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Cognitive appraisals and control strategies on worry and obsession

Abstract

Generalized anxiety disorder(GAD) and obsessive-compulsive disorder(OCD) both share ‘excessive, uncontrolled intrusive thought’ as their main symptom. In order to clarify the relationship between GAD and OCD, the present study's aim is to investigate the cognitive appraisal and control strategies regarding three intrusive thoughts - worries, reactive obsessions, and autogenous obsessions. In this study, coping processes for the three subtypes of intrusive thoughts that has been experienced were tested by 174 college students. All three subtypes of intrusive thoughts were found to have importance of thought. But in two of the subtypes - worries and reactive obsessions, thoughts were important because they prevent negative events, reflect real events, and lead to actual behaviors. On the other hand, thoughts were of great importance in autogenous obsessions, because thoughts themselves were considered to be equal with actual behavior and morality. In addition, while both worries and reactive obsessions had high scores of probability and causal responsibility, autogenous obsessions had scored high on disapproval and moral responsibility. A significant difference between worries and reactive obsessions were also found, since worries were found to have higher disapproval scores and lower contingency and therefore higher control of thought. This is why confrontation strategies such as environment control has been used instead of avoidance strategies for reactive obsessions. In contrast, avoidance strategies and confrontation strategies such as social control or reappraisal had been used for worries. Emphasizing the importance of thoughts and a variety of control strategies led this study to seek out specific coping processes of worries, reactive obsessions, and autogenous obsessions.

keywords
걱정, 반응성 강박사고, 자생성 강박사고, 사고의 중요성, 통제방략, worry, reactive obsession, autogenous obsession, importance of thought, control strategy, worry, reactive obsession, autogenous obsession, importance of thought, control strategy

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