Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-22T23:04:57.586Z Has data issue: false hasContentIssue false

The Role of Magical Thinking, Religiosity and Thought-Control Strategies in Obsessive-Compulsive Symptoms in a Turkish Adult Sample

Published online by Cambridge University Press:  18 December 2015

C. Ekin Eremsoy
Affiliation:
Hacettepe University, Ankara, Turkey
Mujgan Inozu*
Affiliation:
Hacettepe University, Ankara, Turkey
*
Address for correspondence: Mujgan Inozu, PhD, Department of Psychology, Hacettepe University, Faculty of Arts & Sciences, Beytepe, Ankara, Turkey. Email: [email protected]
Get access

Abstract

Background: It has been suggested that magical thinking is related to both obsessions and compulsions in obsessive-compulsive disorder (OCD). Recent studies have indicated the significant relationship between level of religiosity and beliefs about the importance and need to control unwanted thoughts in OCD. People also use diverse strategies to control their unwanted thoughts. Aims: The present study aimed to examine the interrelationships between magical thinking and worry and punishment as thought-control strategies in mediating the relationship between religiosity and obsessive-compulsive (OC) symptoms in a Turkish sample. Methods: The sample of the present study was comprised of 179 non-clinical, community-based participants who completed measures of OC symptoms (measured with the Obsessive Compulsive Inventory — Revised), magical thinking (measured with the Magical Ideation Scale), religiosity, and thought-control strategies (measured with the Thought Control Questionnaire). Results: Both worry and punishment as thought-control strategies and magical thinking mediated the links between religiosity and OC symptoms. Furthermore, the relationship between religiosity and OC symptoms was mediated by magical thinking through punishment and worry. Conclusions: Findings pointing out the mediating role of magical thinking through punishment and worry in the relationship between religiosity and OC symptoms are novel and need to be replicated in future studies.

Type
Standard Papers
Copyright
Copyright © The Author(s) 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abramowitz, J.S. (2002). Treatment of scrupulous obsessions and compulsions using exposure and response prevention: A case report. Cognitive and Behavioral Practice, 8, 7985.CrossRefGoogle Scholar
Abramowitz, J.S., Deacon, B.J., Woods, C.M., & Tolin, D.F. (2004). Association between Protestant religiosity and obsessive-compulsive symptoms and cognitions. Depression & Anxiety, 20, 7076.CrossRefGoogle ScholarPubMed
Abramowitz, J.S., Huppert, J.D., Cohen, A.B., Tolin, D.F., & Cahill, S.P. (2002). Religious obsessions and compulsions in a non-clinical sample: The Penn Inventory of Scrupulosity. Behaviour Research and Therapy, 40, 825838.CrossRefGoogle Scholar
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.Google Scholar
Amir, N., Cashman, L., & Foa, E.B. (1997). Strategies of thought control in obsessive-compulsive disorder. Behaviour Research and Therapy, 35, 775777.CrossRefGoogle ScholarPubMed
Amir, N., Freshman, M., Ramsey, B., Neary, E., & Brigidi, B. (2001). Though-action fusion in individuals with OCD symptoms. Behaviour Research and Therapy, 39, 765776.CrossRefGoogle ScholarPubMed
Atbaşoğlu, C., Kalaycıoğlu, C., & Nalçacı, E. (2003). Büyüsel Düşünce Ölçeği’nin Türkçe formunun üniversite öğrencilerindeki geçerlik ve güvenirliği. Türk Psikiyatri Dergisi, 14, 3141.Google Scholar
Baron, R.M., & Kenny, D.A. (1986). The moderator-mediator variable distinction in social psychological research — Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 11731182.CrossRefGoogle ScholarPubMed
