0000000000181977
AUTHOR
David A. Clark
showing 9 related works from this author
The cross-cultural and transdiagnostic nature of unwanted mental intrusions
2019
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…
The Valencia consensus-based adaptation of the IASP complex regional pain syndrome diagnostic criteria
2021
Refereed/Peer-reviewed The new IASP diagnostic criteria for complex regional pain syndrome (CRPS) (aka “the Budapest Criteria”3; Table 1) have improved the diagnostic specificity for CRPS while maintaining good sensitivity. Internationally, these criteria are now in common use. The IASP CRPS Special Interest Group convened a workshop of CRPS experts in Valencia/Spain in September 2019 to review perceived ambiguities in the diagnostic text and issues identified in applying these criteria in both the research and clinical contexts. After this review, workshop attendees discussed and reached a consensus regarding adaptations to the diagnostic taxonomy text. This process resulted in pragmatic u…
Part 2. They scare because we care: The relationship between obsessive intrusive thoughts and appraisals and control strategies across 15 cities
2014
Abstract Cognitive models of Obsessive Compulsive Disorder (OCD) purport that obsessions are normal intrusive thoughts that are misappraised as significant, leading to negative emotional responses and maladaptive attempts to control the thoughts and related emotions. This paper utilised a large multi-national dataset of interview data regarding intrusive thoughts, to investigate three questions related to the cognitive model of OCD and to its stability across cultures. First, the paper aimed to investigate the implicit yet-hitherto-untested assumption of cognitive models that misappraisals and control strategies for intrusive thoughts relate similarly across cultures. Second, this study aim…
Part 1—You can run but you can't hide: Intrusive thoughts on six continents
2014
Abstract Most cognitive approaches for understanding and treating obsessive-compulsive disorder (OCD) rest on the assumption that nearly everyone experiences unwanted intrusive thoughts, images and impulses from time to time. These theories argue that the intrusions themselves are not problematic, unless they are misinterpreted and/or attempts are made to control them in maladaptive and/or unrealistic ways. Early research has shown unwanted intrusions to be present in the overwhelming majority of participants assessed, although this work was limited in that it took place largely in the US, the UK and other ‘westernised’ or ‘developed’ locations. We employed the International Intrusive Thoug…
Consequências mal adaptativas de invasões mentais com conteúdos relacionados a transtornos obsessivos, dismórficos, hipocondríacos e alimentares: dif…
2021
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 …
Part 3. A question of perspective: The association between intrusive thoughts and obsessionality in 11 countries
2014
Abstract A key assumption of contemporary cognitive-behavioral models of obsessive–compulsive disorder (OCD) is that obsessional thoughts exist on a continuum with “normal” unwanted intrusive thoughts. Recently, however, some authors have challenged this notion. The present study aimed to clarify (a) the extent that different types of intrusive thoughts in nonclinical individuals are associated with obsessionality, (b) the relative contribution of frequency, distress and control ratings to obsessionality, and (c) the extent that existing findings (primarily from North American or European samples) generalize to other countries in the world. Five hundred and fifty-four non clinical individua…
Inventario Clark-Beck de Obsesión-Compulsión (C-BOCI) : validación para su uso en población española
2009
The Clark-Beck Obsessive-Compulsive Inventory (C-BOCI) is a new self-administered inventory (Clark & Beck, 2002), designed to offer a valid, specifi c and reliable tool for the screening of the Obsessive-Compulsive Disorder (OCD): it assesses symptoms, their consequences, and takes into account the assumptions of current cognitive models about the disorder. The aim of this study has been to examine the usefulness of the C-BOCI in Spanish population. The questionnaire was completed together with other OCD, depression, and anxiety instruments by 506 adults without mental disorders and 44 OCD patients. The α values were ≥ 0.80 except for the obsessions subs- cale in the OCD group. Concurrent a…
Self-worth contingencies and obsessionality: A promising approach to vulnerability?
2012
Abstract Cognitive behavioral theories (CBT) posit deficiencies in selfhood processes as possible vulnerability factors for obsessive–compulsive disorder (OCD). This paper presents two psychometric studies on the development of the Obsessional Concerns and Self Questionnaire (OCSQ), a measure of failure to attain self-worth in personal domains relevant to obsessionality. In the first study based on 563 community Spaniards, principal factor analysis of an 80 item pool resulted in a three factor solution and a final 35 item version (OCSQ-r). In the second study self-worth and symptom measures were administered to 152 Spanish, 142 Argentinean and 112 Canadian nonclinical samples. Group compari…
Symptom dimensions in obsessive-compulsive disorder: from normal cognitive intrusions to clinical obsessions.
2011
Abstract Cognitive behavioral models of obsessive–compulsive disorder (OCD) assume continuity between normal obsessional intrusive thoughts (OITs) and obsessions. However, this assumption has recently been criticized. This article examines this issue using a new instrument (the Obsessional Intrusive Thoughts Inventory, INPIOS) specifically designed to assess the frequency and content of 48 OITs, which was completed by 734 community subjects and 55 OCD patients. Confirmatory factor analysis suggests six first-order factors included in two second-order factors, one containing aggressive, sexual, religious, immoral and repugnant OITs, and the other containing contamination, doubts and checking…