A comparison of alexithymia, responsibility, and suicidal ideation in individuals with and without obsessive-compulsive disorder
Journal of Research in Psychopathology
مقاله 6 ، دوره 7، شماره 3 - شماره پیاپی 25 ، آبان 2026، صفحه 47-53 اصل مقاله (778.89 K )
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22098/jrp.2026.16863.1289
نویسندگان
Fereshteh Pourmohseni* 1 ؛ Sahel Hadian Shibabandani 2 ؛ Hajar Pourghasem 3 ؛ Eisa Jafari 4 ؛ Mojtaba Heibati 3
1 Associate professor, Department of Psychology, Payame noor University, Tehran, Iran
2 PhD student in Psychology, Faculty of Educational Sciences and Psychology, Mohaghegh Ardabili University, Ardabil, Iran
3 M.A in Psychology, Faculty of Educational Sciences and Psychology, Payam Noor University, Tehran, Iran
4 Associate Professor, Department of Psychology, Payame noor University, Tehran, Iran
چکیده
This study aimed to compare alexithymia, responsibility, and suicidal ideation between individuals with and without Obsessive-Compulsive Disorder (OCD). A causal-comparative research method was employed. The study population included individuals with OCD and those without the disorder residing in Ardabil in 2021 who had visited psychiatric clinics. Fifty-five individuals diagnosed with OCD by psychiatrists in Ardabil were selected as the patient group, while the healthy group, consisting of companions and friends of the patients, was matched to the OCD group based on demographic characteristics. Data were collected using the Toronto Alexithymia Scale (TAS-20), the Salkovskis Responsibility Attitude Scale (SRAS), the Yale-Brown Obsessive-Compulsive Disorder Scale (YBOCS), and the Beck Scale for Suicidal Ideation (BSSI). Data were analyzed using Multivariate Analysis of Variance (MANOVA) with SPSS 26 software. The results showed that the mean scores for alexithymia, responsibility, and suicidal ideation were significantly higher in individuals with OCD compared to those without the disorder (Wilks' Lambda = 0.553, p < 0.0001). Alexithymia, responsibility, and suicidal ideation are interconnected factors that play a key role in the exacerbation and persistence of OCD, highlighting the importance of addressing these variables in both research and the treatment of OCD symptoms.
کلیدواژهها
Alexithymia ؛ Obsessive-Compulsive Disorder ؛ Responsibility ؛ Suicidal ideation
مراجع
Abu-Hendy, W. M. A., Abdallah, A. M., Mead, M. A. M., & Ali, L. I. (2025). Guilt in Obsessive Compulsive Disorder and depression. Zagazig University Medical Journal , 31 (1.1), 290-296. doi:10.21608/zumj.2024.267405.3156
Ahmadi, S., & Bolghan-Abadi, M. (2019). The Effect of Emotional Regulation Instruction on Alexithymia of High School Students [Research]. Journal of Research in Behavioural Sciences , 17 (3), 359-366. doi:10.52547/rbs.17.3.359
Avci, D., Duran, S., Oz, Y. C., & Basak, I. (2021). Suicide probability in psychiatric patients' primary caregivers: The role of care burden, alexithymia and some risk factors. Archives of psychiatric nursing , 35 (5), 457-464.
Bagby, M., Taylor, G. J., & Ryan, D. (1986). Toronto Alexithymia Scale: Relationship with personality and psychopathology measures. Psychotherapy and Psychosomatics , 45 (4), 207-215. doi:10.1159/000287950
Bagby, R. M., Parker, J. D., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale—I. Item selection and cross-validation of the factor structure. Journal of psychosomatic research , 38 (1), 23-32. doi:10.1016/0022-3999(94)90005-1
Basharpoor, S., Daneshvar, S., Noori, H. (2016). The Relation of Self-Compassion and Anger Control Dimensions With Suicide Ideation in University Students. International Journal of High Risk Behaviors and Addiction, 5(4):e26165. doi:10.5812/ijhrba.26165.
