Obsesif Kompulsif Bozuklukta Bilişsel Yanlılık Değişimi

Year 2020, Volume: 12 Issue: 3, 299 - 317, 30.09.2020

Sıla Derin , Orçun Yorulmaz

https://doi.org/10.18863/pgy.620707

Cited By: 1

Abstract

Maruz bırakma ve tepki önleme ile bilişsel yeniden yapılandırma uygulamalarından oluşan bilişsel davranışçı terapi günümüzde halen obsesif kompulsif bozukluğa yönelik en etkili tedavi yöntemleri arasındadır. Yine de bazı hastalar bu tedaviden yeterince yarar görmemektedir. Bu durum standart tedavilerin etkisini arttırabilecek yeni yaklaşımlara yönelik arayışları gündeme getirmiştir. Bu bağlamda teknoloji temelli yöntemlerin güncel bilimsel çalışmalarda sıklıkla incelenmeye başlaması dikkat çekicidir. Bilişsel yanlılık değişimi teknoloji temelli yöntemlerin güncel örneklerinden biridir. Bilişse yanlılık değişimi, başta anksiyete bozuklukları olmak üzere psikopatoloji ile ilişkili dikkat ve yorumlama yanlılıkları gibi bazı bilişsel yanlılıkları değiştirmeyi hedefleyen ve bilgisayar ortamında uygulanan çeşitli görevleri içermektedir. Bilimsel araştırmalar genel olarak bilişsel yanlılık değişiminin bilişsel yanlılıkları değiştirmede ve anksiyete belirtilerini azaltmada etkili olabileceğini göstermektedir. Son yıllarda alanyazında bilişsel yanlılık değişiminin obsesif kompulsif bozukluk için de potansiyel etkilerini araştırmaya yönelik çalışmalar söz konusudur. Geniş klinik örneklemler ile yapılacak daha fazla sayıda araştırmaya ihtiyaç olmakla birlikte, bilişsel yanlılık değişiminin obsesif kompulsif bozuklukta da etkin olduğuna dair kanıtlar giderek artmaktadır. Ayrıca bazı çalışmalar obsesif kompulsif bozukluğun bilişsel davranışçı terapi ile tedavisinde bilişsel yanlılık değişiminin tamamlayıcı bir teknik olarak da kullanılabileceğini göstermektedir. Dolayısıyla, bu derleme makalesinin amacı, bilişsel yanlılık değişiminin özellikle obsesif kompulsif bozukluk belirtileri üzerindeki etkilerini inceleyen sınırlı sayıdaki görgül çalışmayı ve ortaya çıkardığı değişimlerin ardındaki etki mekanizmalarını gözden geçirmektir.

Keywords

Obsesif-Kompulsif Bozukluk, bilişsel yönler, bilgisayar yardımlı tedavi, Bilişsel Yanlılık Değişimleme

Cognitive Bias Modification in Obsessive Compulsive Disorder

Abstract

Cognitive behavioral therapy, consisting of exposure and response prevention and cognitive restructring, is still one of the most effective treatments for obsessive compulsive disorder. However, some patients do not fully benefit from the treatment. This condition results in more search for novel approaches that can contribute to effectiveness of standard treatments. In this regard, the use of technology-based methods in recent researches is noteworthy. Cognitive bias modification is one of these current efforts of technology-based methods. Cognitive bias modification involves computerized tasks designed to modify some cognitive biases such as attention and interpretation associated with psychopathology, particularly anxiety disorders. Researches have generally demonstrated that cognitive bias modification can be effective way to alter cognitive biases and to reduce anxiety symptoms. In recent years, there have been also some studies to investigate the potential effects of cognitive bias modification for obsessive compulsive disorder. Although more researches with larger clinical samples are warranted, there is emerging evidence for efficacy of cognitive bias modification for obsessive compulsive disorder as well. Beside, some studies suggest that cognitive bias modification can be used as a supplementary technique to standart cognitive behavioral therapy for obsessive compulsive disorder. Accordingly, the aim of this article is to review the limited number of empirical studies, particularly focusing on the effects of cognitive bias modification on obsessive compulsive symptoms and mechanisms of action underlying these effects.

