El carácter transdiagnóstico de las intrusiones mentales: una revisión y una propuesta basada en datos.
Abstract: The transdiagnostic nature of mental intrusions: A review and data-based proposal. The objective of a transdiagnostic perspective in psychopathology is to better understand the commonalities among clinically different mental disorders on the basis of a set of shared etiopathogenic dimensions and processes. Unwanted intrusive cognitions (UI) and their functional consequences had been proposed as symptom dimensions in Obsessive-Compulsive Disorder (OCD), Body Dysmorphic Disorder (BDD), Hypochondriasis (HYP) and Eating Disorders (EDs). In this article, we review the empirical data about the putative transdiagnostic nature of UI and their functional consequences in the four mentioned …
The cross-cultural and transdiagnostic nature of unwanted mental intrusions
Unwanted mental intrusions (UMIs), typically discussed in relation to Obsessive-Compulsive Disorder (OCD), are highly prevalent, regardless of the specific nationality, religion, and/or cultural context. Studies have also shown that UMIs related to Body Dysmorphic Disorder (BDD), Illness anxiety/Hypochondriasis (IA-H), and Eating Disorders (EDs) are commonly experienced. However, the influence of culture on these UMIs and their transdiagnostic nature has not been investigated.Participants were 1,473 non-clinical individuals from seven countries in Europe, the Middle-East, and South America. All the subjects completed the Questionnaire of Unpleasant Intrusive Thoughts, which assesses the occ…
Functional links of obsessive, dysmorphic, hypochondriac, and eating-disorders related mental intrusions.
Unwanted mental intrusions (UMIs) are the normal variants of obsessions in Obsessive-Compulsive Disorder (OCD), preoccupations about defects in Body Dysmorphic Disorder (BDD), images about illness in Hypochondriasis (HYP), and thoughts about eating in Eating Disorders (EDs). The aim was to examine the similarities and differences in the functional links of four UMI contents, adopting a within-subject perspective.Las intrusiones mentales no deseadas (IM) son la variante normativa de obsesiones en el Trastorno Obsesivo-Compulsivo (TOC), preocupaciones por defectos en el Trastorno Dismórfico Corporal (TDC), imágenes sobre enfermedad en Hipocondría (TH) y pensamientos sobre alimentación en los …
Dysmorphic and illness anxiety‐related unwanted intrusive thoughts in individuals with obsessive–compulsive disorder
Background/objective Unwanted intrusive thoughts (UITs) are considered normal variants of the obsessions found in obsessive-compulsive disorder (OCD). Similarly, intrusive and persistent preoccupations about appearance defects in body dysmorphic disorder (BDD) and images and thoughts about illness in illness anxiety disorder (IAD) are abnormal variants of the thoughts and concerns about appearance and health found in non-clinical individuals. This study examines whether patients with OCD have frequent and distressing UITs with contents related to BDD and IAD, in addition to OCD-related UITs. Method Thirty-nine participants with OCD (Mage = 32.45, standard deviation [SD] = 11.57; 63% men) co…
Consequências mal adaptativas de invasões mentais com conteúdos relacionados a transtornos obsessivos, dismórficos, hipocondríacos e alimentares: diferenças transculturais
Unwanted mental intrusions (UMIs) with contents related to Obsessive-Compulsive Disorder (OCD), Body Dysmorphic Disorder (BDD), Illness Anxiety Disorder (IAD), and Eating Disorders (EDs) are highly prevalent, independently of the cultural and/or social context. Cognitive-behavioral explanations for these disorders postulates that the escalation from common UMIs to clinically relevant symptoms depends on the maladaptive consequences (i.e., emotions, appraisals, and control strategies) of experiencing UMIs. This study examines, from a cross-cultural perspective, the cognitive-behavioral postulates of the maladaptive consequences of having UMIs.Non-clinical 1,473 participants from Europe, the …
Descentralización de los cuidados en Salud Mental : un espacio de reflexión. / Decentralization of cares in mental health: a space for reflection.
Resumen: Aunque la dimensión de salud está mediada por el contexto social, los modelos de atención hegemónicos priorizan la profesionalización e individualización de los cuidados, y la atención desde el entorno social permanece invisibilizada. En este trabajo se presenta un análisis sobre la centralización de los cuidados en salud mental, partiendo de la dicotomía entre cuidados profesionales e informales; y se proponen algunas consideraciones respecto a cómo descentralizar los cuidados. Se plantea la necesidad de revalorizar el papel del entorno social, y generar herramientas de gestión colectiva de la salud-enfermedad.
 
 Palabras clave: cuidados, salud mental, cuidadores, apoyo…
To achieve a sense of rightness: The joint role of Not Just Right Experiences and Intolerance of Uncertainty in Obsessive-Compulsive Disorder
Abstract Background/Objective Not Just Right Experiences (NJREs) are currently considered as one of the motivators of Obsessive-Compulsive Disorder (OCD), but the ways through which NJREs affect OCD symptoms remains unclear. The aim of the present study was to examine the putative mediational role of Intolerance of Uncertainty (IU) in the association between NJRE severity and OCD symptoms in patients with OCD. Method Sixty-two patients with OCD completed self-report measures of NJREs, OCD symptoms, and IU. Results IU mediated the relationship between NJRE severity and OCD symptoms. Furthermore, NJRE severity emerged as moderator of the path, suggesting that the mediational role of IU is str…
Assisting relapse prevention in OCD using a novel mobile app-based intervention: A case report.
Mobile health apps increase the accessibility of cognitive-behavioral–based interventions before, during, or following treatment. GGOC is a mobile app designed to challenge maladaptive beliefs in obsessive-compulsive disorder (OCD). This single-case study assesses the usefulness of GGOC as a relapse prevention tool for OCD. The patient was a 26-year-old woman with severe contamination and washing/cleaning OCD symptoms (Y-BOCS = 33). GGOC was used for relapse prevention following CBT treatment. The patient completed 47 levels dedicated to OCD-relevant maladaptive beliefs. Before and after GGOC, the Y-BOCS, Obsessive-Compulsive Inventory (OCI-R), Obsessive Beliefs Questionnaire (OBQ-20), and…