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dc.contributor.authorBouvard, Martine
dc.contributor.authorFournet, Nathalie
dc.contributor.authorDenis, Anne
dc.contributor.authorAchachi, Ouafae
dc.contributor.authorPurdon, Christine
dc.date.accessioned2021-06-17 16:10:24 (GMT)
dc.date.available2021-06-17 16:10:24 (GMT)
dc.date.issued2019-12-27
dc.identifier.urihttps://doi.org/10.1002/cpp.2422
dc.identifier.urihttp://hdl.handle.net/10012/17106
dc.descriptionThis is the peer reviewed version of the following article: Bouvard, M., Fournet, N., Denis, A., Achachi, O., & Purdon, C. (2020). A study of the Repeated Actions Diary in patients suffering from obsessive compulsive disorder. Clinical Psychology & Psychotherapy, 27(2), 228–238. https://doi.org/10.1002/cpp.2422, which has been published in final form at https://doi.org/10.1002/cpp.2422. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.en
dc.description.abstractThe structured Repeated Action Diary (RAD) collects in vivo data on compulsions and their various characteristics. Certain compulsions (i.e., those ending because the patient feels certain that it is safe to stop) are then compared with uncertain compulsions. The compulsion profile in patients with obsessive compulsive disorder (OCD) was assessed by using the RAD. Thirty-two patients from two sources participated in the study. Before pooling the two subgroups, we checked that they did not differ significantly with regard to demographic and clinical variables. Patients reported several categories of compulsion. The most frequently reported compulsions were washing and checking. In a given person, checking compulsions (in contrast to washing compulsions) were often produced by several different obsessions. Almost all the patients reported repeating the compulsions because of a need to feel sure. There were far more “certain” compulsions than “uncertain” compulsions. The number of repetitions was significantly lower for certain compulsions than for uncertain compulsions. The person felt greater relief from guilt and responsibility and a greater decrease in discomfort at the end of a compulsive episode for certain compulsions than for uncertain compulsions. In conclusion, the need to ritualize (prompted by uncertainty, i.e., potential danger) might explain the maintenance (or posttreatment recurrence) of OCD in many patients. The need for certainty in the completion of a compulsion may be worth considering as a therapeutic tool. The development of an approach based on the need for certainty might help to improve treatment outcomes.en
dc.description.sponsorshipThis study was partially supported by a project grant from the SFR Santé et Société (2014), University Grenoble Alpes.en
dc.language.isoenen
dc.publisherWileyen
dc.relation.ispartofseriesClinical Psychology & Psychotherapy;27
dc.subjectcompulsionsen
dc.subjectintolerance for uncertaintyen
dc.subjectobsessive compulsive disorderen
dc.subjectrepeated action diaryen
dc.titleA study of the Repeated Actions Diary in patients suffering from obsessive compulsive disorderen
dc.typeArticleen
dc.comment.admin
dcterms.bibliographicCitationBouvard, M., Fournet, N., Denis, A., Achachi, O., & Purdon, C. (2020). A study of the Repeated Actions Diary in patients suffering from obsessive compulsive disorder. Clinical Psychology & Psychotherapy, 27(2), 228–238. https://doi.org/10.1002/cpp.2422en
uws.contributor.affiliation1Faculty of Artsen
uws.contributor.affiliation2Psychologyen
uws.typeOfResourceTexten
uws.peerReviewStatusRevieweden
uws.scholarLevelFacultyen


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