Comparison of Metacognitive Beliefs and Measures of Executive Functions in Individuals with Obsessive-Compulsive Disorder (OCD) and Depression with Normal Individuals

Document Type: Original Article

Authors

1 M.A student of clinical psychology, Azad university of Rodehen, Rodehen, Iran

2 Assistant professor of educational psychology, Azad university of Rodehen, Rodehen Iran

Abstract

This study was carried out with the purpose of determining the extent of differences in metacognitive beliefs and scales of executive functions in people with OCD and depression with normal people. The study population consists of patients with OCD, depression and normal people. Due to non-interference of the researcher in the variables, the method of this study is causal-comparative. The sample of the study consists of 90 subjects with OCD, depression and normal individuals (each group 30 people) selected by purposive sampling method. The tools used in the study include Beck's Depression Inventory (BDI), distress tolerance, Maudsley's Obsessive-Compulsive Inventory (MOCI) and the Wisconsin test. Data analysis was carried out using analysis of variance and post hoc tests. The result of variance analysis showed that there is a significant difference among groups in metacognitive beliefs and executive functions aspects (p<0.001). Due to the differences between people suffering from OCD and depression with ordinary people in metacognitive beliefs and executive functions, it is necessary to pay enough attention to weaknesses of these variables in these people while treating them.

Keywords


American Psychiatric Association. (2000). Diagnostic and statistical manual disorders.4ed. Washington DC.

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). American Psychiatric Pub.

Barcelo, F., (2001). Does the Wisconsin Card Sorting Test (WCST) Measure Prefrontal Function? The Spanish Journal of Psychology 1, 79-100.

Beck, A. T., Steer, R. A., & Carbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical psychology review, 8(1), 77-100.

Beck, A. T., Ward, C., & Mendelson, M. (1961). Beck depression inventory (BDI). Arch Gen Psychiatry, 4(6), 561-571.

Beck, A.T. (1978). Depression Inventory. Center for Cognitive Therapy, Philadelphia.

Biabangard, I. (2002). Analysis of metacognition and cognition therapy. Cognitive science news, (4), 67-54 [In Persian].

Biringer, E., Lundervold, A., Stordal, K., Mykletun, A., Egeland, J., Bottlender, R., & Lund, A. (2005).Executive function improvement upon remission of recurrent unipolar depression. European Archives of Psychiatry and Clinical Neuroscience, 255(6), 373-380.

Dear, B. F., Zou, J., Titov, N., Lorian, C., Johnston, L., Spence, J., ... & Knight, R. G. (2013). Internet-delivered cognitive behavioural therapy for depression: a feasibility open trial for older adults. Australian and New Zealand Journal of Psychiatry, 47(2), 169-176.

Dobson, K., & Mohammad Khani, P. (2005). A psychometric coordinates of Depression Inventory 1- 2-in patients with major depressive disorder. Quarterly of Rehabilitation, Special Issue, Mental illness, 29 (8), 88-83.

Franklin, D., Conrad, P., Aldana, G., & Hough, S. (2011, March). Animal tlatoque: attracting middle school students to computing through culturally-relevant themes. In Proceedings of the 42nd ACM technical symposium on Computer science education (pp. 453-458).ACM.

Greden, J. F. (2001). The burden of recurrent depression: causes, consequences, and future prospects. Journal of Clinical Psychiatry, 62, 5-9.

Jacobi, D. M., Calamari, J. E., & Woodard, J. L. (2006). Obsessive–compulsive disorder beliefs, metacognitive beliefs and obsessional symptoms: relations between parent beliefs and child symptoms. Clinical Psychology & Psychotherapy, 13(3), 153-162.

Katon, W., Lin, E. H., & Kroenke, K. (2007). The association of depression and anxiety with medical symptom burden in patients with chronic medical illness. General hospital psychiatry, 29(2), 147-155.

Kenny, M. A., & Williams, J. M. G. (2007). Treatment-resistant depressed patients show a good response to mindfulness-based cognitive therapy. Behavior research and therapy, 45(3), 617-625.

Koçak, O. M., Nalçacı, E., Özgüven, H. D., Nalçacı, E. G., & Ergenç, İ. (2010). Evaluation of cognitive slowing in OCD by means of creating incongruence between lexicon and prosody. Psychiatry research, 179(3), 306-311.

Krystal, A. D., Thakur, M., & Roth, T. (2008). Sleep disturbance in psychiatric disorders: effects on function and quality of life in mood disorders, alcoholism, and schizophrenia. Annals of Clinical Psychiatry, 20(1), 39-46.

Kuelz, A. A., Hohagen, F., & Voderholzer, U. (2004). Neuropsychological performance in obsessive compulsive disorder: A critical review. Biological Psychology, 65, 185-236.

Locascio, G., Mahone, E. M., Eason, S. H., & Cutting, L. E. (2010).Executive dysfunction among children with reading comprehension deficits. Journal of Learning Disabilities, 43(5), 441-54.

McKay, D., Abramowitz, J. S., Calamari, J. E., Kyrios, M., Radomsky, A., Sookman, D., ...& Wilhelm, S. (2004). A critical evaluation of obsessive–compulsive disorder subtypes: symptoms versus mechanisms. Clinical psychology review, 24(3), 283-313.

Norman, R. M., Davies, F., Malla, A. K., Cortese, L., & Nicholson, I. R. (1996).Relationship of obsessive—compulsive symptomatology to anxiety, depression and schizotypy in a clinical population. British Journal of Clinical Psychology, 35(4), 553-566.

Paelecke-Habermann, Y., Pohl, J., & Leplow, B. (2005). Attention and executive functions in remitted major depression patients. Journal of affective disorders, 89(1), 125-135.

Rachman, S. J., & Hodgson, R. J. (1980). Obsessions and compulsions. Prentice Hall.

Rao, N. P., Reddy, Y. J., Kumar, K. J., Kandavel, T., & Chandrashekar, C. R. (2008). Are neuropsychological deficits trait markers in OCD?. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 32(6), 1574-1579.

Rempfer, M., Hamera, E., Brown, C., & Bothwell, R. J. (2006). Learning proficiency on the Wisconsin Card Sorting Test in people with serious mental illness: What are the cognitive characteristics of good learners?. Schizophrenia research, 87(1), 316-322.

Rossi, A., Arduini, L., Daneluzzo, E., Bustini, M., Prosperini, P., & Stratta, P. (2000). Cognitive function in euthymic bipolar patients stabilized schizophrenic patients, and healthy controls. Journal of psychiatric research, 34(4), 333-339.

Salkovskis, P. M. (1989). Cognitive-behavioural factors and the persistence of intrusive thoughts in obsessional problems. Behaviour research and therapy, 27(6), 677-682.

Shirinzadeh Dastgerdi, S. (2006). The comparison of Metacognitive beliefs and responsibility among OCD, GAD and normal group. Unpublished Thesis, Shiraz University, Iran [In Persian].

Spada, M. M., Nikčević, A. V., Moneta, G. B., & Wells, A. (2008). Metacognition, perceived stress, and negative emotion. Personality and Individual Differences, 44(5), 1172-1181.

Wells, A., & Cartwright-Hatton, S. (2004). A short form of the metacognitions questionnaire: properties of the MCQ-30. Behaviour research and therapy, 42(4), 385-396.