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Obsessive–compulsive disorder is characterized by a lack of adaptive coping rather than an excess of maladaptive coping

Cognitive Therapy and Research Mar 21, 2018

Moritz S, et al. - Researchers undertook this work to clarify the profile of coping in patients with obsessive–compulsive disorder (OCD) in order to discern whether the disorder is characterized by an excess of maladaptive coping skills and/or a lack of adaptive coping skills. Observations revealed that compared to nonclinical controls, individuals with OCD and depression exhibited more maladaptive coping and avoidance along with less adaptive coping. Individuals with OCD showed adaptive coping significantly lower than those with depression at a medium effect size, whereas the clinical groups were indistinguishable on maladaptive coping and avoidance. Lack of adaptive coping was observed to have strong correlations with resistance to symptoms and poor insight in OCD (Yale-Brown Obsessive–Compulsive Scale), even after controlling for depression.
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