The association of trait mindfulness and self‑compassion with obsessive‑compulsive disorder symptoms: results from a large survey with treatment‑seeking adults

Journal article


Leeuwerik, T., Cavanagh, K. and Strauss, C. 2019. The association of trait mindfulness and self‑compassion with obsessive‑compulsive disorder symptoms: results from a large survey with treatment‑seeking adults. Cognitive Therapy and Research.
AuthorsLeeuwerik, T., Cavanagh, K. and Strauss, C.
Abstract

Little is known about the role of mindfulness and self-compassion in obsessive-compulsive disorder. This cross-sectional study examined associations of mindfulness and self-compassion with obsessive-compulsive disorder symptoms and with the obsessive beliefs and low distress tolerance thought to maintain them. Samples of treatment-seeking adults (N = 1871) and non-treatment-seeking adults (N = 540) completed mindfulness, self-compassion, obsessive-compulsive disorder, anxi- ety, depression, obsessive beliefs and distress tolerance questionnaires. Participants with clinically significant obsessive- compulsive disorder symptoms reported lower trait mindfulness and self-compassion compared to participants with clinically significant anxiety/depression and to non-clinical controls. Among the clinical sample, there were medium-large associations between mindfulness and self-compassion and obsessive-compulsive disorder symptoms, obsessive beliefs and distress tol- erance. Mindfulness and self-compassion were unique predictors of obsessive-compulsive disorder symptoms, controlling for depression severity. Once effects of obsessive beliefs and distress tolerance were controlled, a small effect remained for mindfulness (facets) on obsessing symptoms and for self-compassion on washing and checking symptoms. Directions for future research and clinical implications are considered in conclusion.

KeywordsObsessive-compulsive disorder; Mindfulness; Self-compassion; Obsessive beliefs ; Distress tolerance; OCD
Year2019
JournalCognitive Therapy and Research
PublisherSpringer
ISSN1573-2819
Digital Object Identifier (DOI)doi:10.1007/s10608-019-10049-4
Official URLhttps://doi.org/10.1007/s10608-019-10049-4
FunderEconomic and Social Research Council
Publication dates
Online11 Nov 2019
Publication process dates
Accepted03 Oct 2019
Deposited13 Jan 2020
References

Abramowitz, J. S., Fabricant, L. E., Taylor, S., Deacon, B. J., McKay, D., & Storch, E. A. (2014). The relevance of analogue stud- ies for understanding obsessions and compulsions. Clinical Psychology Review, 34(3), 206–217. https://doi.org/10.1016/j. cpr.2014.01.004.
Abramowitz, J. S., & Jacoby, R. J. (2015). Obsessive-compulsive and related disorders: A critical review of the new diagnostic class. Annual Review of Clinical Psychology, 11(1), 165–186. https:// doi.org/10.1146/annurev-clinpsy-032813-153713.
Abramowitz, J. S., Lackey, G. R., & Wheaton, M. G. (2009). Obsessive–compulsive symptoms: The contribution of obsessional beliefs and experiential avoidance. Journal of Anxiety Disorders, 23(2), 160–166.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Ameri- can Psychiatric Association. https://doi.org/10.1176/appi.books
.9780890425596.
Arch, J. J., Landy, L. N., Schneider, R. L., Koban, L., & Andrews- Hanna, J. R. (2018). Self-compassion induction enhances recov- ery from social stressors: Comparing adults with social anxiety disorder and healthy controls. Anxiety Stress and Coping, 31(5), 594–609. https://doi.org/10.1080/10615806.2018.1504033.
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore fac- ets of mindfulness. Assessment, 13(1), 27–45. https://doi. org/10.1177/1073191105283504.
Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., et al. (2008). Construct validity of the Five Facet Mindful- ness Questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342. https://doi.org/10.1177/1073191107313003.
Barnard, L. K., & Curry, J. F. (2011). Self-compassion: Conceptualiza- tions, correlates, & interventions. Review of General Psychology, 15(4), 289–302. https://doi.org/10.1037/a0025754.
