Predicting and explaining relationship obsessive-compulsive symptoms based on insecure attachment styles

Document Type : Research Paper

Authors

1 Assistant professor, Department of Psychology, Faculty of Humanities and Social Sciences, University of Mazandaran, Babolsar, Mazandaran, Iran.

2 Associate professor, Department of Clinical Psychology, Faculty of Humanities, Shahed University, Tehran, Iran.

3 Assistant professor, Department of Psychology, Faculty of Humanities, University of Tarbiat Modares, Tehran, Iran.

4 MA. in clinical psychology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

5 Ph.D. student in psychology, University of Allameh Tabatabai, Tehran, Iran.

6 M.A. in clinical psychology, Islamic Azad University, South Tehran Branch, Tehran, Iran.

7 Academic Unit of Human Communication, Learning and Development, Faculty of Education, Hong Kong University, Hong Kong, Hong Kong.

8 Assistant professor, Department of Psychology, Faculty of Humanities, Islamic Azad University, Kashan Branch, Kashan, Iran.

Abstract

Introduction: Regarding the importance of investigating the relationship between insecure attachment styles and Relationship Obsessive-Compulsive (ROC) symptoms, the present study aimed to predict ROC symptoms due to insecure attachment of the anxiety and avoidance type in the student population.
 
Materials and Methods: In this descriptive and correlational research, the statistical population included all married students of Tehran universities in the academic year of 2022. The research instruments were the New Partner-Related Obsessive-Compulsive Symptoms Inventory (PROCSI), New Relationship Obsessive-Compulsive Inventory (ROCI), and Experiences in Close Relationships-Revised (ECR-R). After removing the incomplete questionnaires, the data related to 111 people (17 men and 94 women) were analyzed. Simultaneous correlation and regression methods were used to analyze the data.
 
Results: Anxious and avoidant insecure attachment can predict significantly 27% of the variance of PROCSI scores (P= 0.001). Anxious and avoidant insecure attachment can predict 29% of the variance of ROCI scores significantly (P= 0.001). Avoidant and especially anxious insecure attachment in a meaningful model was able to predict the signs of obsession with the relationship with the spouse (P< 0.01).
 
Conclusion: Insecure attachment is important in creating Relationship Obsessive Compulsive Disorder (ROCD). We found a relationship between self-perception and others-perception and symptoms of ROCD.

