
Understanding fear of guilt key in better treating OCD
Study finds a person's fear of being guiltyevokes feelings of doubt in decision-making.
Study finds a person's fear of being guiltyevokes feelings of doubt in decision-making.
By Ryon Jones University RelationsAdvances in our understanding of the development and persistence of Obsessive-Compulsive Disorder (OCD) have the potential to improve treatment according to a new study by the University of ݮƵ.
The study found that fear of guilt evokes feelings of doubt in decision-making, with greater fear of guilt being associated with greater self-reported difficulty making decisions, less satisfaction with the decisions made, and less confidence in those decisions.A person’s fear of being guiltyforsomething that they have done or haven’t done also results in them wanting more information before making a decision.
Brenda Chiang (right) speaking to attendees at Centre for Mental Health Research event.
“People with OCD have generally been shown in research to have this inflated feeling of responsibility,” said ݮƵ graduate student and lead researcher on the study, Brenda Chiang. “They often feel that they are going to be responsible for something bad that will happen or that if they fail to do something, they will be responsible for that harm too. So, they naturally have slightly higher levels of fear of guilt making them more susceptible to indecisiveness.
“This indecisiveness leads to difficulty terminating an action as well as evokes doubt as to whether an action was done properly, which leads to repetition of that action.”
The study assessed 63 undergraduate students from the University of ݮƵ, who were previously identified as havinga wide range of trait levels of fear of guilt; from low to high.
“The next step would be to examine this in people who have OCD,” saidProfessor Christine Purdon, co-author of the study. “The current gold standard for treating OCD is Cognitive Behavioral Therapy, which has about a 50 to 60per centsuccess rate if you include people who drop out because they can’t tolerate it or people who decline the treatment because they anticipate that they can’t do it.
“We’re only getting about half of the people with OCD treated properly, soonce we have a better understanding of factors that cause repetition and doubt, we can developtreatmentthat addresses a greater number of persons.”
The study was recently published in the Journal of Obsessive-Compulsive and Related Disorders.
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The University of ݮƵ acknowledges that much of our work takes place on the traditional territory of the Neutral, Anishinaabeg, and Haudenosaunee peoples. Our main campus is situated on the Haldimand Tract, the land granted to the Six Nations that includes six miles on each side of the Grand River. Our active work toward reconciliation takes place across our campuses through research, learning, teaching, and community building, and is co-ordinated within the Office of Indigenous Relations.