Beard, C., & Björgvinsson, T. (2014). Beyond generalized anxiety disorder: Psychometric properties of the GAD-7 in a heteroge- neous psychiatric sample. Journal of Anxiety Disorders, 28(6), 547–552. https://doi.org/10.1016/j.janxdis.2014.06.002.
Belloch, A., Morillo, C., Luciano, J. V., Garcia-Soriano, G., Cabedo, E., & Carrio, C. (2010). Dysfunctional belief domains related to obsessive-compulsive disorder: A further examination of their dimensionality and. The Spanish Journal of Psychology, 13(1), 376–388.
Bernstein, A., Hadash, Y., Lichtash, Y., Tanay, G., Shepherd, K., & Fresco, D. M. (2015). Decentering and related constructs: A critical review and metacognitive processes model. Perspec- tives on Psychological Science, 10(5), 599–617. https://doi. org/10.1177/1745691615594577.
Berry, L. M., & Laskey, B. (2012). A review of obsessive intru- sive thoughts in the general population. Journal of Obsessive-Compulsive and Related Disorders, 1(2), 125–132. https://doi.org/10.1016/j.jocrd.2012.02.002.
Blakey, S. M., Jacoby, R. J., Reuman, L., & Abramowitz, J. S. (2016). The relative contributions of experiential avoidance and distress tolerance to OC symptoms. Behavioural and Cognitive Psychotherapy, 44(4), 460–471. https://doi.org/10.1017/S135246581
5000703.
Bohlmeijer, E., ten Klooster, P. M., Fledderus, M., Veehof, M., & Baer, R. (2011). Psychometric properties of the Five-Facet Mindfulness Questionnaire in depressed adults and develop- ment of a short form. Assessment, 18(3), 308–320. https://doi. org/10.1177/1073191111408231.
Brakoulias, V., Starcevic, V., Belloch, A., Brown, C., Ferrao, Y. A., Fontenelle, L. F., et al. (2017). Comorbidity, age of onset and suicidality in obsessive–compulsive disorder (OCD): An inter- national collaboration. Comprehensive Psychiatry, 76, 79–86. https://doi.org/10.1016/j.comppsych.2017.04.002.
Bream, V., Challacombe, F., Palmer, A., & Salkvoskis, P. (2017). Cognitive behaviour therapy for OCD. Oxford: Oxford Uni- versity Press. https://doi.org/10.1093/med-psych/9780198703 266.001.0001.
Bristol Online Survey. University of Bristol. Bristol, UK. Now known as Online Surveys. JISC, Bristol, UK. Retrieved from https:// www.onlinesurveys.ac.uk/.
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.
Cohen, J. (1988). Statistical power analysis for the behavioural sci- ences. New York, NY: LEA.
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1016/C2013-0-10517-X.
Cougle, J. R., Timpano, K. R., Fitch, K. E., & Hawkins, K. A. (2011). Distress tolerance and obsessions: An integrative analysis. Depression and Anxiety, 28(10), 906–914. https:// doi.org/10.1002/da.20846.
Cougle, J. R., Timpano, K. R., & Goetz, A. R. (2012). Exploring the unique and interactive roles of distress tolerance and negative urgency in obsessions. Personality and Individual Differences, 52(4), 515–520. https://doi.org/10.1016/j.paid.2011.11.017.
Crowe, K., & McKay, D. (2016). Mindfulness, obsessive–compul- sive symptoms, and executive dysfunction. Cognitive Therapy and Research, 40(5), 627–644. https://doi.org/10.1007/s1060 8-016-9777-x.
Curtiss, J., & Klemanski, D. H. (2014). Factor analysis of the Five Facet Mindfulness Questionnaire in a heterogeneous clinical sample. Journal of Psychopathology and Behavioral Assessment, 36(4), 683–694. https://doi.org/10.1007/s1086 2-014-9429-y.
Didonna, F. (2009). Mindfulness and obsessive-compulsive disorder: Developing a way to trust and validate one’s internal experi- ence. In F. Didonna (Ed.), Clinical handbook of mindfulness (pp. 189–219). New York, NY: Springer. https://doi.org/10.1007/978- 0-387-09593-6_1.
