The Role of Perceived Control in the Psychophysiological Responses to Disgust of Subclinical OCD Women

Obsessive‒compulsive disorder (OCD), and especially contamination obsessions and washing compulsions, has been related to disgust. However, when its cardiovascular correlates have been studied, contradictory results have been found, including heart rate accelerations and decelerations. The aim of this study is to analyze emotional, cognitive, and cardiovascular responses in nonclinical (control) and subclinical participants with obsessive‒compulsive contamination/washing symptoms when confronted with a disgusting stimulus. Twenty-seven participants (14 subclinical OCD) completed a behavioral avoidance task with a contamination-based stimulus while their heart rate and subjective variables were measured. Results showed heart rate reductions in both samples, whereas subjective measures reflected higher disgust, anxiety, dirtiness, and emotional valence in the subclinical sample. However, at the same time, the sense of dominance was lower in the control group. In conclusion, our results support a heart rate deceleration during exposure to a disgusting stimulus dissociated from the subjective experience.

[1]  P. Rozin,et al.  Individual Differences in Disgust Sensitivity: Comparisons and Evaluations of Paper-and-Pencil versus Behavioral Measures , 1999 .

[2]  S. Rachman,et al.  Pollution of the mind. , 1994, Behaviour research and therapy.

[3]  C. Brewin,et al.  Thought suppression, intelligence, and working memory capacity. , 2002, Behaviour research and therapy.

[4]  H. Critchley,et al.  The Embodiment of Emotional Feelings in the Brain , 2010, The Journal of Neuroscience.

[5]  S. Rohrmann,et al.  Cardiovascular indicators of disgust. , 2008, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[6]  A. Belloch,et al.  Contenidos obsesivos, miedo a la enfermedad y asco , 2015 .

[7]  Gemma García-Soriano,et al.  Symptom dimensions in obsessive-compulsive disorder: differences in distress, interference, appraisals and neutralizing strategies. , 2013, Journal of behavior therapy and experimental psychiatry.

[8]  M. Fullana,et al.  Psychometric properties of the Spanish version of the Obsessive-Compulsive Inventory--revised in a non-clinical sample. , 2005, Journal of anxiety disorders.

[9]  J. Lohr,et al.  Disgust in contamination-based obsessive–compulsive disorder: a review and model , 2010, Expert review of neurotherapeutics.

[10]  Sylvia D. Kreibig,et al.  Autonomic nervous system activity in emotion: A review , 2010, Biological Psychology.

[11]  A. Malliani,et al.  Heart rate variability. Standards of measurement, physiological interpretation, and clinical use , 1996 .

[12]  V. Rosell-Clari,et al.  Emotional and Cognitive Variables Associated with Contamination-Related Obsessive-Compulsive Symptoms , 2016, The Spanish Journal of Psychology.

[13]  Bertram Walter,et al.  Psychophysiological Correlates of Disgust and Disgust Sensitivity , 2005 .

[14]  María Roncero,et al.  The Spanish version of the Obsessive-Compulsive Inventory-Revised (OCI-R): Reliability, validity, diagnostic accuracy, and sensitivity to treatment effects in clinical samples , 2013 .

[15]  B. Ditto,et al.  The vasovagal response during confrontation with blood-injury-injection stimuli: the role of perceived control. , 2015, Journal of anxiety disorders.

[16]  M. Phillips,et al.  Is disgust associated with psychopathology? Emerging research in the anxiety disorders , 2010, Psychiatry Research.

[17]  C. Ottaviani,et al.  Autonomic correlates of physical and moral disgust. , 2013, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[18]  H. Lackner,et al.  Body Position Influences Cardiovascular Disgust Reactivity , 2015 .

[19]  J. Gross Antecedent- and response-focused emotion regulation: divergent consequences for experience, expression, and physiology. , 1998, Journal of personality and social psychology.

[20]  D. Veale,et al.  Changes in disgust and heart rate during exposure for Obsessive Compulsive Disorder: A case series. , 2016, Journal of behavior therapy and experimental psychiatry.