Keywords

Obsessive-Compulsive Disorder, cognitive aspects

References

• Abramowitz JS (2006) The Psychological Treatment of Obsessive-Compulsive Disorder. Can J Psychiatry, 51:407-416.
• Abramowitz JS, Blakey SM, Reuman L, Buchholz JL (2018) New directions in the cognitive-behavioral treatment of OCD: Theory, research, and practice. Behav Ther, 49:311-322.
• Abramowitz JS, Deacon BJ, Olatunji BO, Wheaton MG, Berman NC, Losardo D et al. (2010) Assessment of obsessive-compulsive symptom dimensions: Development and evaluation of the Dimensional Obsessive-Compulsive Scale. Psychol Assess, 22: 180-198.
• Abramowitz JS, Fabricant LE, Taylor S, Deacon BJ, McKay D, Storch EA (2014) The relevance of analogue studies for understanding obsessions and compulsions. Clin Psychol Rev, 34:206-217.
• Abramowitz JS, Jacoby RJ (2014) Obsessive-compulsive disorder in the DSM-5. Clin Psychol Sci Pract, 21:221-235.
• Aday JS, Carlson JM (2019) Extended testing with the dot-probe task increases test-retest reliability and validity. Cogn Process, 20:65-72.
• American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Washington, DC: American Psychiatric Press.
• Amir N, Kuckertz JM, Najmi S, Conley SL (2015) Preliminary evidence for the enhancement of self-conducted exposures for OCD using cognitive bias modification. Cogn Ther Res, 39:424-440.
• Amir N, Najmi S, Morrison AS (2009) Attenuation of attention bias in obsessive-compulsive disorder. Behav Res Ther, 47:153-157.
• Andersson G (2009) Using the Internet to provide cognitive behaviour therapy. Behav Res Ther, 47:175-180.
• Andersson G, Carlbring P, Titov N, Lindefors N (2019) Internet interventions for adults with anxiety and mood Disorders: A narrative umbrella review of recent meta-analyses. Can J Psychiatry, 64:465-470.
• Andersson E, Enander J, Andrén P, Hedman E, Ljótsson B, Hursti T et al. (2012) Internet-based cognitive behaviour therapy for obsessive-compulsive disorder: A randomized controlled trial. Psychol Med, 42:2193-2203.
• Andersson G, Hedman E (2013) Effectiveness of guided internet-based cognitive behavior therapy in regular clinical settings. Verhaltenstherapie, 23:140-148.
• Andersson G, Titov N (2014) Advantages and limitations of Internet‐based interventions for common mental disorders. World Psychiatry, 13:4-11.
• Bachofen M, Nakagawa A, Marks IM, Park JM, Greist JH, Baer L et al. (1999) Home self-assessment and self-treatment on obsessive-compulsive disorder using a manual and a computer-conducted telephone interview: Replication of a U.K.–U. S. study. J Clin Psychiatry, 60:545-549.
• Baer L, Greist JH (1997) An interactive computer-administered self-assessment and self-help program for behavior therapy. J Clin Psychiatry, 58(Suppl12):23-28.Baer L, Greist J, Marks IM (2007) Computer-aided cognitive behaviour therapy. Psychother Psychosom, 76:193-195.
• Baer L, Minichiello WE, Jenike MA (1987) Use of a portable-computer program in behavioral treatment of obsessive-compulsive disorder. Am J Psychiatry, 144:1101.
• Baer L, Minichiello WE, Jenike MA, Holland A (1988) Use of a portable computer program to assist behavioral treatment in a case of obsessive compulsive disorder. J Behav Ther Exp Psychiatry, 19:237-240.
• Bar-Haim Y, Lamy D, Pergamin L, Bakermans-Kranenburg MJ, Van Ijzendoorn MH (2007) Threat-related attentional bias in anxious and nonanxious individuals: a meta-analytic study. Psychol Bull, 133:1-24.