Didonna, F., Rossi, R., Ferrari, C., Iani, L., Pedrini, L., Rossi, N., et al. (2018). Relations of mindfulness facets with psychologi- cal symptoms among individuals with a diagnosis of obsessive- compulsive disorder, major depressive disorder, or borderline personality disorder. Psychology and Psychotherapy: Theory, Research and Practice, 92(1), 112–130. https://doi.org/10.1111/ papt.12180.
Dong, Y., & Peng, C. Y. J. (2013). Principled missing data meth- ods for researchers. SpringerPlus, 2(1), 222. https://doi. org/10.1186/2193-1801-2-222.
Emerson, L. M., Heapy, C., & Garcia-Soriano, G. (2017). Which facets of mindfulness protect individuals from the negative experiences of obsessive intrusive thoughts? Mindfulness, 9(4), 1170–1180. https://doi.org/10.1007/s12671-017-0854-3.
Enders, C. K. (2010). Applied missing data analysis. New York, NY: Guilford Press. https://doi.org/10.1111/j.1467-842X.2012.00656
.x.
Fergus, T. A., & Carmin, C. N. (2014). The validity and specificity of the short-form of the Obsessive Beliefs Questionnaire (OBQ). Journal of Psychopathology and Behavioral Assessment, 36(2), 318–328. https://doi.org/10.1007/s10862-013-9398-6.
Field, A. (2013). Discovering Statistics using IBM SPSS Statistics (4th ed.). London: Sage.
Foa, E. B., Huppert, J. D., Leiberg, S., Hajcak, G., Langner, R., et al. (2002). The obsessive-compulsive inventory: Development and validation of a short version. Psychological Assessment, 14, 485–496. https://doi.org/10.1037/1040-3590.14.4.485.
Foa, E. B., Kozak, M. J., Salkovskis, P. M., Coles, M. E., & Amir, N. (1998). The validation of a new obsessive-com- pulsive disorder scale: The obsessive–compulsive inven- tory. Psychological Assessment, 10, 206–214. https://doi. org/10.1037/1040-3590.10.3.206.
Fritz, M., & MacKinnon, D. (2007). Required sample size to detect the mediated effect. Psychological Science, 8, 233–239.
Garcia-campayo, J., Navarro-gil, M., Andrés, E., Montero-marin, J., López-artal, L., Marcos, M., et al. (2014). Validation of the Spanish versions of the long (26 items) and short (12 items) forms of the Self-Compassion Scale (SCS). Health and Quality of Life Outcomes, 12(4), 1–9. https ://doi. org/10.1186/1477-7525-12-4.
Goldberg, S. B., Tucker, R. P., Greene, P. A., Davidson, R. J., Wam- pold, B. E., Kearney, D. J., et al. (2018). Mindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysis. Clinical Psychology Review, 59, 52–60. https:// doi.org/10.1016/j.cpr.2017.10.011.
Gu, J., Cavanagh, K., Baer, R., & Strauss, C. (2017). An empirical examination of the factor structure of compassion. PLoS ONE, 12(2), 1–17. https://doi.org/10.1371/journal.pone.0172471.
Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mind- fulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychol- ogy Review, 37, 1–12. https://doi.org/10.1016/j.cpr.2015.01.006.
Gu, J., Strauss, C., Crane, C., Barnhofer, T., Karl, A., Cavanagh, K., et al. (2016). Examining the factor structure of the 39-item and 15-item versions of the Five Facet Mindfulness Questionnaire before and after mindfulness-based cognitive therapy for peo- ple with recurrent depression. Psychological Assessment, 28(7), 791–802. https://doi.org/10.1037/pas0000263.
Hawley, L. L., Rogojanski, J., Vorstenbosch, V., Quilty, L. C., Laposa, J. M., & Rector, N. A. (2017). The structure, correlates, and treat- ment related changes of mindfulness facets across the anxiety disorders and obsessive-compulsive disorder. Journal of Anxi- ety Disorders, 49(March), 65–75. https://doi.org/10.1016/j.janxd is.2017.03.003.
