Association between obsessive-compulsive and related disorders and experiential avoidance: A systematic review and meta-analysis

被引:29
作者
Angelakis, Ioannis [1 ]
Pseftogianni, Foteini [2 ]
机构
[1] Univ South Wales, Sch Psychol, Pontypridd CF37 1DL, M Glam, Wales
[2] Norfolk & Suffolk NHS Fdn Trust, Norwich, Norfolk, England
关键词
Experiential avoidance; OCRDs; OCD; HD; BDD; TTM; Systematic review and meta-analysis; COGNITIVE-BEHAVIORAL THERAPY; COMMITMENT THERAPY; PSYCHOLOGICAL INFLEXIBILITY; ACTION QUESTIONNAIRE; EMOTION REGULATION; SAFETY BEHAVIORS; RESPONSE PREVENTION; SPECTRUM DISORDERS; SOCIAL ANXIETY; ACCEPTANCE;
D O I
10.1016/j.jpsychires.2021.03.062
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The associations between the distinct types of obsessive-compulsive and related disorders and experiential avoidance have received mixed evidence. We, thus, undertook this meta-analysis to i) re-examine the association between obsessive-compulsive disorder and experiential avoidance, ii) extend this association to hoarding disorder, trichotillomania, and body dysmorphic disorder, and iii) identify potential variables affecting these associations. Five databases, including Medline, Embase, PsychINFO, Web of Science and CINAHL, were searched until March 15th, 2021. Meta-analyses based on random-effect models were performed. Heterogeneity and publication bias tests were applied using the I2 statistic and the Egger's test. Meta-regression analyses were performed to identify potential moderators affecting the strength of these associations. Thirty-six unique studies based on n = 11,859 participants were identified. The association between obsessive-compulsive disorder and experiential avoidance was moderate (SMD = 0.75, 95% CI = 0.57-0.92), whereas the associations between individual obsessive-compulsive symptoms, including obsessions, responsibility for harm, ordering, checking, washing and neutralizing, and experiential avoidance ranged from low to strong (SMD ranged between 0.41 and 1.06, 95% CI = 0.25 to 1.40). The associations between hoarding disorder (SMD = 0.93, 95% CI = 0.46-1.40), trichotillomania (SMD = 0.56, 95% CI = 0.48-0.63), body dysmorphic disorder (SMD = 1.55, 95% CI = 0.72-2.37) and experiential avoidance were moderate to strong. Meta-regression analyses demonstrated that studies using the AAQ/AAQ-II scales for measuring experiential avoidance, and/or self-report scales for assessing OCRDs contributed smaller effect sizes. These findings suggest that reducing experiential avoidance may be a viable way of complementing exposure strategies in alleviating obsessive-compulsive and related symptoms.
引用
收藏
页码:228 / 239
页数:12
相关论文
共 50 条
[41]   Outcomes for residential or inpatient intensive treatment of obsessive-compulsive disorder: A systematic review and meta-analysis [J].
Veale, D. ;
Naismith, I. ;
Miles, S. ;
Gledhill, L. J. ;
Stewart, G. ;
Hodsoll, J. .
JOURNAL OF OBSESSIVE-COMPULSIVE AND RELATED DISORDERS, 2016, 8 :38-49
[42]   Serotonin 3 receptor antagonists for obsessive-compulsive disorder: A systematic review and pairwise meta-analysis [J].
Hamanaka, Shun ;
Kishi, Taro ;
Sakuma, Kenji ;
Nishii, Yasufumi ;
Hatano, Masakazu ;
Iwata, Nakao .
JOURNAL OF PSYCHIATRIC RESEARCH, 2023, 167 :132-138
[43]   Meditation-based intervention for obsessive-compulsive disorder: A PRISMA-compliant systematic review and meta-analysis [J].
Lee, Si Myeong ;
Suh, Hyo-Weon ;
Kwak, Hui-Yong ;
Kim, Jong Woo ;
Chung, Sun-Yong .
MEDICINE, 2022, 101 (30) :E29147
[44]   The effect of exposure and response prevention therapy on obsessive-compulsive disorder: A systematic review and meta-analysis [J].
Song, Yuqi ;
Li, Dongxu ;
Zhang, Shuyu ;
Jin, Zirong ;
Zhen, Yuanyuan ;
Su, Yiyang ;
Zhang, Muzi ;
Lu, Liuyang ;
Xue, Xiangrui ;
Luo, Jingyi ;
Liang, Meng ;
Li, Xiaoming .
PSYCHIATRY RESEARCH, 2022, 317
[45]   A systematic review on the links between emotion regulation difficulties and obsessive-compulsive disorder [J].
See, Cassandra C. H. ;
Tan, Jia Min ;
Tan, Vanessa S. Y. ;
Suendermann, Oliver .
JOURNAL OF PSYCHIATRIC RESEARCH, 2022, 154 :341-353
[46]   Experiential avoidance and the misinterpretation of intrusions as prospective predictors of postpartum obsessive-compulsive symptoms in first-time parents [J].
Ojalehto, Heidi J. ;
Hellberg, Samantha N. ;
Butcher, Megan W. ;
Buchholz, Jennifer L. ;
Timpano, Kiara R. ;
Abramowitz, Jonathan S. .
JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE, 2021, 20 :137-143
[47]   Meta-analysis of cognitive functioning in patients with psychotic disorders and obsessive-compulsive symptoms [J].
Dijkstra, Lotte ;
Vermeulen, Jentien ;
de Haan, Lieuwe ;
Schirmbeck, Frederike .
EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE, 2021, 271 (04) :689-706
[48]   The relationship between cognitive phenotypes of compulsivity and impulsivity and clinical variables in obsessive-compulsive disorder: A systematic review and Meta-analysis [J].
Clarke, Aaron T. ;
Fineberg, Naomi A. ;
Pellegrini, Luca ;
Laws, Keith R. .
COMPREHENSIVE PSYCHIATRY, 2024, 133
[49]   Rates of comorbid obsessive-compulsive disorder in eating disorders: A meta-analysis of the literature [J].
Mandelli, Laura ;
Draghetti, Stefano ;
Albert, Umberto ;
De Ronchi, Diana ;
Atti, Anna-Rita .
JOURNAL OF AFFECTIVE DISORDERS, 2020, 277 :927-939
[50]   Antidepressant Tolerability in Pediatric Anxiety and Obsessive-Compulsive Disorders: A Bayesian Hierarchical Modeling Meta-analysis [J].
Mills, Jeffrey A. ;
Strawn, Jeffrey R. .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2020, 59 (11) :1240-1251