• Baxter AJ, Vos T, Scott KM, Ferrari AJ, Whiteford HA (2014) The global burden of anxiety disorders in 2010. Psychol Med, 44:2363-2374.
• Beadel JR, Smyth FL, Teachman BA (2014) Change processes during cognitive bias modification for obsessive compulsive beliefs. Cogn Ther Res, 38:103-119.
• Beard C, Amir N (2009) Interpretation in social anxiety: When meaning precedes ambiguity. Cogn Ther Res, 33:406-415.
• Beard C, Weisberg RB, Amir N (2011) Combined cognitive bias modification treatment for social anxiety disorder: a pilot trial. Depress Anxiety, 28:981-988.
• Beck AT, Clark DA (1997) An information processing model of anxiety: Automatic and strategic processes. Behav Res Ther, 35:49-58.
• Beck AT, Emery G, Greenberg RL (2005) Anxiety disorders and phobias: A cognitive perspective. Basic Books.
• Ben-Haim MS, Williams P, Howard Z, Mama Y, Eidels A, Algom D (2016) The emotional Stroop task: assessing cognitive performance under exposure to emotional content. J Vis Exp, (112).
• Black MJ, Grisham JR (2016) Imagery versus verbal interpretive cognitive bias modification for compulsive checking. Behav Res Ther, 83:45-52.
• Black MJ, Grisham JR (2018) A pilot study of interpretive cognitive bias modification for OCD: Targeting memory, uncertainty, and perfectionism biases. J Exp Psychopathol, 9:1-15.
• Boendermaker WJ, Boffo M, Wiers RW (2015) Exploring elements of fun to motivate youth to do cognitive bias modification. Games Health J, 4:434-443.
• Boschen MJ, Vuksanovic D (2007) Deteriorating memory confidence, responsibility perceptions and repeated checking: Comparisons in OCD and control samples. Behav Res Ther, 45:2098-2109.
• Bradley MC, Hanna D, Wilson P, Scott G, Quinn P, Dyer KF (2016) Obsessive-compulsive symptoms and attentional bias: An eye-tracking methodology. J Behav Ther Exp Psychiatry 50:303-308.
• Brosan L, Hoppitt L, Shelfer L, Sillence A, Mackintosh B (2011) Cognitive bias modification for attention and interpretation reduces trait and state anxiety in anxious patients referred to an out-patient service: Results from a pilot study. J Behav Ther Exp Psychiatry, 42: 258-264.
• Cisler JM, Koster EH (2010) Mechanisms of attentional biases towards threat in anxiety disorders: An integrative review. Clin Psychol Rev, 30:203-216.
• Clark DA (2004) Cognitive-behavioral therapy for OCD. New York: The Guilford Press.
• Clerkin EM, Magee JC, Parsons EM (2014) Evaluating change in beliefs about the importance/control of thoughts as a mediator of CBM-I and responses to an ICT stressor. J Obsessive Compuls Relat Disord, 3:311-318.
• Clerkin EM, Teachman BA (2011) Training interpretation biases among individuals with symptoms of obsessive compulsive disorder. J Behav Ther Exp Psychiatry, 42:337-343.
• Cougle JR, Salkovskis PM, Wahl K (2007) Perception of memory ability and confidence in recollections in obsessive-compulsive checking. J Anxiety Disord, 21:118-130.
• Daflos S, Whittal ML (2012). Exposure therapy in OCD: Is there a need for adding cognitive elements?. In Exposure Therapy: Rethinking The Model-Refining The Method. (Eds P Neudeck & HU Wittchen): 335-350. Springer, New York, NY.
• De Ruiter C, Brosschot JF (1994) The emotional Stroop interference effect in anxiety: attentional bias or cognitive avoidance?. Behav Res Ther, 32:315-319.
• Dennis TA, O’Toole LJ (2014) Mental health on the go: Effects of a gamified attention-bias modification mobile application in trait-anxious adults. Clin Psychol Sci, 2:576-590.