Berry, L.M., & Laskey, B. (2012). A review of obsessive intrusive thoughts in the general population. Journal of Obsessive-Compulsive and Related Disorders, 1, 125132.CrossRefGoogle Scholar
Bocci, L., & Gordon, P.K. (2007). Does magical thinking produce neutralising behaviour? An experimental investigation. Behaviour Research and Therapy, 45, 18231832.CrossRefGoogle ScholarPubMed
Clark, D.A (2004). Cognitive-behavioral therapy for OCD. New York: The Guilford Press.Google Scholar
Clark, D.A., & Purdon, C. (1993). New perspectives for a cognitive theory of obsessions. Australian Psychologist, 28, 161167.CrossRefGoogle Scholar
Dag, I. (1999). The relationship among paranormal beliefs, locus of control and psychopathology in a Turkish college sample. Personality and Individual Differences, 26, 723737.CrossRefGoogle Scholar
Eckblad, M., & Chapman, L.J. (1983). Magical ideation as an indicator of schizotypy. Journal of Consulting and Clinical Psychology, 51, 215225.CrossRefGoogle ScholarPubMed
Einstein, D.A., & Menzies, R.G. (2004a). The presence of magical thinking in obsessive compulsive disorder. Behaviour Research and Therapy, 42, 539549.CrossRefGoogle ScholarPubMed
Einstein, D.A., & Menzies, R.G. (2004b). The role of magical thinking in obsessive compulsive symptoms in an undergraduate sample. Depression and Anxiety, 19, 174179.CrossRefGoogle Scholar
Einstein, D.A., & Menzies, R.G. (2006). Magical thinking in obsessive-compulsive disorder, panic disorder and the general community. Behavioural and Cognitive Psychotherapy, 34, 351357.CrossRefGoogle Scholar
Einstein, D.A., & Menzies, R.G. (2008). Does magical thinking improve across treatment for obsessive-compulsve disorder. Behavior Change, 25, 149155.CrossRefGoogle Scholar
Foa, E.B., Huppert, J.D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., & Salkovskis, P.M. (2002). The obsessive–compulsive inventory: Development and validation of a short version. Psychological Assessment, 14, 485495.CrossRefGoogle ScholarPubMed
Fontenelle, L.F., Mendlowicz, M.V., Marques, C., & Versiani, M. (2004). Trans-cultural aspects of obsessive-compulsive disorder: Description of a Brazilian sample and a systematic review of international clinical studies. Journal of Psychiatric Research, 38, 403411.CrossRefGoogle Scholar
Freeston, M.H., & Ladouceur, R. (1997). What do patients do with their obsessive thoughts. Behaviour Research and Therapy, 35, 335348.CrossRefGoogle ScholarPubMed
Frost, R., Krause, M., McMahon, M., Peppe, J., Evans, M., McPhee, A.E., & Holden, M. (1993). Compulsivity and superstition. Behaviour Research and Therapy, 31, 423425.CrossRefGoogle Scholar
Gibbs, N.A. (1996). Nonclinical population in research on obsessive-compulsive disorder: A critical review. Clinical Psychology Review, 16, 729773.CrossRefGoogle Scholar
Hajcak, G., Huppert, J.D., Simons, R.F., & Foa, E.B. (2004). Psychometric properties of the OCI–R in a college sample. Behaviour Research and Therapy, 42, 115123.CrossRefGoogle Scholar
Hayes, A.F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new Millennium. Communication Monographs, 76, 408420.CrossRefGoogle Scholar
Hayes, A.F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: The Guilford Press.Google Scholar
Hayes, A.F., & Preacher, K.J. (2010). Estimating and testing indirect effects in simple mediation models when the constituent paths are nonlinear. Multivariate Behavioral Research, 45, 627660.CrossRefGoogle ScholarPubMed
Helgadottir, F.D., Menzies, R.D., & Einstein, D.A. (2012). Magical thinking and obsessive–compulsive symptoms in Australia and Iceland: A cross-cultural comparison. Journal of Obsessive-Compulsive and Related Disorders, 1, 216219.CrossRefGoogle Scholar
