Disgust vulnerability and symptoms of contamination-based OCD: descriptive tests of incremental specificity

Behav Ther. 2010 Dec;41(4):475-90. doi: 10.1016/j.beth.2009.11.005. Epub 2010 May 13.

Abstract

The present investigation examines the incremental association between disgust propensity and sensitivity and contamination-based obsessive-compulsive disorder (OCD) symptoms. Structural equation modeling in Study 1 indicated that general disgust was related to contamination fear even when controlling for negative affect in a nonclinical sample. Evidence was also found for a model in which the effect of negative affect on contamination fear is mediated by general disgust. Study 1 also showed that both disgust sensitivity and disgust propensity uniquely predicted contamination fear when controlling for negative affect. Growth curve analyses in Study 2 indicated that higher baseline contamination fear is associated with less reduction in contamination fear over a 6-week period as disgust sensitivity increases even when controlling for negative affect. Lastly, disgust propensity was associated with concurrent levels of excessive washing symptoms among patients with OCD in Study 3 when controlling for depression. Implications of these findings from nonclinical, analogue, and clinical samples for future research on the specificity of disgust-related vulnerabilities in the etiology of contamination concerns in OCD are discussed.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Affective Symptoms / complications
  • Affective Symptoms / psychology*
  • Factor Analysis, Statistical
  • Fear / psychology*
  • Female
  • Humans
  • Male
  • Models, Psychological
  • Obsessive-Compulsive Disorder / complications
  • Obsessive-Compulsive Disorder / diagnosis
  • Obsessive-Compulsive Disorder / psychology*
  • Phobic Disorders / complications
  • Phobic Disorders / diagnosis
  • Phobic Disorders / psychology*
  • Sensitivity and Specificity