Hay, L., (2011). The IAPT data handbook: Guidance on recording and monitoring outcomes to support local evidence-based practice. Version 2. Retrieved from https://www.iapt.nhs.uk/silo/files/iapt- data-handbook-appendicies-v2.pdf.
Hayes, J. A., Lockard, A. J., Janis, R. A., & Locke, B. D. (2016). Con- struct validity of the Self-Compassion Scale-Short Form among psychotherapy clients. Counselling Psychology Quarterly, 29(4), 405–422. https://doi.org/10.1080/09515070.2016.1138397.
Hunt, J., & Eisenberg, D. (2010). Mental health problems and help- seeking behavior among college students. Journal of Adoles- cent Health, 46(1), 3–10. https://doi.org/10.1016/j.jadohealth
.2009.08.008.
Huppert, J. D., Walther, M. R., Hajcak, G., Yadin, E., Foa, E. B., Simp- son, H. B., et al. (2007). The OCI-R: Validation of the subscales in a clinical sample. Journal of Anxiety Disorders, 21(3), 394– 406. https://doi.org/10.1016/j.janxdis.2006.05.006.
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology, 10, 144–156. https://doi.org/10.1093/clipsy.bpg016.
Kazdin, A. E. (2007). Mediators and mechanisms of change in psycho- therapy research. Annual Review of Clinical Psychology, 3(1), 1–27. https://doi.org/10.1146/annurev.clinpsy.3.022806.091432. Keng, S., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31, 1041–1056. https://doi.org/10.1016/j.cpr.2011.04.006.
Keough, M. E., Riccardi, C. J., Timpano, K. R., Mitchell, M. A., & Schmidt, N. B. (2010). Anxiety symptomatology: The association with distress tolerance and anxiety sensitivity. Behavior Therapy, 41(4), 567–574. https://doi.org/10.1016/j.beth.2010.04.002.
Key, B. L., Rowa, K., Bieling, P., McCabe, R., & Pawluk, E. J. (2017). Mindfulness-based cognitive therapy as an augmentation treat- ment for obsessive-compulsive disorder. Clinical Psychology & Psychotherapy, 24(5), 1109–1120. https://doi.org/10.1002/ cpp.2076.
Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., et al. (2013). Mindfulness-based therapy: A comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–771. https://doi.org/10.1016/j.cpr.2013.05.005.
Kroenke, K., Spitzer, R., & Williams, J. (2001). The PHQ-9: Valid- ity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613. https://doi.org/10.104 6/j.1525-1497.2001.016009606.x.
Kroenke, K., Spitzer, R. L., Williams, J. B. W., Monahan, P. O., & Löwe, B. (2007). Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Annals of Internal Medi- cine, 146(5), 317–325. https://doi.org/10.7326/0003-4819-146-
5-200703060-00004.
Külz, A. K., Landmann, S., Cludius, B., Hottenrott, B., Rose, N., Hei- denreich, T., et al. (2014). Mindfulness-based cognitive therapy in obsessive-compulsive disorder: Protocol of a randomized con- trolled trial. BMC Psychiatry, 14, 314. https://doi.org/10.1186/ s12888-014-0314-8.
Külz, A. K., Landmann, S., Cludius, B., Rose, N., Heidenreich, T., Jelinek, L., et al. (2019). Mindfulness-based cognitive therapy (MBCT) in patients with obsessive–compulsive disorder (OCD) and residual symptoms after cognitive behavioral therapy (CBT): A randomized controlled trial. European Archives of Psychia- try and Clinical Neuroscience, 269(2), 223–233. https://doi.org/10.1007/s00406-018-0957-4.
Kuyken, W., Warren, F. C., Taylor, R. S., Whalley, B., Crane, C., Bon- dolfi, G., et al. (2016). Efficacy of mindfulness-based cogni- tive therapy in prevention of depressive relapse: An individual patient data meta-analysis from randomized trials. JAMA Psy- chiatry, 73(6), 565–574. https://doi.org/10.1001/jamapsychi atry.2016.0076.