Horwath, E., & Weissman, M. (2000). The epidemiology and cross-national presentation of obsessive-compulsive disorder. Psychiatry Clinics of North America, 23, 493507.CrossRefGoogle ScholarPubMed
Huppert, J.D., Walther, M.R., Hajcak, G., Yadin, E., Foa, E.B., Simpson, H.B., & Liebowitz, M.R. (2007). The OCI-R: Validation of the subscales in a clinical sample. Journal of Anxiety Disorders, 21, 394406.CrossRefGoogle Scholar
Inozu, M., Clark, D.A., & Karanci, A.N. (2012). Scrupulosity in Islam: A comparison of highly religious Turkish and Canadian samples. Behavior Therapy, 43, 190202.CrossRefGoogle Scholar
Inozu, M., Karanci, A.N., & Clark, D.A. (2012). Why are religious individuals more obsessional? The role of mental control beliefs and guilt in Muslims and Christians. Journal of Behavior Therapy and Experimental Psychiatry, 43, 959966.CrossRefGoogle ScholarPubMed
Lee, H.J., Cougle, J.R., & Telch, M.J. (2005). Thought–action fusion and its relationship to schizotypy and OCD symptoms. Behaviour Research and Therapy, 43, 2941.CrossRefGoogle ScholarPubMed
Markle, D.T. (2010). The magic than binds us: Magical thinking and inclusive fitness. Journal of Social, Evolutionary, and Cultural Psychology, 4, 1833.CrossRefGoogle Scholar
Moore, E.L., & Abramowitz, J.S. (2007). Cognitive mediation of thought-control strategies. Behaviour Research and Therapy, 45, 19491955.CrossRefGoogle ScholarPubMed
Moulding, R., & Kyrios, M., (2006). Anxiety disorders and control related beliefs: The exemplar of obsessive–compulsive disorder (OCD). Clinical Psychology Review, 26, 573583.CrossRefGoogle ScholarPubMed
Preacher, K.J., & Hayes, A.F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, and Computers, 36, 717731.CrossRefGoogle ScholarPubMed
Preacher, K.J., Rucker, D.D., & Hayes, A.F. (2007). Assessing moderated mediation hypotheses: Strategies, methods, and prescriptions. Multivariate Behavioral Research, 42, 185227.CrossRefGoogle Scholar
Purdon, C., & Clark, D.A. (1994). Obsessive intrusive thoughts in nonclinical subjects. Part II. Cognitive appraisal, emotional response and thought control strategies. Behaviour Research and Therapy, 32, 403410.CrossRefGoogle ScholarPubMed
Purdon, C., & Clark, D.A. (2002). The need to control thoughts. In Frost, R. & Steketee, G. (Eds.), Cognitive approaches to obsessions and compulsions (pp. 2943). Amsterdam: Pergamon.CrossRefGoogle Scholar
Rachman, S. (1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 35, 793802.CrossRefGoogle ScholarPubMed
Rachman, S., & de Silva, P. (1978). Abnormal and normal obsessions. Behaviour Research and Therapy, 16, 233248.CrossRefGoogle ScholarPubMed
Raine, A., Reynolds, C., Lencz, T., Scerbo, A., Triphon, N., & Kim, D. (1994). Cognitive-perceptual, interpersonal, and disorganized features of schizotypal personality. Schizophrenia Bulletin, 20, 191201.CrossRefGoogle ScholarPubMed
Rassin, E., & Koster, E. (2003). The correlation between thought-action fusion and religiosity in normal sample. Behaviour Research and Therapy, 41, 361368.CrossRefGoogle ScholarPubMed
Rassin, E., Muris, P., Schmidt, H., & Merckelbach, H. (2000). Relationships between thought-action fusion, thought suppression and obsessive-compulsive symptoms: A structural equation modeling approach. Behaviour Research and Therapy, 38, 889897.CrossRefGoogle ScholarPubMed
Salkovskis, P.M. (1985). Obsessional-compulsive problems: A cognitive-behavioral analysis. Behaviour Research and Therapy, 23, 571583.CrossRefGoogle Scholar
Salkovskis, P.M., & Harrison, J. (1984). Abnormal and normal obsessions: A replication. Behaviour Research and Therapy, 22, 549552.CrossRefGoogle ScholarPubMed