[21]  N. Kathmann,et al.  Autonomic responses and neural-cardiac coupling during individually tailored symptom provocation in obsessive-compulsive disorder. , 2013, Journal of anxiety disorders.

[22]  R. Stark,et al.  Evaluative Conditioning: A Possible Explanation for the Acquisition of Disgust Responses? , 2001 .

[23]  C. Vázquez,et al.  Adaptación española del Inventario para la Depresión de Beck-II (BDI-II): 2. Propiedades psicométricas en población general The spanish adaptation of Beck's Depression Inventory-II (BDI-II): 2. Psychometric properties in the general population , 2015 .

[24]  Kenneth Hugdahl,et al.  Affective judgment of the Ekman faces: A dimensional approach. , 1995 .

[25]  R. Shavitt,et al.  Symptom dimensions, clinical course and comorbidity in men and women with obsessive-compulsive disorder , 2013, Psychiatry Research.

[26]  Pietro Pietrini,et al.  Neurocircuitry of disgust and anxiety in obsessive-compulsive disorder: A positron emission tomography study , 2006, Metabolic Brain Disease.

[27]  B. Olatunji,et al.  Disgust and its disorders: Theory, assessment, and treatment implications. , 2009 .

[28]  B. Olatunji,et al.  Disgust sensitivity as a mediator of the sex differences in contamination fears , 2005 .

[29]  E. Storch,et al.  The relevance of analogue studies for understanding obsessions and compulsions. , 2014, Clinical psychology review.

[30]  G. Weidemann,et al.  Disgust and fear responding in contamination-based obsessive-compulsive disorder during pictorial exposure. , 2013, Behavior therapy.

[31]  Kristen L. Mackiewicz,et al.  Cognitive control mechanisms, emotion and memory: A neural perspective with implications for psychopathology , 2009, Neuroscience & Biobehavioral Reviews.

[32]  James J. Gross,et al.  Emotion regulation: Conceptual and empirical foundations. , 2014 .

[33]  Y. Ohtsubo,et al.  Heart rate reveals the difference between disgust and anger in the domain of morality. , 2020, Evolutionary Behavioral Sciences.

[34]  Gary G Berntson,et al.  Cardiac autonomic balance versus cardiac regulatory capacity. , 2008, Psychophysiology.

[35]  Cody Ding,et al.  Dissociable effects of fear and disgust in proactive and reactive inhibition , 2016 .

[36]  P. Salkovskis,et al.  The Obsessive-Compulsive Inventory: development and validation of a short version. , 2002, Psychological assessment.

[37]  Josh M Cisler,et al.  Emotion Regulation and Anxiety Disorders , 2012, Current Psychiatry Reports.

[38]  R. Hornsveld,et al.  Anxiety/discomfort and handwashing in obsessive-compulsive and psychiatric control patients. , 1979, Behaviour research and therapy.

[39]  N. Schmidt,et al.  Gender Differences in Patients with Panic Disorder: Evaluating Cognitive Mediation of Phobic Avoidance , 2000, Cognitive Therapy and Research.

[40]  R. Levenson Autonomic Nervous System Differences among Emotions , 1992 .

[41]  M. Bradley,et al.  Measuring emotion: the Self-Assessment Manikin and the Semantic Differential. , 1994, Journal of behavior therapy and experimental psychiatry.

[42]  R. Lane,et al.  Claude Bernard and the heart–brain connection: Further elaboration of a model of neurovisceral integration , 2009, Neuroscience & Biobehavioral Reviews.

[43]  B. Olatunji,et al.  Disgust, fear, and the anxiety disorders: a critical review. , 2009, Clinical psychology review.

[44]  S. Thorpe,et al.  The relationship between disgust sensitivity, anxiety and obsessions. , 2003, Behaviour research and therapy.

[45]  R. Steer,et al.  Manual for the Beck Anxiety Inventory. , 2013 .

[46]  A. Dittmar,et al.  Basic Emotions Evoked by Odorants Comparison Between Autonomic Responses and Self-Evaluation , 1997, Physiology & Behavior.

[47]  Chad L. Stephens,et al.  Autonomic specificity of basic emotions: Evidence from pattern classification and cluster analysis , 2010, Biological Psychology.