Laposa, J., Collimore, K., Hawley, L., & Rector, N. (2015). Distress tolerance in OCD and anxiety disorders and its relationship with anxiety sensitivity and intolerance of uncertainty. Journal of Anxiety Disorders, 33, 8–14. https://doi.org/10.1016/j.janxd is.2015.04.003.
Leyro, T. M., Zvolensky, M. J., & Bernstein, A. (2016). Distress toler- ance and psychopathological symptoms and disorders: A review of the empirical literature among adults. Psychological Bulletin, 136(4), 576–600. https://doi.org/10.1037/a0019712.
Macatee, R. J., Capron, D. W., Schmidt, N. B., & Cougle, J. R. (2013). An examination of low distress tolerance and life stressors as factors underlying obsessions. Journal of Psychiatric Research, 47(10), 1462–1468. https://doi.org/10.1016/j.jpsychires.2013.06.019.
MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta- analysis of the association between self-compassion and psycho- pathology. Clinical Psychology Review, 32, 545–552. https://doi. org/10.1016/j.cpr.2012.06.003.
Macy, A. S., Theo, J. N., Kaufmann, S. C., Ghazzaoui, R. B., Paw- lowski, P. A., Fakhry, H. I., et al. (2013). Quality of life in obses- sive compulsive disorder. CNS Spectrums, 18(1), 21–33. https:// doi.org/10.1017/S1092852912000697.
Miller, G. A., & Chapman, J. P. (2001). Misunderstanding analysis of covariance. Journal of Abnormal Psychology, 110(1), 40–48. https://doi.org/10.1037/0021-843X.110.1.40.
Moritz, S., Meier, B., Kloss, M., Jacobsen, D., Wein, C., Fricke, S., et al. (2002). Dimensional structure of the Yale-Brown Obses- sive-Compulsive Scale (Y-BOCS). Psychiatry Research, 109(2), 193–199. https://doi.org/10.1016/S0165-1781(02)00012-4.
Moulding, R., Anqlim, J., Nedeljkovic, M., Doron, G., Kyrios, M., & Ayalon, A. (2011). The Obsessive Beliefs Questionnaire (OBQ): Examination in nonclinical samples and development of a short version. Assessment, 18(3), 357–374. https://doi. org/10.1177/073191110376490.
National Institute of Health and Care Excellence (NICE). (2005). Obsessive-compulsive disorder: Core interventions in the treat- ment of obsessive-compulsive disorder and body dysmorphic disorder. Leicester, UK: The British Psychological Society & The Royal College of Psychiatrists.
Neff, K. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 3(2), 85–101. https://doi.org/10.1080/15298860309032.
Nejati, V., Zabihzadeh, A., Maleki, G., & Tehranchi, A. (2012). Mind reading and mindfulness deficits in patients with major depres- sion disorder. Procedia-Social and Behavioral Sciences, 32, 431–437. https://doi.org/10.1016/j.sbspro.2012.01.065.
Obsessive Compulsive Cognitions Working Group. (1997). Cogni- tive assessment of obsessive-compulsive disorder. Behaviour Research and Therapy, 35(7), 667–681. https://doi.org/10.1016/ s0005-7967(97)00017-x.
Obsessive Compulsive Cognitions Working Group. (2005). Psycho- metric validation of the obsessive beliefs questionnaire and inter- pretation of intrusions inventory - part 2: Factor analyses and testing of a brief version. Behaviour Research and Therapy, 43, 1527–1542. https://doi.org/10.1016/j.brat.2004.07.010.
Öst, L., Havnen, A., Hansen, B., & Kvale, G. (2015). Cognitive behavioral treatments of obsessive-compulsive disorder. A systematic review and meta-analysis of studies published 1993–2014. Clinical Psychology Review, 40, 156–169. https://doi.org/10.1016/j.cpr.2015.06.003.
