MERYEM GÜL TEKSİN, SELÇUK ASLAN, GÜLŞEN TEKSİN
Journal of Cognitive-Behavioral Psychotherapy and Research - 2023;12(2):167-178
The importance of metacognitive processes is very important in the reinforcement of obsessive thoughts and compulsions in Obsessive Compulsive Disorder (OCD). In clinical practice, obsessions can sometimes be seen as Overvalued Ideas (OVI). In these patients, the obsessions are not delusional but lack insight. Magical thinking (MT), which are defined as a faulty causality relationship in the literature can also be seen in OCD. Presence of MT in OCD may affect the quality or quantity of obsessive symptoms. In this study, we aimed to assesment the association of OVI with metacognition and MT in OCD by comparing with controls and examining the impact of these clinical features on the severity of the OCD and the quality of life (QoL). For this purpose, 54 OCD and 55 control groups were included in the study. According to clinical interview and Yale-Brown ObsessiveCompulsive Scale (Y-BOCS) symptom list, patients were divided into two groups as autogenous (n:23) and reactive (n:31). Then Overvalued Ideas Scale (OVIS) was applied one-to-one by a same clinician to patients. All participants completed the Metacognitions Questionnaire-30 (MCQ-30), Magical Ideation Scale (MIS), World Health Organization Quality of Life Assessment-Bref-TR (WHOQOL-Bref-TR), Maudsley ObsessiveCompulsive Inventory (MOCI). In the results of the study, the WHOQOL-Bref-TR, MCQ-30 and MOCI total scores were significantly higher in the patient group compared to the control group; MIS total scores were found to be similar between the two groups. In addition; the QoL decreased as the MCQ-30 scores and the severity of MT increased in patients. OCD patients with autogenous and reactive obsessions were compared according to MCQ-30, WHOQOL-BREF, MOCI, Y-BOCS, MIS, and OVIS total and subscale scores. There was no statistically significant difference in the total MCQ-30 score between these two groups. While the OVIS scores of the patients with reactive obsessions were higher than the patients with autogenous obsessions, the "Uncontrollability and danger" subscale score of the MCQ-30 scale with autogenous obsessions was higher than the patients with reactive obsessions. Conclusion High metacognition scores and severity of magical ideations indicate poor quality of life among OCD patients. Also, similar metacognitive pathologies in the OCD subtype groups support the thought of using Metacognitive Therapy as a treatment option with no consideration of the subtype.
