thoughts in Adolescence Implications for the Meta-Cognitive
Model of Childhood Obsessive Compulsive Disorder
Previous research with adults suggests that individuals with Obsessive Compulsive
Disorder (OCD) use maladaptive strategies to control their unwanted thoughts. The main
cognitive models ofOCD (Salkovskis, 1985; Wells & Matthews, 1994) specify the
particular role these strategies may play in the maintenance ofOCD symptoms. Very
little is known about the role these strategies may play in the maintenance ofobsessivecompulsive
symptoms in a younger population.
The study used a cross-sectional correlational design with a non-clinical adolescent
population aged 13 to 16 years old. Participants completed self-report questionnaire
measures ofthought control strategies, meta-cognitive beliefs and obsessive-compulsive
symptoms.
The results indicated that more frequent use ofparticular thought control strategies (i.e.
punishment, worry and reappraisal) was correlated with a range ofnegative metacognitive
beliefs and higher levels ofobsessive-compulsive symptoms. Regression
analysis indicated that this model accounted for 27% of the variance in obsessivecompulsive
symptoms. Only·meta-cognitive beliefs emerged as a significant independent
predictor of obsessive-compulsive symptoms.
It is suggested that a conceptualisation ofhow young people appraise, and monitor their
thinking is helpful for understanding the nature of obsessive-compulsive symptoms in
younger people. Methodological issues are considered and recommendations for further
research are made.
|