Hostname: page-component-89b8bd64d-r6c6k Total loading time: 0 Render date: 2026-05-09T12:06:36.809Z Has data issue: false hasContentIssue false
  • English
  • Français

Study of Obsessive Compulsive Beliefs: Relationship with Eating Disorders

Published online by Cambridge University Press:  04 April 2011

María Roncero ,
Conxa Perpiñá  and
Gemma García-Soriano
María Roncero*
Affiliation:
Universidad de Valencia, Spain
Conxa Perpiñá
Affiliation:
Universidad de Valencia and CIBEROBN, Instituto de Salud Carlos III, Spain
Gemma García-Soriano
Affiliation:
Universidad de Valencia, Spain
*
Reprint requests to Maria Roncero, Universidad de Valencia, Department Personalidad, evaluación y tratemientos psicológicos, Facultad de Psicología, Av. Blasco Ibañez, 21, Valencia 46010, Spain. E-mail: maria.roncero@uv.es
Get access Rights & Permissions [Opens in a new window]

Abstract

Background: The relationship between Eating Disorders (ED) and Obsessive Compulsive Disorder (OCD) has been extensively studied in the last few years. However, little effort has been devoted to studying the link between these disorders with regard to their distorted beliefs. Aims: The first objective of the study was to analyze the differences in OCD-related beliefs among ED subtypes and the general population, controlling for age, Body Mass Index, and obsessionality. The second objective was to explore which OCD beliefs explain ED symptomatology. Method: Seventy-nine ED patients without OCD comorbidity, divided into diagnostic subtypes, and 50 community participants completed the Obsessive Beliefs Spanish Inventory-Revised and measures of ED and OCD symptomatology. Results: There were no differences found among clinical ED subtypes in obsessive beliefs, but the bulimia nervosa purgative subtype and binge eating groups obtained significantly different scores from the community group on Thought-Action-Fusion (TAF)-likelihood and TAF-moral, respectively. OCD symptomatology had the most important predictive effect on ED symptoms, followed by Overestimation of Threat, BMI and FPA-moral. Conclusions: The different patterns of beliefs among subtypes reflect what other studies have suggested about the relevance of the presentation of ED symptoms associated with restriction, purges and binge without purges. Our results agree with the transdiagnostic perspective of ED.

Keywords

Eating disordersobsessive compulsive disorderobsessive compulsive symptoms

Information

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 39 , Issue 4 , July 2011 , pp. 457 - 470
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