• Derin S (2019) Psikoterapide teknoloji kullanımına dair güncel bir örnek: Bilişsel yanlılık değişimleme. IX. Işık Savaşır Klinik Psikoloji Sempozyumu, 24-26 Mayıs 2019 Gazimağusa, Kuzey Kıbrıs Türk Cumhuriyeti.
• Deterding S, Sicart M, Nacke L, O'Hara K, Dixon D (2011) Gamification. using game-design elements in non-gaming contexts. In CHI'11 extended abstracts on human factors in computing systems: 2425-2428. May 7-12 2011, Vancouver, BC, Canada.
• Doron G, Moulding R (2009) Cognitive behavioral treatment of obsessive compulsive disorder: a broader framework. Isr J Psychiatry Relat Sci, 46:257-263.
• Dresler T, Ehlis AC, Attar CH, Ernst LH, Tupak SV, Hahn T et al. (2012) Reliability of the emotional Stroop task: An investigation of patients with panic disorder. J Psychiatr Res, 46:1243-1248.
• Enock PM, Hofmann SG, McNally RJ (2014) Attention bias modification training via smartphone to reduce social anxiety: A randomized, controlled multi-session experiment. Cog Ther Res, 38:200-216.
• Evans TC, Britton JC (2018) Improving the psychometric properties of dot-probe attention measures using response-based computation. J Behav Ther Exp Psychiatry, 60:95-103.
• Everaert J, Tierens M, Uzieblo K, Koster EH (2013) The indirect effect of attention bias on memory via interpretation bias: Evidence for the combined cognitive bias hypothesis in subclinical depression. Cogn Emot, 27:1450-1459.
• Fisher PL, Wells A (2005) How effective are cognitive and behavioral treatments for obsessive-compulsive disorder? A clinical significance analysis. Behav Res Ther, 43:1543-1558.
• Fisher PL, Wells A (2008) Metacognitive therapy for obsessive-compulsive disorder: A case series. J Behav Ther Exp Psychiatry, 39:117-132.
• Fitt S, Rees C (2012) Metacognitive therapy for obsessive compulsive disorder by videoconference: A preliminary study. Behav Change, 29:213-229.
• Foa EB, Ilai D, McCarthy PR, Shoyer B, Murdock T (1993) Information processing in obsessive-compulsive disorder. Cogn Ther Res, 17:173-189.
• Foa EB, McNally RJ (1986) Sensitivity to feared stimuli in obsessive-compulsives: A dichotic listening analysis. Cogn Ther Res, 10:477-485.
• García-Soriano G, Rufer M, Delsignore A, Weidt S (2014). Factors associated with non-treatment or delayed treatment seeking in OCD sufferers: A review of the literature. Psychiatry Res, 220: 1-10.
• Gava I, Barbui C, Aguglia E, Carlino D, Churchill R, De Vanna M et al. (2007) Psychological treatments versus treatment as usual for obsessive compulsive disorder (OCD). Cochrane Database Syst Rev, (2).
• Greist JH, Marks, IM, Baer L, Kobak KA, Wenzel KW, Hirsch MJ et al. (2002) Behavior therapy for obsessive-compulsive disorder guided by a computer or by a clinician compared with relaxation as a control. J Clin Psychiatry, 63:38-145.
• Grisham JR, Becker L, Williams AD, Whitton AE, Makkar SR (2014) Using cognitive bias modification to deflate responsibility in compulsive checkers. Cogn Ther Res, 38:505-517.
• Habedank I, Lennartz SJ, Arslan RC, Ertle A (2017) Online Attention Bias Modification for Obsessive-Compulsive Disorder: A Randomized Controlled Trial. PsyArXiv. Available from: URL: https://psyarxiv.com/gxvwk/. Accessed date:18.08.2019.
• Harkness EL, Harris LM, Jones MK, Vaccaro L (2009) No evidence of attentional bias in obsessive compulsive checking on the dot probe paradigm. Behav Res Ther, 47:437-443.
• Heyman I, Mataix-Cols D, Fineberg NA (2006) Obsessive-compulsive disorder. BMJ, 333: 424-429.