Benatti, B., Dell'Osso, B., Shen, H., Filippou-Frye, M., Varias, A., Sanchez, C., Jo, B., Hollander, E., Fineberg, N. A., & Stein, D. J. (2021). Prevalence and correlates of current suicide risk in an international sample of OCD adults: a report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS) network and Obsessive Compulsive and Related Disorders Network (OCRN) of the European College of Neuropsychopharmacology. Journal of psychiatric research , 140 , 357-363. doi:10.1016/j.jpsychires.2021.05.054
Benster, L. L., Weissman, C. R., & Daskalakis, Z. J. (2022). Suicidal ideation and obsessive-compulsive disorder: links and knowledge. Psychology research and behavior management , 3793-3807.
Besharat, B. (2009). Emotional dyslexia and interpersonal problems. Clinical psychology research and counseling , 010 (1), -. doi:10.22067/ijap.v10i1.6844
Bozorg, M., Rahimi, C., & Mohammadi, N. (2021). Evaluating the components of alexithymia in patients with obsessive-compulsive disorder. International Clinical Neuroscience Journal , 8 (4), 175-179. doi:10.34172/icnj.2021.35
Brown, L. A., Wakschal, E., Russman-Block, S., Boisseau, C. L., Mancebo, M. C., Eisen, J. L., & Rasmussen, S. A. (2019). Directionality of change in obsessive compulsive disorder (OCD) and suicidal ideation over six years in a naturalistic clinical sample✰. Journal of affective disorders , 245 , 841-847. doi:10.1016/j.jad.2018.11.006
Bucarelli, B., & Purdon, C. (2016). Stove checking behaviour in people with OCD vs. anxious controls. Journal of behavior therapy and experimental psychiatry , 53 , 17-24. doi:10.1016/j.jbtep.2016.03.005
Champion, S. M., & Grisham, J. R. (2022). Excessive reassurance seeking versus compulsive checking in OCD: Comparing implicit motivators and mechanisms. Journal of behavior therapy and experimental psychiatry , 75 , 101720. doi:10.1016/j.jbtep.2021.101720
Cludius, B., Mannsfeld, A. K., Schmidt, A. F., & Jelinek, L. (2021). Anger and aggressiveness in obsessive–compulsive disorder (OCD) and the mediating role of responsibility, non-acceptance of emotions, and social desirability. European archives of psychiatry and clinical neuroscience , 271 (6), 1179-1191. doi:10.1007/s00406-020-01199-8
De Berardis, D., Serroni, N., Campanella, D., Rapini, G., Olivieri, L., Feliziani, B., Carano, A., Valchera, A., Iasevoli, F., & Tomasetti, C. (2015). Alexithymia, responsibility attitudes and suicide ideation among outpatients with obsessive-compulsive disorder: an exploratory study. Comprehensive psychiatry , 58 , 82-87. doi:10.1016/j.comppsych.2014.12.016
Destrée, L., Albertella, L., Jobson, L., McGorry, P., Chanen, A., Ratheesh, A., Davey, C., Polari, A., Amminger, P., & Yuen, H. P. (2023). The association between stressful experiences and OCD symptoms in young adults at transdiagnostic risk. Journal of affective disorders , 328 , 128-134. doi:10.1016/j.jad.2023.02.059
Ebrahimi Moghadam, N. (2019). Comparing perceived parenting styles and Birth order in people with obsessive-compulsive disorder and normal people. Rooyesh-e-Ravanshenasi Journal (RRJ) , 8 (5), 113-122. doi:20.1001.1.2383353.1398.8.5.8.2
Fitzgerald, K. D., Schroder, H. S., & Marsh, R. (2021). Cognitive control in pediatric obsessive-compulsive and anxiety disorders: brain-behavioral targets for early intervention. Biological Psychiatry , 89 (7), 697-706. doi:10.1016/j.biopsych.2020.11.012
Gamoran, A., & Doron, G. (2023). Effectiveness of brief daily training using a mobile app in reducing obsessive compulsive disorder (OCD) symptoms: examining real world data of “OCD. app-anxiety, mood & sleep”. Journal of Obsessive-Compulsive and Related Disorders , 36 , 100782. doi:10.1016/j.jocrd.2023.100782
Gandaharizadeh, A., Aghamohammadian Sharbaf, H., & Bagheri, F. (2018). The effectiveness of psychological well-being treatment on obsessive-compulsive disorder improvement and the fear of negative evaluation of women with washing compulsive. Iranian Journal of Psychiatric Nursing , 6 (4), 27-34.
