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J Anxiety Disord. 2018 Mar;54:36-48. doi: 10.1016/j.janxdis.2018.01.002. Epub 2018 Jan 31.

Changing disgust through imagery rescripting and cognitive reappraisal in contamination-based obsessive-compulsive disorder.

Author information

1
University of Leipzig, Clinical Psychology and Psychotherapy, Neumarkt 9-19, 04081 Leipzig, Germany. Electronic address: jakob.fink@uni-leipzig.de.
2
University of Leipzig, Clinical Psychology and Psychotherapy, Neumarkt 9-19, 04081 Leipzig, Germany. Electronic address: elisapflugradt@hotmail.de.
3
Schön Klinik Bad Bramstedt, Birkenweg 10, 24576 Bad Bramstedt, Germany. Electronic address: CStierle@Schoen-Kliniken.de.
4
University of Leipzig, Clinical Psychology and Psychotherapy, Neumarkt 9-19, 04081 Leipzig, Germany. Electronic address: exnerc@uni-leipzig.de.

Abstract

Contamination-related obsessive-compulsive disorder (C-OCD) is characterized by strongly experienced disgust and fear, in response to potentially contaminating stimuli. Both emotions differ in their susceptibility for change by habituation and extinction, which are important processes for the success of exposure therapy. Even though the response rates for exposure therapy for C-OCD are very good, it seems promising to test additional therapeutic techniques which target disgust more directly. Therefore, imagery rescripting and cognitive reappraisal were evaluated for their potential to change levels of disgust (within-subject), in the two-session laboratory study with 30 participants, with diagnosed C-OCD, and 30 matched, healthy controls (between-subject), presented. The results show that both emotion-regulation strategies reduced disgust better than a non-intervention control task (counting fishes), across all the participants. Therefore, both strategies seem to be applicable and effective for reducing disgust, in the short term, in participants with diagnosed C-OCD. The implications of these findings for the experimental approach and for the clinical treatment of C-OCD, are discussed.

KEYWORDS:

Cognitive reappraisal; Disgust; Emotion regulation strategies; Imagery rescripting; Obsessive-compulsive disorder

PMID:
29421371
DOI:
10.1016/j.janxdis.2018.01.002
[Indexed for MEDLINE]

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