• Hezel DM, McNally RJ (2016) A theoretical review of cognitive biases and deficits in obsessive-compulsive disorder. Biol Psychol, 121:221-232.
• Hirsch CR, Clark DM, Mathews A (2006) Imagery and interpretations in social phobia: Support for the combined cognitive biases hypothesis. Behav Ther, 37:223-236.
• Holmes EA, Lang TJ, Shah DM (2009) Developing interpretation bias modification as a" cognitive vaccine" for depressed mood: imagining positive events makes you feel better than thinking about them verbally. J Abnorm Psychol, 118:76-88.
• Jones EB, Sharpe L (2017) Cognitive bias modification: A review of meta-analyses. J Affect Disord, 223:175-183.
• Kessler RC, Chiu WT, Demler O, Walters EE (2005) Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry, 62:617-627.
• Kim SK, McKay D, Taylor S, Tolin D, Olatunji B, Timpano K et al. (2016) The structure of obsessive compulsive symptoms and beliefs: A correspondence and biplot analysis. J Anxiety Disord, 38:79-87.
• Koç V, (2016) Üniversite öğrencilerinde sosyal kaygı belirtilerini azaltmaya yönelik birleştirilmiş bilişsel yanlılık değişimleme çalışması: Deneysel bir araştırma (Doktora tezi). Ankara, Hacettepe Üniversitesi.
• Kuelz AK, Hohagen F, Voderholzer U (2004) Neuropsychological performance in obsessive-compulsive disorder: A critical review. Biol Psychol, 65:185-236.
• Kyrios M, Iob MA (1998) Automatic and strategic processing in obsessive-compulsive disorder: Attentional bias, cognitive avoidance or more complex phenomena?. J Anxiety Disord, 12:271-292.
• Lau HM, Smit JH, Fleming TM, Riper H (2017) Serious games for mental health: are they accessible, feasible, and effective? A systematic review and meta-analysis. Front Psychiatry, 7:209.
• MacLeod C (2012) Cognitive bias modification procedures in the management of mental disorders. Curr Opin Psychiatry, 25:114-120.
• MacLeod C, Campbell L, Rutherford E, Wilson E (2004) The causal status of anxiety-linked attentional and interpretive bias. In Cognition, emotion and psychopathology: Theoretical, empirical and clinical directions, (Ed J Yiend):172-189. Cambridge University Press.
• MacLeod C, Mathews A (2012) Cognitive bias modification approaches to anxiety. Annu Rev Clin Psychol, 8:189-217.
• MacLeod C, Mathews A, Tata P (1986) Attentional bias in emotional disorders. J Abnorm Psychol, 95:15-20.
• MacLeod C, Rutherford E, Campbell L, Ebsworthy G, Holker L (2002) Selective attention and emotional vulnerability: assessing the causal basis of their association through the experimental manipulation of attentional bias. J Abnorm Psychol, 111:107-123.
• Markarian Y, Larson MJ, Aldea MA, Baldwin SA, Good D, Berkeljon A et al. (2010) Multiple pathways to functional impairment in obsessive-compulsive disorder. Clin Psychol Rev, 30:78-88.
• Mataix-Cols D, do Rosario-Campos MC, Leckman JF (2005) A multidimensional model of obsessive-compulsive disorderAm J Psychiatry, 162:228-238.
• Mataix-Cols D, Marks IM, Greist JH, Kobak KA, Baer L (2002) Obsessive-compulsive symptom dimensions as predictors of compliance with and response to behaviour therapy: Results from a controlled trial. Psychother Psychosom, 71:255-262.
• Mathews A, Mackintosh B (2000) Induced emotional interpretation bias and anxiety. J Abnorm Psychol, 109: 602-615.
• Mathews A, MacLeod C (2002) Induced processing biases have causal effects on anxiety. Cogn Emot, 16:331-354.
• Mathews A, MacLeod C (2005) Cognitive vulnerability to emotional disorders. Annu Rev Clin Psychol, 1:167-195.
