Emotion Regulation and Personalized Treatment in Obsessive–Compulsive Disorder
DOI:
https://doi.org/10.54097/57rm2291Keywords:
Obsessive-compulsive disorder, emotional components, cognitive processes, effectiveness of treatment, self-efficacy, family support.Abstract
Obsessive-compulsive disorder (OCD) is a condition marked by persistent obsessions and compulsions that impacts roughly 1 to 3 percent of the global population. The focus has expanded from investigating solely on behavioral manifestations to emotional components, cognitive processes and the effectiveness of treatment. This paper systematically examines how avoidance emotions contribute to OCD development and how self-efficacy and insight influence the response to treatment. The results indicate that integrating skills to cope with distress better improving self-efficacy and strengthening family support are critical to achieving optimal treatment outcomes. The current studies have some limitations like small sample size, short period follow ups and insufficient evaluation of emotions; future research should focus on multidimensional evaluations, including emotion regulation as a secondary goal along with exploring various presentation styles and creating combined interventions to enhance individualized and lasting effectiveness, in treating OCD.
Downloads
References
[1] Abramowitz, J.S. 1996. Variations of exposure and response prevention in the treatment of obsessive-compulsive disorder: A meta-analysis. Behavior Therapy, 27(4):583–600. https://doi.org/10.1016/S0005-7894(96)80045-1 DOI: https://doi.org/10.1016/S0005-7894(96)80045-1
[2] Bhardwaj, A., Balachander, S., Raj, A., & Nigam, R. 2022. The role of insight and self-efficacy in persons with obsessive–compulsive disorder: A correlational study. Journal of Psychosocial Research, 17(2):365–373
[3] Bischof, R., Hirschfeld, G., & Schlosser, K. 2024. Emotion regulation in obsessive–compulsive disorder: Evidence from ecological momentary assessment. Journal of Anxiety Disorders, 95:102698. https://doi.org/10.1016/j.janxdis.2024.102698
[4] Franklin, M.E., Sapyta, J., Freeman, J., Khanna, M., Compton, S., Almirall, D., Moore, P., Choate-Summers, M.L., Garcia, A., Flessner, C., & March, J. 2011. Cognitive behavior therapy augmentation of pharmacotherapy in pediatric obsessive-compulsive disorder: The pediatric OCD treatment study II (POTS II) randomized controlled trial. JAMA, 306(11):1224–1232. https://doi.org/10.1001/jama.2011.1344 DOI: https://doi.org/10.1001/jama.2011.1344
[5] Gragnani, A., Di Marco, M., Timpano, K.R., Righetti, P., Mancini, F., & Cosentino, T. 2022. Cognitive–behavioral treatment of obsessive–compulsive disorder: A naturalistic study of a sequential five-phase model. Journal of Obsessive-Compulsive and Related Disorders, 35:100727. https://doi.org/10.1016/j.jocrd.2022.100727 DOI: https://doi.org/10.1016/j.jocrd.2022.100727
[6] Hansen, B., Kvale, G., Hagen, K., Havnen, A., Öst, L.G., Solem, S., & Bjørkli, C.A. 2019. The Bergen 4-day treatment for obsessive–compulsive disorder: Four-year follow-up of concentrated ERP in a clinical mental health setting. Cognitive Behaviour Therapy, 48(3):180–196. https://doi.org/10.1080/16506073.2018.1500301 DOI: https://doi.org/10.1080/16506073.2018.1478447
[7] Kobayashi, H., Shimizu, E., Saito, T., Umehara, H., & Izumi, K. 2020. An evaluation of family-based treatment for obsessive–compulsive disorder in Japan: A pilot randomized controlled trial. Frontiers in Psychiatry, 11:785. https://doi.org/10.3389/fpsyt.2020.00785 DOI: https://doi.org/10.3389/fpsyt.2019.00932
[8] Kyrios, M., Hordern, T., Fassnacht, D.B., & Yoon, E.Y. 2018. Therapist-assisted internet-based cognitive behavioural therapy versus internet-based progressive relaxation in obsessive–compulsive disorder. Internet Interventions, 14:14–23. https://doi.org/10.1016/j.invent.2018.11.002 DOI: https://doi.org/10.2196/preprints.9566
[9] Petrocchi, N., Ottaviani, C., Pranteda, G., Crocetti, E., Maglio, R., Mancini, F., & Mancini, C. 2021. Compassion-focused group therapy for treatment-resistant obsessive-compulsive disorder: A pilot study using a multiple-baseline design. Frontiers in Psychology, 11:594277. https://doi.org/10.3389/fpsyg.2020.594277 DOI: https://doi.org/10.3389/fpsyg.2020.594277
[10] Philip, A.M., & Cherian, A.V. 2022. Acceptance and commitment therapy in obsessive–compulsive disorder: A case study. Indian Journal of Mental Health, 9(2):195–200 DOI: https://doi.org/10.1177/0253717621996734
[11] Song, Y., Yang, Y., Yao, D., Ma, J., & Wang, C. 2022. The effect of exposure and response prevention therapy on obsessive–compulsive disorder: A systematic review and meta-analysis. Frontiers in Psychology, 13:903065. https://doi.org/10.3389/fpsyg.2022.903065 DOI: https://doi.org/10.3389/fpsyt.2022.973838
[12] Xu, Y., Zhang, L., & Wang, J. 2024. Feeling more confident to encounter negative emotions: Distress tolerance mediates the link between self-efficacy and ERP outcome in OCD. Journal of Affective Disorders, 336:1–10 DOI: https://doi.org/10.1016/j.jad.2024.02.091
[13] Zhang, Y., Cui, Q., & Li, H. 2021. Mindfulness-based cognitive therapy for obsessive–compulsive disorder: A randomized controlled trial. Behaviour Research and Therapy, 145:103946. https://doi.org/10.1016/j.brat.2021.103946 DOI: https://doi.org/10.3389/fpsyt.2021.661807
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Journal of Education, Humanities and Social Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