American Psychiatric Association (2002). DSM-IV-TR. Manual diagnóstico y estadístico de los trastornos mentales (texto revisado). Barcelona: Editorial Masson.Google Scholar
Bardone-Cone, A. M., Wonderlich, S. A., Frost, R., Bulik, C. M., Mitchell, J. E., Uppala, S. et al. . (2007). Perfectionism and eating disorders: current status and future directions. Clinical Psychology Review, 27, 384–405.CrossRefGoogle ScholarPubMed
Bastiani, A. M., Rao, R., Weltzin, T. and Kaye, W. H. (1995). Perfectionism in anorexia nervosa. International Journal of Eating Disorders, 17, 147–152.3.0.CO;2-X>CrossRefGoogle ScholarPubMed
Belloch, A., Cabedo, E., Morillo, C., Lucero, M. and Carrió, C. (2003). Designing a new instrument to assess dysfunctional beliefs of the obsessive-compulsive disorder: preliminary results of the Obsessive Beliefs Inventory. International Journal of Clinical and Health Psychology, 3, 235–250.Google Scholar
Belloch, A., Morillo, C., Luciano, J. V., García-Soriano, G., Cabedo, E. and Carrió, C. (2010). Dysfunctional belief domains related to obsessive-compulsive disorder: a further examination of their specificity in clinical and community samples. Spanish Journal of Psychology, 13, 369–381CrossRefGoogle Scholar
Belloch, A., Reina, N., García-Soriano, G. and Clark, D. A. (2009). El Inventario Clark-Beck de Obsesión-Compulsión (C-BOCI): validación para su uso en población española. Revista de Psicopatología y Psicología Clínica, 14, 95–105.CrossRefGoogle Scholar
Blinder, B., Cumella, E. and Sanathara, V. A. (2006). Psychiatric comorbidities of female inpatients with eating disorders. Psychosomatic Medicine, 68, 454–462.CrossRefGoogle ScholarPubMed
Cabedo, E., Belloch, A., Morillo, C., Giménez, A. and Carrió, C. (2004). Intensidad de las creencias disfuncionales en relación con el incremento en obsesividad. International Journal of Clinical and Health Psychology, 4, 465–479.Google Scholar
Castro, J., Toro, J., Salamero, M. and Guimerá, E. (1991). The Eating Attitudes Test: validation of the Spanish version. Psychological Assessment, 7, 175–179.Google Scholar
Clark, D. A. (2004). Cognitive-Behavioural Therapy for OCD. New York: The Guilford Press.Google Scholar
Clark, D. A. and Beck, A. T. (2002). Manual for the Clark-Beck Obsessive Compulsive Inventory. San Antonio, TX: Psychological Corporation.Google Scholar
Coelho, J. S., Carter, J. C., McFarlane, T. and Polivy, J. (2008). “Just looking at food makes me gain weight”: experimental induction of thought-shape fusion in eating-disordered and non-eating-disordered women. Behaviour Research and Therapy, 46, 219–228.CrossRefGoogle ScholarPubMed
Cooper, M. J., Grocutt, E., Deepak, K. and Bailey, E. (2007). Metacognition in anorexia nervosa, dieting and non-dieting controls: a preliminary investigation. British Journal of Clinical Psychology, 46, 113–117.CrossRefGoogle ScholarPubMed
Cooper, M. J., Todd, G. and Wells, A. (2009). Treating Bulimia Nervosa and Binge Eating: an integrated metacognitive and cognitive therapy manual. New York: Routledge.Google Scholar
Cooper, M. J., Wells, A. and Todd, G. (2004). A cognitive theory of bulimia nervosa. British Journal of Clinical Psychology, 43, 1–16.CrossRefGoogle Scholar
Dalgleish, T., Tchanturia, K., Serpell, L., Hems, S., De Silva, P. and Treasure, J. (2001). Perceived control over events in the world in patients with eating disorders: a preliminary study. Personality and Individual Differences, 31, 453–460.CrossRefGoogle Scholar
Dubois, F. S. (1949). Compulsion neurosis with cachexia. American Journal of Psychiatry, 106, 107–115.CrossRefGoogle ScholarPubMed
Fairburn, C. (1997). Eating disorders. In Clark, D. M. and Fairburn, C., Science and Practice of Cognitive Behaviour Therapy (pp. 209–241). New York: Oxford University Press.Google Scholar
Fairburn, C. G. and Harrison, P. J. (2003). Eating disorders. Lancet, 361, 407–416.CrossRefGoogle ScholarPubMed
Fairburn, C. G., Cooper, Z. and Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment. Behaviour Research and Therapy, 41, 509–528CrossRefGoogle ScholarPubMed
Fairburn, C. G., Shafran, R. and Cooper, Z. (1998). A cognitive behavioural theory of anorexia nervosa. Behaviour Research and Therapy, 37, 1–13.CrossRefGoogle Scholar
Fairburn, C. G., Cooper, Z., Doll, H. A., O'Connor, M. E., Bohn, K., Hawker, D. M. et al. . (2009). Transdiagnostic cognitive behavioral therapy for patients with eating disorders: a two-site trial with 60-week follow-up. American Journal of Psychiatry, 166, 311–319CrossRefGoogle ScholarPubMed