• Mathews A, Ridgeway V, Cook E, Yiend J (2007) Inducing a benign interpretational bias reduces trait anxiety. J Behav Ther Exp Psychiatry, 38:225-236.
• McKay D, Sookman D, Neziroglu F, Wilhelm S, Stein DJ, Kyrios M et al. (2015) Efficacy of cognitive-behavioral therapy for obsessive-compulsive disorder. Psychiatry Res, 225:236-246.
• McNally RJ (2001) On the scientific status of cognitive appraisal models of anxiety disorder. Behav Res Ther, 39:513-521.
• Menne-Lothmann C, Viechtbauer W, Höhn P, Kasanova Z, Haller SP, Drukker M et al. (2014). How to boost positive interpretations? A meta-analysis of the effectiveness of cognitive bias modification for interpretation. PloS One, 9:1-26.
• Mogg K, Bradley BP (1998) A cognitive-motivational analysis of anxiety. Behav Res Ther, 36:809-848.
• Moritz S, Fischer BK, Hottenrott B, Kellner M, Fricke S, Randjbar, S et al. (2008) Words may not be enough! No increased emotional Stroop effect in obsessive-compulsive disorder. Behav ResTher,46:1101-1104.
• Moritz S, Jacobsen D, Kloss M, Fricke S, Rufer M, Hand I (2004) Examination of emotional Stroop interference in obsessive-compulsive disorder. Behav Res Ther, 42:671-682.
• Moritz S, von Mühlenen A (2008) Investigation of an attentional bias for fear‐related material in obsessive‐compulsive checkers. Depress Anxiety, 25:225-229.
• Moritz S, Wittekind CE, Hauschildt M, Timpano KR (2011) Do it yourself? Self-help and online therapy for people with obsessive-compulsive disorder. Curr Opin Psychiatry, 24:541-548.
• Muller J, Roberts JE (2005) Memory and attention in obsessive-compulsive disorder: A review. J Anxiety Disord,19:1-28.
• Murphy R, Hirsch CR, Mathews A, Smith K, Clark DM (2007) Facilitating a benign interpretation bias in a high socially anxious population. Behav Res Ther, 45:1517-1529.
• Najmi S, Amir N (2010) The effect of attention training on a behavioral test of contamination fears in individuals with subclinical obsessive-compulsive symptoms. J Abnorm Psychol, 119:136-142.
• Najmi S, Amir N (2017) Enhancement of Self‐Conducted Exposure for OCD Using Cognitive Bias Modification: A Case Study. J Clin Psychol, 73:536-546.
• Obsessive Compulsive Cognitions Working Group (1997) Cognitive assessment of obsessive-compulsive disorder. Behav Res Ther, 35:667-681.
• Obsessive Compulsive Cognitions Working Group (2003) Psychometric validation of the Obsessive Beliefs Questionnaire and the Interpretation of Intrusions Inventory: Part I. Behav Res Ther, 41:863-878.
• Obsessive Compulsive Cognitions Working Group (2005). Psychometric validation ofthe obsessive belief questionnaire and interpretation of intrusions inventory-Part 2: Factor analyses and testing of a brief version. Behav Res Ther, 43:1527-1542.
• Ougrin D (2011). Efficacy of exposure versus cognitive therapy in anxiety disorders: Systematic review and meta-analysis. BMC Psychiatry, 11:200.
• Öst LG, Havnen A, Hansen B, Kvale G (2015) Cognitive behavioral treatments of obsessive-compulsive disorder. A systematic review and meta-analysis of studies published 1993-2014. Clin Psychol Rev, 40:156-169.
• Pearcy CP, Anderson RA, Egan SJ, Rees CS (2016) A systematic review and meta-analysis of self-help therapeutic interventions for obsessive-compulsive disorder: Is therapeutic contact key to overall improvement?. J Behav Ther Exp Psychiatry, 51:74-83.