Giacomantonio, M., De Cristofaro, V., & Mancini, F. (2024). In/stability of moral sense of self and OCD. Journal of Obsessive-Compulsive and Related Disorders , 40 , 100857. doi:10.1016/j.jocrd.2024.100857
Heshmati, R., Ismailian, H., Habibi, R., & Metinpour, B. (1397). Predicting of Suicide Ideation in Individuals with Obsessive-Compulsive Tendencies: The Roles of Alexithymia, Responsibility Attitude, Positive/Negative Affect. Depiction of Health , 9 (2), 92-100. https://doh.tbzmed.ac.ir/fa/Article/doh-219
Jafar, A., Ali Fathi, A., Seyed Hossein, S., & Khodabakhsh, A. (2005). Assessing the validity and reliability of the Beck Suicidal Ideation Scale (BSSI) in soldiers. Military medicine , 7 (1), 33.
Jahangard, L., Fadaei, V., Sajadi, A., Haghighi, M., Ahmadpanah, M., Matinnia, N., Bajoghli, H., Bahmani, D. S., Lang, U., & Holsboer-Trachsler, E. (2018). Patients with OCD report lower quality of life after controlling for expert-rated symptoms of depression and anxiety. Psychiatry research , 260 , 318-323. doi:10.1016/j.psychres.2017.11.080
Kee, D. M. H., Anwar, A., & Vranjes, I. (2024). Cyberbullying victimization and suicide ideation: The mediating role of psychological distress among Malaysian youth. Computers in Human Behavior , 150 , 108000. doi:10.1016/j.chb.2023.108000
Khosravani, V., Ardestani, M. S., Bastan, F. S., & Kamali, Z. (2017). The relationship between alexithymia and symptom dimensions in patients with obsessive-compulsive disorder. Journal of Obsessive-Compulsive and Related Disorders , 14 , 127-133. doi:10.1016/j.jocrd.2017.04.001
Kim, H., Seo, J., Namkoong, K., Hwang, E. H., Sohn, S. Y., Kim, S. J., & Kang, J. I. (2016). Alexithymia and perfectionism traits are associated with suicidal risk in patients with obsessive–compulsive disorder. Journal of affective disorders , 192 , 50-55. doi:10.1016/j.jad.2015.12.018
Littman, R., Leibovits, G., Halfon, C. N., Schonbach, M., & Doron, G. (2023). Interpersonal transmission of ROCD symptoms and susceptibility to infidelity in romantic relationships. Journal of Obsessive-Compulsive and Related Disorders , 37 , 100802. doi:10.1016/j.jocrd.2023.100802
Mantz, S. C., & Abbott, M. J. (2017). The relationship between responsibility beliefs and symptoms and processes in obsessive compulsive disorder: A systematic review. Journal of Obsessive-Compulsive and Related Disorders , 14 , 13-26.
Mikonowicz, D. N., & Tull, M. T. (2023). Examining the role of emotion dysregulation in the association between obsessive compulsive symptom severity and suicide risk. Journal of Obsessive-Compulsive and Related Disorders , 36 , 100784. doi:10.1016/j.jocrd.2023.100784
Nargesi, F., Fathi-Ashtiani, A., Davodi, I., & Ashrafi, E. (2018). The mediating role of difficulties in emotion regulation strategies on the relationship between alexithymia, anxiety sensitivity and distress tolerance with obsessive-compulsive symptoms [Original Research Article]. Middle Eastern Journal of Disability Studies , 8 (0), 9-9. doi:20.1001.1.23222840.1397.8.0.95.0
Nikmehr, P. , Salmani, A. and Jafari, E. (2021). Investigating the Role of Social Anxiety in Predicting Students' Academic Self-Efficacy. Journal of Family Relations Studies , 1 (1), 51-58. doi:10.22098/jhrs.2022.1422
Pellegrini, L., Maietti, E., Rucci, P., Casadei, G., Maina, G., Fineberg, N. A., & Albert, U. (2020). Suicide attempts and suicidal ideation in patients with obsessive-compulsive disorder: A systematic review and meta-analysis. Journal of affective disorders , 276 , 1001-1021. doi:10.1016/j.jad.2020.07.115
Pour, A. M., BAGHERI, M., & KHOSROUPOUR, F. (2022). Predicting Alexithymia Based on Coping Styles in People With ObsessiveCompulsive Disorder.