Rachman, S., & Shafran, R. (1999). Cognitive distortions: Thought- action fusion. Clinical Psychology and Psychotherapy, 6(2), 80–85. https ://doi.org/10.1002/(SICI)1099-0879(19990
5)6:2%3C80:AID-CPP188%3E3.0.CO;2-C.
Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Con- struction and factorial validation of a short form of the self- compassion scale. Clinical Psychology & Psychotherapy, 18(3), 250–255. https://doi.org/10.1002/cpp.702.
Robinson, L. J., & Freeston, M. H. (2014). Emotion and internal expe- rience in Obsessive Compulsive Disorder: Reviewing the role of alexithymia, anxiety sensitivity and distress tolerance. Clini- cal Psychology Review, 34, 256–271. https://doi.org/10.1016/j. cpr.2014.03.003.
Roemer, L., Lee, J. K., Salters-Pedneault, K., Erisman, S. M., Orsillo, S. M., & Mennin, D. S. (2009). Mindfulness and emotion regulation difficulties in generalized anxiety disorder: Prelimi- nary evidence for independent and overlapping contributions. Behavior Therapy, 40(2), 142–154. https://doi.org/10.1016/j.beth.2008.04.001.
Rudkin, E., Medvedev, O. N., & Siegert, R. J. (2018). The Five-Facet Mindfulness Questionnaire: Why the observing subscale does not predict psychological symptoms. Mindfulness, 9(1), 230–242. https://doi.org/10.1007/s12671-017-0766-2.
Ruscio, A. M., Stein, D. J., Chiu, W. T., & Kessler, R. C. (2010). The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Molecular Psychiatry, 15(1), 53–63. https://doi.org/10.1038/mp.2008.94.
Salkovskis, P. M. (1999). Understanding and treating obsessive-com- pulsive disorder. Behaviour Research and Therapy, 37, S29–S52. https://doi.org/10.1016/S0005-7967(99)00049-2.
Sauer, S., Walach, H., Schmidt, S., Hinterberger, T., Lynch, S., Büss- ing, A., & Kohls, N. (2013). Assessment of mindfulness: Review on state of the art. Mindfulness, 4(1), 3–17.
Segal, Z. V., Williams, M. G., & Teasdale, J. D. (2013). Mindfulness- based cognitive therapy for depression: A new approach to pre- venting relapse (2nd ed.). New York, NY: The Guilford Press.
Selchen, S., Hawley, L. L., Regev, R., Richter, P., & Rector, N. A. (2018). Mindfulness-based cognitive therapy for OCD: Stand- alone and post-CBT augmentation approaches. International Journal of Cognitive Therapy, 11(1), 58–79. https://doi. org/10.1007/s41811-018-0003-3.
Selya, A. S., Rose, J. S., Dierker, L. C., Hedeker, D., & Mermelstein, R. J. (2012). A practical guide to calculating Cohen’s f 2, a measure of local effect size, from PROC MIXED. Frontiers in Psychol- ogy, 3(4), 1–6. https://doi.org/10.3389/fpsyg.2012.00111.
Shafran, R., & Rachman, S. (2004). Thought-action fusion: A review. Journal of Behavior Therapy and Experimental Psychiatry. https://doi.org/10.1016/j.jbtep.2004.04.002.
Shapiro, L. J., & Stewart, S. E. (2011). Pathological guilt: A persistent yet overlooked treatment factor in obsessive-compulsive disorder. Annals of Clinical Psychiatry, 23(1), 63–70.
Simons, J., & Gaher, R. (2005). The Distress Tolerance Scale: development and validation of a self-report measure. Motiva- tion and Emotion, 29, 83–102. https://doi.org/10.1007/s1103
1-005-7955-3.
Solem, S., Thunes, S. S., Hjemdal, O., Hagen, R., & Wells, A. (2015). A metacognitive perspective on mindfulness: An empirical inves- tigation. BMC Psychology, 3(1), 24. https://doi.org/10.1186/ S40359-015-0081-4.
Spitzer, R. L., Kroenke, K., Williams, J. B., & Lowe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. https://doi. org/10.1001/archinte.166.10.1092.