• Ponniah K, Magiati I, Hollon SD (2013) An update on the efficacy of psychological treatments for obsessive-compulsive disorder in adults. J Obsessive Compuls Relat Disord, 2:207-218.
• Posner MI (1980) Orienting of attention. Q J Exp Psychol B, 32: 3-25.
• Pozza A, Andersson G, Dèttore D (2016) Therapist-guided internet-based cognitive-behavioural therapy for adult obsessive-compulsive disorder: A meta-analysis. Eur Psychiatry, 33:276-277.
• Rachman S (1997) A cognitive theory of obsessions. Behav Res Ther, 35:793-802.
• Rachman S (2002) A cognitive theory of compulsive checking. Behav Res Ther, 40:625-639.
• Rachman S (2003) The treatment of obsessions. Oxford: Oxford University Press.
• Radomsky AS, Rachman S, Hammond D (2001) Memory bias, confidence and responsibility in compulsive checking. Behav Res Ther, 39:813-822.
• Rao NP, Arasappa R, Reddy NN, Venkatasubramanian G, Reddy YJ (2010) Emotional interference in obsessive-compulsive disorder: A neuropsychological study using optimized emotional Stroop test. Psychiatry Res,180:99-104.
• Rassin E, Diepstraten P, Merckelbach H, Muris P (2001) Thought-action fusion and thought suppression in obsessive-compulsive disorder. Behav Res Ther, 39:757-764.
• Rassin E, Muris P, Schmidt H, Merckelbach H (2000) Relationships between thought-action fusion, thought suppression and obsessive-compulsive symptoms: A structural equation modeling approach. Behav Res Ther, 38:889-897.
• Rouel M, Smith E (2018) Attentional Bias and Its Modification in Contamination OCD Symptomatology. Cogn Ther Res, 42:686-698.
• Rufer M, Fricke S, Moritz S, Kloss M, Hand I (2006) Symptom dimensions in obsessive-compulsive disorder: prediction of cognitive‐behavior therapy outcome. Acta Psychiatr Scand, 113:440-446.
• Ruscio AM, Stein DJ, Chiu WT, Kessler RC (2010) The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Mol Psychiatry, 15:53-63.
• Salemink E, Wolters L, de Haan E (2015) Augmentation of treatment as usual with online cognitive bias modification of interpretation training in adolescents with obsessive compulsive disorder: A pilot study. J Behav Ther Exp Psychiatry, 49:112-119.
• Salkovskis PM (1999) Understanding and treating obsessive-compulsive disorder. Behav Res Ther, 37:29-52.
• Seol SH, Kwon JS, Kim YY, Kim SN, Shin MS (2016) Internet-based cognitive behavioral therapy for obsessive-compulsive disorder in Korea. Psychiatry Investig, 13:373-382.
• Shafran R, Rachman S (2004) Thought-action fusion: a review. J Behav Ther Exp Psychiatry, 35:87-107.
• Shafran R, Thordarson DS, Rachman S (1996) Thought-action fusion in obsessive compulsive disorder. J Anxiety Disord, 10:379-391.
• Siwiec SG (2015) Developing interpretation training for modifying thought-action-fusion associated with obsessive-compulsive symptoms (Master’s thesis). USA, The University of Wisconsin-Milwaukee.
• Siwiec SG, Davine TP, Kresser RC, Rohde MM, Lee HJ (2017) Modifying thought-action fusion via a single-session computerized interpretation training. J Obsessive Compuls Relat Disord, 12:15-22.
• Skapinakis P, Caldwell DM, Hollingworth W, Bryden P, Fineberg NA, Salkovskis P et al. (2016) Pharmacological and psychotherapeutic interventions for management of obsessive-compulsive disorder in adults: A systematic review and network meta-analysis. Lancet Psychiatry, 3:730-739.
• Staugaard SR (2009) Reliability of two versions of the dot-probe task using photographic faces. Psychol Sci Q, 51:339-350.
• Stech EP, Grisham JR (2017) Modifying Obsessive-Compulsive Beliefs about Controlling One’s Thoughts. J Psychopathol Behav Assess, 39:534-545.