Radomsky, A. S., Alcolado, G. M., Dugas, M. J., & Lavoie, S. L. (2022). Responsibility, probability, and severity of harm: An experimental investigation of cognitive factors associated with checking-related OCD. Behaviour Research and Therapy , 150 , 104034. doi:10.1016/j.brat.2022.104034
Rathore, L. N. (2018). Functional impairment in OCD and cognitive intervention. Int J Indian Psychol , 626-636.
Robinson, L. J., & Freeston, M. H. (2014). Emotion and internal experience in obsessive compulsive disorder: reviewing the role of alexithymia, anxiety sensitivity and distress tolerance. Clinical Psychology Review , 34 (3), 256-271. doi:10.1016/j.cpr.2014.03.003
Salamon, N., Augsburger, N., & Dan-Glauser, E. (2023). Benefits of Planning as an emotion regulation strategy in obsessions and compulsions (OC): Implication of the perfectionism level in the Planning-OC relationship. Journal of Affective Disorders Reports , 14 , 100667. doi:10.1016/j.jadr.2023.100667
Salkovskis, P. M. (1985). Obsessional-compulsive problems: A cognitive-behavioural analysis. Behaviour Research and Therapy , 23 (5), 571-583. doi:10.1016/0005-7967(85)90105-6
Salkovskis, P. M., Wroe, A., Gledhill, A., Morrison, N., Forrester, E., Richards, C., Reynolds, M., & Thorpe, S. (2000). Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder. Behaviour Research and Therapy , 38 (4), 347-372. doi:10.1016/S0005-7967(99)00071-6
Sheykhangafshe, F. B., Saeedi, M., Niri, V. S., Nakhostin, Z., & Bourbour, Z. (2023). The effectiveness of cognitive-behavioral therapy on difficulties in emotional regulation and cognitive flexibility in patients with obsessive-compulsive disorder. Journal of Psychology , 27 (1), 28-37.
Tapancı, Z., Yıldırım, A., & Boysan, M. (2018). Neurological soft signs, dissociation and alexithymia in patients with obsessive-compulsive disorder (OCD) and healthy subjects. Psychiatry research , 260 , 90-97. doi:10.1016/j.psychres.2017.11.058
Teismann, T., Forkmann, T., Glaesmer, H., Alpers, G. W., Brakemeier, E., Brockmeyer, T., Christiansen, H., Fehm, L., Glombiewski, J., & Heider, J. (2024). Prevalence of suicidal ideation in German psychotherapy outpatients: A large multicenter assessment. Journal of affective disorders , 351 , 971-976. doi:10.1016/j.jad.2024.02.019
Teymoori, R. , Salmani, A. and Salehinejad, M. A. (2022). The relationship between emotional character with depression and anxiety in patients with polycystic ovary syndrome. Journal of Research in Psychopathology , 3 (7), 47-53. doi:10.22098/jrp.2022.9595.1042
Tibi, L., van Oppen, P., van Balkom, A. J., Eikelenboom, M., Emmelkamp, P. M., & Anholt, G. E. (2019). Predictors of treatment outcome in OCD: An interpersonal perspective. Journal of anxiety disorders , 68 , 102153. doi:10.1016/j.janxdis.2019.102153
Tulacı, R. G., & Kasal, M. İ. (2023). The relationship between family accommodation and anxiety sensitivity in obsessive-compulsive disorder. Cureus , 15 (8).
Yousefi, N., & Monirpoor, N. (2022). The role of alexithymia and irrational beliefs in predicting obsessive-compulsive disorder in people with obsessive-compulsive disorder [Research]. Rooyesh-e-Ravanshenasi Journal(RRJ) , 10 (12), 159-168. doi: 20.1001.1.2383353.1400.10.12.10.2
آمار
تعداد مشاهده مقاله: 115
تعداد دریافت فایل اصل مقاله: 68