First, M. B., Spitzer, R. L., Gibbon, M. and Williams, J. B. W. (1999). Guía del usuario para la entrevista clínica estructurada para los trastornos del eje I del DSM-IV. Versión clínica. SCID-I. Barcelona: Masson.Google Scholar
Freid, C. M. (2007). Beliefs associated with eating disorders and obsessive compulsive disorder: the development of the Obsessive Beliefs about Body Size and Eating Survey (OBBSES). Dissertation, University of Vanderbilt.Google Scholar
Garfinkel, P. E. and Garner, D. M. (1982). Anorexia Nervosa: a multidimensional perspective. New York: Brunner Mazel.Google Scholar
Garner, D. M. and Garfinkel, P. E. (1979). The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273–279.CrossRefGoogle ScholarPubMed
Garner, D. M., Olmsted, M. P., Bohr, Y. and Garfinkel, P. E. (1982). The eating attitudes test: psychometric features and clinical correlates. Psychological Medicine, 12, 871–878.CrossRefGoogle ScholarPubMed
Giménez, A., Morillo, C., Belloch, A., Carrió, C. and Cabedo, E. (2004). Creencias disfuncionales asociadas a síntomas obsesivo-compulsivos: una aproximación a la especificidad. Revista de Psicopatología y Psicología Clínica, 9, 1–17.Google Scholar
Godart, N. T., Berthoz, S., Rein, Z., Perereau, F., Lang, F., Venisse, J. L. et al. . (2006). Does the frequency of anxiety and depressive disorders differ between diagnostic subtypes of anorexia nervosa and bulimia? International Journal of Eating Disorders, 39, 772–778.CrossRefGoogle ScholarPubMed
Godart, N. T., Flament, M. F., Curt, F., Perereau, F., Lang, F., Venisse, J. L. et al. . (2003). Anxiety disorders in subjects seeking treatment for eating disorders: a DSM-IV controlled study. Psychiatry Research, 117, 245–258.CrossRefGoogle ScholarPubMed
Grilo, C. M. (2006). Eating and Weight Disorders. Clinical Psychology: a modular course. New York: Psychology Press.Google Scholar
Halmi, K. A., Sunday, S. R., Strober, M., Kaplan, A., Woodside, D. B., Fichter, M. et al. . (2000). Perfectionism in anorexia nervosa variation by clinical subtype, obsessionality, and pathological eating behavior. American Journal of Psychiatry, 157, 1799–1805.CrossRefGoogle ScholarPubMed
Harnden, J. L., McNally, R. J. and Jimerson, D. C. (1997). Effects of suppressing thoughts about body weight: a comparison of dieters and nondieters. International Journal of Eating Disorders, 22, 285–290.3.0.CO;2-J>CrossRefGoogle ScholarPubMed
Heartherton, C. P., Herman, J., Polivy, G. A., King, S. T. and McGree, T. (1988). The (mis)measurement of restraint: an analysis of conceptual and psychometric issues. Journal of Abnormal Psychology, 97, 19–28.CrossRefGoogle Scholar
Herman, C. P. and Polivy, J. (1975). Anxiety, restraint, and eating behavior. Journal of Abnormal Psychology, 84, 66–72.CrossRefGoogle ScholarPubMed
Humphreys, J. D., Clopton, J. R. and Reich, D. A. (2007). Disordered eating behaviour and obsessive compulsive symptoms in college students: cognitive and affective similarities. Eating Disorders: The Journal of Treatment and Prevention, 15, 247–259.CrossRefGoogle ScholarPubMed
Kaye, W., Bulik, C., Thornton, L., Barbarich, N., Masters, K. and the Price Foundation Collaborative Group (2004). Co-morbidity of anxiety disorders with anorexia and bulimia nervosa. The American Journal of Psychiatry, 161, 2215–2221.CrossRefGoogle ScholarPubMed
Lavender, A., Shubert, I., de Silva, P. and Treasure, J. (2006). Obsessive-compulsive beliefs and magical ideation in eating disorders. British Journal of Clinical Psychology, 45, 331–342.CrossRefGoogle ScholarPubMed
Lilenfeld, L. R. R., Wonderlich, S., Riso, L. P., Crosby, R. and Mitchel, J. (2006). Eating disorders and personality: a methodological and empirical review. Clinical Psychology Review, 26, 299–320.CrossRefGoogle ScholarPubMed
Matsunaga, H., Miyata, A., Iwasaki, Y., Matsui, T., Fujimoto, K. and Lirijke, N. (1999). A comparison of clinical features among Japanese eating-disordered women with obsessive-compulsive disorder. Comprehensive Psychiatry, 40, 337–342.CrossRefGoogle ScholarPubMed
Milos, G., Spindler, A., Ruggiero, G., Klaghofer, R., and Schnyder, U. (2002). comorbidity of obsessive-compulsive disorders and duration of eating disorders. International Journal of Eating Disorders, 31, 284–289.CrossRefGoogle ScholarPubMed