Keywords


  1. Verin RE, Menzies RE, Menzies RG. OCD, death anxiety, and attachment: what’s love got to do with it?. Behav Cogn Psychother 2022; 50(2): 131-41.
  2. Van Leeuwen W, Van Wingen G, Luyten P, Denys D, Van Marle H. Attachment in OCD: A meta-analysis. J Anxiety Disord 2020; 70(7): 102-12.
  3. Shirkhani M, Aghamohammadian Sharbaf H, Moeenizadeh M. [Predicting the severity of obsessive-compulsive symptoms based on traumatic childhood experiences: The mediating role of shame]. Rooyesh-e-Ravanshenasi 2022; 11(4): 39-48. (Persian)
  4. Khalifat Z, Monirpour N. [Explanation of obsessive-compulsive symptoms based on attachment styles and alienation by mediating role of depression]. Journal of clinical psychology 2020; 12(1): 49-62. (Persian)
  5. Tahai SA, Benisi P. [The effectiveness of effective communication training on attachment styles, social vitality and attitude towards love in couples]. Journal of new approaches in education of research 2022; 4(2): 104-114. (Persian)
  6. Dorri Mashhadi N, Shirkhani M, Mahdavian M, Mahmoudi S. Predicting the severity of obsessive-compulsive syndrome based on perceived parenting style: The mediating role of obsessive beliefs. Journal of fundamentals of mental health 2022; 24(1): 23-32.
  7. Amanali Khani T, Khabir L. [Investigating the relationship between obsessive-compulsive disorder and couple’s attachment styles: The mediating role of conflict resolution styles]. Sadra medical sciences journal 2024; 12(1): 41-52. (Persian)
  8. Doron G, Szepsenwol O, Derby D, Nahaloni E. Relationship-related obsessive-compulsive phenomena: The case of relationship-centered and partner-focused obsessive compulsive symptoms. Psicoterapia Cognitivae Comporta mentale 2012; 1: 71-82.
  9. Ghomian S, Shaeiri MR, Farahani H. Relationship Obsessive Compulsive Disorder (ROCD) in Iranian culture: Symptoms, causes and consequences. Journal of fundamentals of mental health 2021; 23(6): 397-408.
  10. Brandes O, Stern A, Doron G. “I just can’t trust my partner”: Evaluating associations between untrustworthiness obsessions, relationship obsessions and couples’ violence. J Obsessive Compuls Relat Disord 2020; 24: 1-8.
  11. Gorelik M, Szepsenwol O, Doron G. Promoting couples’ resilience to relationship obsessive compulsive disorder (ROCD) symptoms using a CBT-based mobile application: A randomized controlled trial. Heliyon 2023; 9(11): e21673. 
  12. Doron G, Derby DS, Szepsenwol O. Relationship obsessive compulsive disorder (ROCD): A conceptual framework. J Obsessive Compuls Relat Disord 2014; 3(2): 169-80.
  13. Young JE, Klosko JS, Weishaar ME. Schema therapy: A practitioner`s guide. New York: Guilford Publication; 2003.
  14. Rachman S, de Silva P. Abnormal and normal obsessions. Behav Res Ther 1978; 16: 233-48.
  15. Ghomian S, Shaeiri MR, Farahani H. Designing, factor structure, validity, and reliability of the New Partner-Related Obsessive-Compulsive Symptoms Inventory (New PROCSI): A questionnaire based on Iranian culture. Journal of fundamentals of mental health 2022; 24(6): 391-401.
  16. Ghomian S, Shaeiri MR, Farahani H. Designing the Relationship Obsessive-Compulsive Inventory (ROCI) based on Iranian culture and evaluation of its psychometric properties. Iran J Psychiatry 2021; 16(4): 418-29.
  17. Brennan KA, Clark CL, Shaver PR. Self-report measurement of adult attachment: An integrative overview. In: Simpson JA, Rholes WS. (editors). Attachment theory and close relationships. New York: Guilford; 1998: 46-76.
  18. Fraley RC, Waller NG, Brennan KA. An item response theory analysis of self-report measures of adult attachment. J Pers Soc Psychol 2000; 78(2): 350-65.
  19. Sibley CG, Fischer R, Liu JH. Reliability and validity of the revised experiences in close relationships (ECR-R) self-report measure of adult romantic attachment. Pers Soc Psychol Bull 2005; 31(11): 1524-36.
  20. Panaghi L, Maleki A, Zabihzadeh A, Posht Mashhadi M, Soltani Nejad Z. [Validity, reliability, and factor structure of Experiences in Close Relationship (ECR)]. Journal of Iranian psychiatry and clinical psychology 2013; 19(4): 305-13. (Persian)
  21. Guidano VF, Liotti G. Cognitive processes and emotional disorders. New York: Guilford; 1983.
  22. Doron G, Kyrios M. Obsessive compulsive disorder: A review of possible specific internal representations within a broader cognitive theory. Clin Psychol Rev 2005; 25(4): 415-32.
  23. Doron G, Kyrios M, Moulding R. Sensitive domains of self-concept in obsessive-compulsive disorder (OCD): Further evidence for a multidimensional model of OCD. J Anxiety Disord 2007; 21(3): 433-44.
  24. Newth S, Rachman S. The concealment of obsessions. Behav Res Ther 2001; 39(4): 457-64.
  25. Falsafi SH, Asgari M, Kordestani D. [Development of a structural model of obsessive-compulsive disorder based on early maladaptive schemas, attachment styles and defense mechanisms]. Medical journal of Mashhad University of Medical Sciences 2022; 65(2): 579-92. (Persian)
  26. Rostami M, Naeemi Nezam Abad A, Shirkhani M, Sadeghi A. Predicting the severity of obsessive-compulsive symptoms based on attachment styles: The mediating role of health anxiety. Journal of fundamentals of mental health 2023; 25(2): 93-101.
  27. Pozza A, Dèttore D, Marazziti D, Doron G, Barcaccia B, Pallini S. Facets of adult attachment style in patients with obsessive-compulsive disorder. J Psychiatr Res 2021; 144: 14-25.
  28. Madanifar M, Esmaili M, Farahbakhsh K, Asgari M. [Conceptual expansion of couple conflict from the perspective of ethics based on the ethical works of Imam Khomeini]. The scientific journal of women and families cultural-educational 2022; 17: 11-41. (Persian)
  29. Yarbo J, Mahaffey B, Abramowiz J, Kashdan TB. Recollections of parent-child relationships, attachment insecurity, and obsessive-compulsive beliefs. Pers Individ Dif 2013; 54(3): 355-60.
  30. Doron G, Moulding R, Kyrios M, Nedeljkovic M, Mikulincer M. Adult attachment insecurities are related to obsessive compulsive phenomena. J Soc Clin Psychol 2009; 28(8): 1022-49.
  31. Shakier A, Hamili N. [Comparison of attachment styles and relationship with parents in patients with obsessive-compulsive disorder, generalized anxiety disorder and depression]. Journal of Jahrom University of Medical Sciences 2011; 9(3): 20-26. (Persian)
  32. Shaver P, Mikulincer M. Attachment-related psychodynamics. Attach Hum Dev 2002; 4(2): 133-61. 
  33. Doron G, Moulding R, Kyrios M, Nedeljkovic M. Sensitivity of self-beliefs in obsessive compulsive disorder (OCD). Depress Anxiety 2008; 25(10): 874-84.
  34. Mikulincer M, Dolev T, Shaver PR. Attachment-related strategies during thought suppression: Ironic rebounds and vulnerable self-representations. J Pers Soc Psychol 2004; 87(6): 940-56.
  35. Clark D. Cognitive-behavioral therapy for OCD. New York: Guilford; 2004: 127-44.
  36. Mikulincer M, Birnbaum G, Woddis D, Nachmias O. Stress and accessibility of proximity-related thoughts: Exploring the normative and intraindividual components of attachment theory. J Pers Soc Psychol 2000; 78(3): 509-23.