Salkovskis, P., Shafran, R., Rachman, S., & Freeston, M.H. (1999). Multiple pathways to inflated responsibility beliefs in obsessional problems: Possible origins and implications for therapy and research. Behaviour Research and Therapy, 37, 10551072.CrossRefGoogle Scholar
Sica, C., Novara, C., & Sanavio, E. (2002). Culture and psychopathology: Superstition and obsessive-compulsive cognitions and symptoms in a non-clinical Italian sample. Personality and Individual Differences, 32, 10011012.CrossRefGoogle Scholar
Siev, J., Baer, L., & Minichiello, W.E. (2011). Obsessive-compulsive disorder with predominantly scrupulous symptoms: clinical and religious characteristics. Journal of Clinical Psychology, 67, 11881196.CrossRefGoogle ScholarPubMed
Siev, J., & Cohen, A.B. (2007). Is thought-action fusion related to religiosity? Differences between Christians and Jews. Behaviour Research and Therapy, 45, 829837.CrossRefGoogle ScholarPubMed
Vyse, S.A. (1997). Believing in magical: The psychology of superstition. New York: Oxford University Press.CrossRefGoogle Scholar
Wells, A., & Davies, M.I. (1994). The thought control questionnaire: A measure of individual differences in the control of unwanted thoughts. Behaviour Research and Therapy, 32, 871878.CrossRefGoogle ScholarPubMed
Wilhelm, S., & Steketee, G.S. (2006). Cognitive therapy for obsessive compulsive disorder: A guide for professionals. Oakland, CA: New Harbinger Publications.Google Scholar
Williams, J., & MacKinnon, D.P. (2008). Resampling and distribution of the product methods for testing indirect effects in complex models. Structural Equation Modeling, 15, 2351.CrossRefGoogle ScholarPubMed
Wiseman, R., & Watt, C. (2004). Measuring superstitious belief: Why lucky charms matter. Personality and Individual Differences, 37, 15331541.CrossRefGoogle Scholar
Witzig, T.F. (2005). Obsessional beliefs, religious beliefs, and scrupulosity among fundamental protestant Christians. Dissertation Abstracts International, 65, 3735.Google Scholar
Wolfradt, U. (1997). Dissociative experiences, trait anxiety and paranormal beliefs. Personality and Individual Differences, 23, 1519.CrossRefGoogle Scholar
Yorulmaz, O., & Gençöz, T. (2008). Psychometric properties of three questionnaires that evaluate appraisal and control processes in OCD symptoms. Turkish Psychological Articles, 11, 113.Google Scholar
Yorulmaz, O., Gençöz, T., & Woody, S.R. (2009). OCD cognitions and symptoms in different cultural and religious contexts. Journal of Anxiety Disorders, 23, 401406.CrossRefGoogle Scholar
Yorulmaz, O., Gençöz, T., & Woody, S. (2010). Vulnerability factors in OCD symptoms: Cross-cultural comparisons between Turkish and Canadian Samples. Clinical Psychology and Psychotherapy, 17, 110121.CrossRefGoogle ScholarPubMed
Yorulmaz, O., Inozu, M., & Gültepe, B. (2011). The role of magical thinking in obsessive-compulsive disorder symptoms and cognitions in an analogue sample. Journal of Behavior Therapy and Experimental Psychiatry, 42, 198203.CrossRefGoogle Scholar
Yorulmaz, O., Inozu, M., Sayal, E., & Radomsky, A. (2012, April). Obsesif Kompulsif Envanteri ve Vancouver Obsesif Kompulsif Envanteri’nin psikometrik özelliklerinin incelenmesi: kültürler arası karşılaştırmalı bir ön çalışma [The psychometric properties of the Obsessive-Compulsive Inventory-Revised and Vancouver Obsessive-Compulsive Inventory: A pilot study with a cross-cultural comparison]. Paper presented at XVII National Congress of Psychology, Istanbul, Turkey.Google Scholar
Zebb, B.J., & Moore, M.C. (2003). Superstitiousness and perceived anxiety control as predictors of psychological distress. Journal of Anxiety Disorders, 17, 115130.CrossRefGoogle ScholarPubMed
Zusne, L., & Jones, W.H. (1989). Anomalistic psychology: A study of magical thinking (2nd ed.). Hillsdale, NJ: Lawrence, Erlbaum.Google Scholar