O'Connell, C., Larkin, K., Mizes, J. and Fremouw, W. (2005). The impact of caloric preloading on attempts at food and eating-related thought suppression in restrained and unrestrained eaters. International Journal of Eating Disorders, 38, 42–48.CrossRefGoogle ScholarPubMed
Obsessive Compulsive Cognitions Working Group (OCCWG) (1997). Cognitive assessment of obsessive-compulsive disorder. Behaviour Research and Therapy, 35, 667–681.CrossRefGoogle Scholar
Obsessive Compulsive Cognitions Working Group (OCCWG) (2001). Development and initial validation of the Obsessive Beliefs Questionnaire and the Interpretation of Intrusions Inventory. Behaviour Research and Therapy, 39, 987–1006.CrossRefGoogle Scholar
Obsessive Compulsive Cognitions Working Group (OCCWG) (2003). Psychometric validation of the Obsessive Beliefs Questionnaire and the Interpretation of Intrusions Inventory: part I. Behaviour Research and Therapy, 41, 863–878.CrossRefGoogle Scholar
Palmer, H. D. and Jones, M. S. (1939). Anorexia nervosa as a manifestation of compulsion neurosis. Archives of Neurology and Psychiatry, 41, 856–858.Google Scholar
Rachman, S. (1991). A psychological approach to the study of comorbidity. Clinical Psychology Review, 11, 461–464.CrossRefGoogle Scholar
Rachman, S. J. (1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 35, 793–802.CrossRefGoogle ScholarPubMed
Rachman, S. and Shafran, R. (1999). Cognitive distortions: thought-action fusion. Clinical Psychology and Psychotherapy, 6, 80–85.3.0.CO;2-C>CrossRefGoogle Scholar
Radomsky, A. S., de Silva, P., Todd, G., Treasure, J. and Murphy, T. (2002). Thought-shape fusion in anorexia nervosa: an experimental investigation. Behaviour Research and Therapy, 40, 1169–1177.CrossRefGoogle ScholarPubMed
Salkovskis, P. M. (1999). Understanding and treating obsessive-compulsive disorder. Behaviour Research and Therapy, 37, 29–52.CrossRefGoogle ScholarPubMed
Sassaroli, S., Galluci, M. and Ruggiero, G. M. (2008). Low perception of control as a cognitive factor of eating disorders and its interactive effects with perfectionism and self-esteem. Journal of Behavior Therapy and Experimental Psychiatry, 39, 467–488.CrossRefGoogle ScholarPubMed
Serpell, L., Livingstone, A., Neiderman, M. and Lask, B. (2002). Anorexia nervosa: obsessive-compulsive disorder, obsessive-compulsive personality disorder, or neither? Clinical Psychology Review, 22, 674–669.CrossRefGoogle ScholarPubMed
Shafran, R. (2002). Eating disorders and obsessive compulsive disorder. In Frost, R. and Steketee, S. (Eds.), Cognitive Approaches to Obsessions and Compulsions: theory, assessment, and treatment (pp. 215–231). Oxford: Elsevier.CrossRefGoogle Scholar
Shafran, R., Cooper, Z. and Fairburn, C. G. (2002). Clinical perfectionism: a cognitive–behavioural analysis Behaviour Research and Therapy, 40, 773–791.CrossRefGoogle ScholarPubMed
Shafran, R. and Robinson, P. (2004). Thought-Shape Fusion in eating disorders. British Journal of Clinical Psychology, 43, 399–408.CrossRefGoogle ScholarPubMed
Shafran, R., Teachman, B. A., Kerry, S. and Rachman, S. (1999). A cognitive distortion associated with eating disorders: Thought Shape Fusion. British Journal of Clinical Psychology, 38, 167–179.CrossRefGoogle ScholarPubMed
Slade, P. D. (1982). Towards a functional analysis of anorexia nervosa and bulimia. British Journal of Clinical Psychology, 21, 167–179.CrossRefGoogle ScholarPubMed
Speranza, M., Corcos, M., Godart, N., Loas, G., Guilbaud, O., Jeammet, P. et al. . (2001). Obsessive, compulsive disorders in eating disorders. Eating Behaviors, 2, 193–207.CrossRefGoogle ScholarPubMed
Tabachnick, B. G. and Fidell, L. S. (2007). Using Multivariate Statistics (5th edn.). Boston: Allyn and Bacon.Google Scholar
Thornton, C. and Russell, J. (1997). Obsessive compulsive comorbidity in the dieting disorders. International Journal of Eating Disorders, 21, 83–87.3.0.CO;2-P>CrossRefGoogle ScholarPubMed
Toro, J. (1990). El Cuerpo Como Delito: anorexia, bulimia, cultura y sociedad. Barcelona: Ariel ciencia.Google Scholar
Vitousek, K. and Manke, F. (1994). Personality variables and disorders in anorexia nervosa and bulimia nervosa. Journal of Abnormal Psychology, 103, 137–147.CrossRefGoogle ScholarPubMed
Woolrich, R. A., Cooper, M. J. and Turner, H. M. (2008). Metacognition in patients with anorexia nervosa, dieting and non-dieting women: a preliminary study. European Eating Disorders Review, 16, 11–20.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.