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<p>It is emphasized that psychological resilience (PR) levels may be low, as their ability to cope with stressful and unexpected situations is weakened due to the decrease in cognitive control and flexibility (CCF), which is an important executive function skill. This study is the first to examine the relationship between CCF and PR in adults with OCD, addressing a critical gap in the literature. It aims to compare adults with and without OCD to understand the correlation between CCF and PR in untreated individuals seeking outpatient psychiatric care. The study included 106 participants, an average age of 37.74 ± 11.45, comprising adults with OCD and healthy controls. Participants completed Demographic Information Form, Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Hamilton Depression Rating Scale (HDRS), Cognitive Control and Flexibility Questionnaire (CCFQ), and Resilience Scale for Adults (RSA). Our findings revealed that OCD participants scored lower on CCFQ and RSA than controls. In our study, we found a strong positive correlation between CCF and PR in individuals with OCD (<i>r</i> =.70). Additionally, in the non-OCD group, this correlation was also significant (<i>r</i> =.58). Furthermore, within the OCD group, higher Y-BOCS scores were associated with increased depression severity, as measured by HDRS (<i>r</i> =.48, <i>p</i> &lt;.01). These findings suggest that both CCF and PR are important factors in managing OCD symptoms and related depressive symptoms. Enhancing these cognitive and emotional abilities may be beneficial in therapeutic occupational therapy interventions for individuals with OCD. Future research should explore the causal relationships between these variables and develop targeted interventions aimed at improving CCF and PR in individuals with OCD.</p>

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Investigation of cognitive flexibility and psychological resilance in adults with obsessive compulsive disorder

  • 期刊论文

  • 发表日期：

    2025年8月5日

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  • Sümeyye Belhan Çelik,
  • Begüm Oğur,
  • Deniz Ege Ataoğlu

摘要

It is emphasized that psychological resilience (PR) levels may be low, as their ability to cope with stressful and unexpected situations is weakened due to the decrease in cognitive control and flexibility (CCF), which is an important executive function skill. This study is the first to examine the relationship between CCF and PR in adults with OCD, addressing a critical gap in the literature. It aims to compare adults with and without OCD to understand the correlation between CCF and PR in untreated individuals seeking outpatient psychiatric care. The study included 106 participants, an average age of 37.74 ± 11.45, comprising adults with OCD and healthy controls. Participants completed Demographic Information Form, Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Hamilton Depression Rating Scale (HDRS), Cognitive Control and Flexibility Questionnaire (CCFQ), and Resilience Scale for Adults (RSA). Our findings revealed that OCD participants scored lower on CCFQ and RSA than controls. In our study, we found a strong positive correlation between CCF and PR in individuals with OCD (r =.70). Additionally, in the non-OCD group, this correlation was also significant (r =.58). Furthermore, within the OCD group, higher Y-BOCS scores were associated with increased depression severity, as measured by HDRS (r =.48, p <.01). These findings suggest that both CCF and PR are important factors in managing OCD symptoms and related depressive symptoms. Enhancing these cognitive and emotional abilities may be beneficial in therapeutic occupational therapy interventions for individuals with OCD. Future research should explore the causal relationships between these variables and develop targeted interventions aimed at improving CCF and PR in individuals with OCD.