Predicting Obsessive–Compulsive Symptom Severity Using Models of Cognitive Inhibition and Perfectionism Dimensions
Keywords:
Obsessive-Compulsive Disorder, Cognitive Inhibition, Perfectionism, Thought Suppression, Response InhibitionAbstract
Objective: The objective of the present study was to determine the unique and incremental value of cognitive inhibition models and perfectionism dimensions in predicting obsessive-compulsive symptom severity. Methods and Materials: This study utilized a cross-sectional, correlational design with a community sample of 435 adults from Canada (mean age = 28.4years; 64%female). Participants completed a battery of measures including the Obsessive-Compulsive Inventory-Revised (OCI-R) to assess symptom severity, and the Hewitt and Flett Multidimensional Perfectionism Scale to evaluate self-oriented, other-oriented, and socially prescribed perfectionism. Cognitive inhibition was assessed using both subjective and objective measures: the White Bear Suppression Inventory (WBSI) for thought suppression, and a computerized Stop-Signal Task (SST) yielding a Stop-Signal Reaction Time (SSRT) for behavioral response inhibition. Data were analyzed using a three-step hierarchical multiple regression. Findings: The final hierarchical regression model accounted for 48.5%of the total variance in obsessive-compulsive symptom severity. Demographic variables (Step 1) explained 4.2%of the variance. The addition of cognitive inhibition measures (Step 2) significantly explained an additional 35.8%of the variance (ΔR^2=0.358). Finally, perfectionism dimensions (Step 3) contributed an incremental 8.5%(ΔR^2=0.085). In the final comprehensive model, significant positive predictors of obsessive-compulsive severity included subjective thought suppression (β=0.32, p<0.001), socially prescribed perfectionism (β=0.24, p<0.001), objective SSRT (β=0.15, p<0.01), and self-oriented perfectionism (β=0.14, p<0.01). Age was a significant negative predictor (β=-0.09, p<0.05), while gender and other-oriented perfectionism were not significant in the final model. Conclusion: Obsessive-compulsive symptom severity is robustly predicted by a pathological synergy between extreme perfectionistic standards and fundamental neurocognitive deficits in behavioral and cognitive inhibitory control.
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