Differences in clinical intrusive thoughts between obsessive-compulsive disorder, generalized anxiety disorder, and hypochondria.

Differences and similarities between intrusive thoughts typical of obsessive-compulsive disorder, generalized anxiety disorder, and hypochondriasis are relevant for their differential diagnosis, formulation, and psychological treatment. Previous research in non-clinical samples pointed out the relevance of some process variables, such as responsibility, guilt, or neutralization strategies. This research is aimed to investigate the differences and similarities between clinical obsessions, worries, and illness intrusions in some of these process variables. A second aim is to identify models based on these variables that could reliably differentiate between them. Three groups of patients with obsessive-compulsive disorder (n = 35; 60% women, mean age 38.57), generalized anxiety disorder (n = 36; 61.1% women, mean age 41.50), and hypochondriasis (n = 34; 70.6% women, mean age 31.59) were evaluated using the Cognitive Intrusions Questionnaire-Transdiagnostic Version (Romero-Sanchiz, Nogueira-Arjona, Godoy-Ávila, Gavino-Lázaro, & Freeston, ). The results showed that some appraisals (e.g., responsibility or egodystonicity), emotions (e.g., guilt or insecurity), neutralization strategies, and other variables (e.g., verbal content or trigger from body sensation) are relevant for the discrimination between obsessions, worries, and illness intrusions. The results also showed 3 stable models based on these variables for the discrimination between these thoughts. The implication of these results in the diagnosis, formulation, and psychological treatment of obsessive-compulsive disorder, generalized anxiety disorder, and hypochondriasis is discussed.

[Psychometric properties of the Spanish version of the Obsessive Belief Questionnaire-Children's Version in a non-clinical sample]. / Propiedades psicométricas de la versión española del Obsessive Belief Questionnaire-Children Version (OBQ-CV) en una muestra no clínica.

The aim of this study was the adaptation to Spanish of the Obsessive Belief Questionnaire-Children's Version (OBQ-CV) in a non-clinical sample. Confirmatory factor analyses revealed the best fit for a model of three factors (Perfectionism/Certainty, Importance/Control of Thoughts, and Responsibility/Threat Estimation) and one higher-order factor. Moreover, results showed that the Spanish OBQ-CV is a reliable measure. This version also showed good criterion validity with obsessive-compulsive symptom measures and with scores of beliefs relevant to obsessive-compulsive disorder. Lastly, this version showed good divergent validity with depression and anxiety measures.

[Accuracy of diagnosis of depression in patients with Type 1 diabetes mellitus]. / Precisión del diagnóstico de depresión en pacientes con diabetes mellitus tipo 1.

This study assesses the clinical accuracy of physicians (Specialists in Endocrinology and Nutrition: SEN) to make the diagnosis of depression in patients with Type 1 diabetes mellitus (DM1). This study involved 11 SEN physicians, and 153 patients with DM1. The diagnosis of depression was performed using the SCID-1 structured interview and clinical assessment. From the initial sample, 50 patients were randomly selected (imposing the condition that it was included 25 patients with depression and 25 without depression). The results show that clinicians performed a higher percentage of negative diagnoses (patients without depression) than positive ones (patients with depression). A significant percentage of patients with depression were not diagnosed (25%). It therefore seems necessary to provide adequate clinical protocols to evaluate the presence of this disorder in DM1, as well as continuing research into the diagnostic process for clinical decision making.

[Emotional processing in people with obsessive-compulsive symptomatology]. / Procesamiento emocional en personas con sintomatología obsesivo-compulsiva.

The present study was aimed at assessing obsessive-compulsive symptomatology based on visualization of affective pictures, elaborated following Peter Lang's dimensional model of emotion. Participants were 370 psychology students at Malaga University, selecting those with high and low scores in obsessive-compulsive symptomatology. All participants assessed a set of pictures containing obsessive-compulsive cues using the three scales of the Self-Assessment Manikin: affective valence, arousal, and control/dominance. The results show that participants with high scores in obsessive-compulsive symptomatology experience reduced control over the affective pictures and rate as more unpleasant the neutral and obsessive-compulsive pictures.

[Psychometric properties of the Vancouver Obsessional Compulsive Inventory (VOCI) in two non-clinical Spanish samples]. / Propiedades psicométricas del Vancouver Obsessional Compulsive Inventory (VOCI) en dos muestras no clínicas de población española.

In this study, the factorial structure and psychometric properties of the Vancouver Obsessional Compulsive Inventory (VOCI) were examined in two non-clinical Spanish samples. An exploratory factor analysis replicated the original six-factor structure. Moreover, results showed that the Spanish VOCI is a reliable measure. Also, this version had good convergent validity with other obsessive-compulsive symptom measures and with an instrument that assess beliefs that are relevant to the obsessive-compulsive disorder. Lastly, this version showed good divergent validity with measures of depression, anxiety and worries.

[Strategies of clinical hypothesis testing]. / Estrategias de comprobación de hipótesis clínicas.

This research examines whether Psychology students, when they test clinical hypotheses, follow either confirmatory or disconfirmatory reasoning strategies. Two hundred and six psychology students, divided in four groups, participated. One group received information about the probability that the hypothesis was correct by means of verbal labels, and another group, by means of numerical expressions. An additional group received the information that getting a precise diagnosis was clinically important. In a last group, diagnostic tests allowed them to increase certainty about the hypothesis. Results show a partial use of confirmatory strategies because, although participants did not seek confirming information, they indeed avoided collecting disconfirming information. When the information increased certainty about the hypothesis, confirmatory strategies became more likely. Neither the increase in the task importance nor the numerical expression of the likelihood that the hypothesis was correct seemed to affect the testing strategy used.