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<p>Beliefs about losing control (BALC) and fear of guilt (FOG) are relatively novel cognitive domains that may influence the development and maintenance of Obsessive–Compulsive Disorder (OCD). This study examined the extent to which FOG moderated the influence of BALC on urges to act in OCD-relevant scenarios in 288 undergraduate students (81.60% female, M age = 23.34, SD = 5.17). Participants completed self-report questionnaires assessing FOG and BALC and responded to vignettes measuring urges to act in OCD-relevant scenarios. As hypothesized, BALC positively predicted urges to act, <i>β</i> = .16, <i>p</i> = .006, with FOG significantly moderating this relationship, <i>β</i> = .008, <i>p</i> &lt; .001. Simple slope analysis revealed that at low levels of FOG, the relationship between BALC and urges to act was reversed, with higher BALC predicting lower urges to act, <i>b</i> = −0.28, 95% <i>CI</i> = 0.00 to 0.05, <i>p</i> = .017. These results suggest that FOG may play an important role in the association between BALC and compulsive behaviours and may be a potential treatment target to address alongside BALC in CBT for OCD.</p>

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I Shall Do No Wrong: the Moderating Role of Fear of Guilt in the Influence of Beliefs About Losing Control on Urges to Act in OCD-Relevant Situations

  • 期刊论文

  • 发表日期：

    2025年10月10日

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  • Laurence Corriveau,
  • Andrea Sandstrom,
  • Adam S. Radomsky

摘要

Beliefs about losing control (BALC) and fear of guilt (FOG) are relatively novel cognitive domains that may influence the development and maintenance of Obsessive–Compulsive Disorder (OCD). This study examined the extent to which FOG moderated the influence of BALC on urges to act in OCD-relevant scenarios in 288 undergraduate students (81.60% female, M age = 23.34, SD = 5.17). Participants completed self-report questionnaires assessing FOG and BALC and responded to vignettes measuring urges to act in OCD-relevant scenarios. As hypothesized, BALC positively predicted urges to act, β = .16, p = .006, with FOG significantly moderating this relationship, β = .008, p < .001. Simple slope analysis revealed that at low levels of FOG, the relationship between BALC and urges to act was reversed, with higher BALC predicting lower urges to act, b = −0.28, 95% CI = 0.00 to 0.05, p = .017. These results suggest that FOG may play an important role in the association between BALC and compulsive behaviours and may be a potential treatment target to address alongside BALC in CBT for OCD.