• Steinman SA, Teachman BA (2010) Modifying interpretations among individuals high in anxiety sensitivity. J Anxiety Disord, 24:71-78.
• Stroop JR (1935) Studies of interference in serial verbal reactions. J Exp Psychol, 18:643-662.
• Tallis F (1997) The neuropsychology of obsessive-compulsive disorder: A review and consideration of clinical implications. Brit J Clin Psychol, 36:3-20.
• Tata PR, Leibowitz JA, Prunty MJ, Cameron M, Pickering AD (1996) Attentional bias in obsessional compulsive disorder. Behav Res Ther, 34:53-60.
• Taylor S, Kyrios M, Thordarson DS, Steketee G, Frost RO (2002) Development and validation of instruments for measuring intrusions and beliefs in obsessive compulsive disorder. In Cognitive Approaches to Obsessions and Compulsions, (Eds OF Randy, G Steketee): 117-138. Pergamon.
• Toffolo MB, van den Hout MA, Radomsky AS, Engelhard IM (2015) Check, check, double check: Investigating memory deterioration within multiple sessions of repeated checking. J Behav Ther Exp Psychiatry, 53:59-67.
• Tolin DF, Worhunsky P, Maltby N (2006) Are “obsessive” beliefs specific to OCD?: A comparison across anxiety disorders. Behav Res Ther, 44:469-480.
• Unoki K, Kasuga T, Matsushima E, Ohta K (1999) Attentional processing of emotional information in obsessive-compulsive disorder. Psychiatry Clin Neurosci, 53:635-642.
• Van den Heuvel OA, Veltman DJ, Groenewegen HJ, Witter MP, Merkelbach J, Cath DC et al. (2005). Disorder-specific neuroanatomical correlates of attentional bias in obsessive-compulsive disorder, panic disorder, and hypochondriasis. Arch Gen Psychiatry, 62:922-933.
• van den Hout M, Kindt M (2003) Phenomenological validity of an OCD-memory model and the remember/know distinction. Behav Res Ther, 41:369-378.Veale D (2004) Psychopathology of obsessive-compulsive disorder. Psychiatry, 3:65-68.
• Wells A, Matthews G (2014) Attention and emotion (Classic edition): A clinical perspective. Psychology Press.
• Wheaton MG, Abramowitz JS, Berman NC, Riemann BC, Hale LR (2010) The relationship between obsessive beliefs and symptom dimensions in obsessive-compulsive disorder. Behav Res Ther, 48:949-954.
• Whittal ML, Thordarson DS, McLean PD (2005) Treatment of obsessive-compulsive disorder: Cognitive behavior therapy vs. exposure and response prevention. Behav Res Ther, 43:1559-1576.
• Whittal ML, Woody SR, McLean PD, Rachman SJ, Robichaud M (2010) Treatment of obsessions: A randomized controlled trial. Behav Res Ther, 48:295-303.
• Wilhelm S, Steketee G, Reilly-Harrington NA, Deckersbach T (2005) Effectiveness of cognitive therapy for obsessive-compulsive disorder: An open trial. J Cogn Psychother, 19:173-179.
• Williams AD, Grisham JR (2013) Cognitive Bias Modification (CBM) of obsessive compulsive beliefs. BMC Psychiatry, 13:256.
• Williams JMG, Mathews A, MacLeod C (1996) The emotional Stroop task and psychopathology. Psychol Bull, 120:3-24.
• Williams JMG, Watts FN, MacLeod C, Mathews A (1997) Cognitive psychology and emotional disorders. 2nd ed. John Wiley & Sons.
• Zhang M, Ying J, Song G, Fung DS, Smith H (2018a) Attention and cognitive bias modification apps: review of the literature and of commercially available apps. JMIR Mhealth Uhealth, 6: e10034.
• Zhang MW, Ying JB, Song G, Ho R (2018b) A review of gamification approaches in commercial cognitive bias modification gaming applications. Technol Health Care, 15:23.