Steketee, G., Frost, R. O., & Cohen, I. C. (1998). Beliefs in obsessive- compulsive disorder. Journal of Anxiety Disorders, 12, 525–537. Strauss, C., Cavanagh, K., Oliver, A., & Pettman, D. (2014). Mind- fulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: A meta-analysis of randomised controlled trials. PLoS ONE, 9(4), e16990. https://doi.org/10.1371/journal.pone.0096110.
Strauss, C., Lea, L., Hayward, M., Forrester, E., Leeuwerik, T., Jones, A.-M. M., et al. (2018). Mindfulness-based exposure and response prevention for obsessive compulsive disorder: Findings from a pilot randomised controlled trial. Journal of Anxiety Dis- orders, 57, 39–47. https://doi.org/10.1016/j.janxdis.2018.04.007.
Strauss, C., Lever Taylor, B., Gu, J., Kuyken, W., Baer, R., Jones, F., et al. (2016). What is compassion and how can we measure it? A review of definitions and measures. Clinical Psychology Review, 47, 15–27. https://doi.org/10.1016/j.cpr.2016.05.004.
Taylor, S., Abramowitz, J. S., McKay, D., Calamari, J. E., Sookman, D., Kyrios, M., et al. (2006). Do dysfunctional beliefs play a role in all types of obsessive-compulsive disorder? Journal of Anxiety Disorders, 20(1), 85–97. https://doi.org/10.1016/j.janxd is.2004.11.005.
Teasdale, J. D., Moore, R. G., Hayhurst, H., Pope, M., Williams, S., & Segal, Z. V. (2002). Metacognitive awareness and prevention of relapse in depression: Empirical evidence. Journal of Con- sulting and Clinical Psychology, 70(2), 275–287. https://doi. org/10.1037/0022-006x.70.2.275.
Tolin, D. F., Worhunsky, P., & Maltby, N. (2006). Are “obsessive” beliefs specific to OCD? A comparison across anxiety disorders. Behaviour Research and Therapy, 44(4), 469–480. https://doi. org/10.1016/j.brat.2005.03.007.
Tomlinson, E. R., Yousaf, O., Vittersø, A. D., & Jones, L. (2018). Dis- positional mindfulness and psychological health: A systematic review. Mindfulness, 9(1), 23–43. https://doi.org/10.1007/s1267
1-017-0762-6.
Treanor, M. (2011). The potential impact of mindfulness on expo- sure and extinction learning in anxiety disorders. Clinical Psychology Review, 31(4), 617–625. https://doi.org/10.1016/j. cpr.2011.02.003.
Viar, M. A., Bilsky, S. A., Armstrong, T., & Olatunji, B. O. (2011). Obsessive beliefs and dimensions of obsessive-compulsive disor- der: An examination of specific associations. Cognitive Therapy and Research, 35(2), 108–117.
Weingarden, H., & Renshaw, K. D. (2015). Shame in the obsessive compulsive related disorders: A conceptual review. Journal of Affective Disorders, 171, 74–84. https://doi.org/10.1016/j. jad.2014.09.010.
Wetterneck, C. T., Lee, E. B., Smith, A. H., & Hart, J. M. (2013). Courage, self-compassion, and values in obsessive-compulsive disorder. Journal of Contextual Behavioral Science, 2(3–4), 68–73. https://doi.org/10.1016/j.jcbs.2013.09.002.
Wheaton, M. G., Abramowitz, J. S., Berman, N. C., Riemann, B. C., & Hale, L. R. (2010). The relationship between obsessive beliefs and symptom dimensions in obsessive-compulsive disorder. Behaviour Research and Therapy, 48(10), 949–954. https://doi. org/10.1016/j.brat.2010.05.027.
Wootton, B. M., Diefenbach, G. J., Bragdon, L. B., Steketee, G., Frost, R. O., & Tolin, D. F. (2015). A contemporary psychometric evaluation of the Obsessive Compulsive Inventory—Revised (OCI-R). Psychological Assessment, 27(1), 1–9. https://doi. org/10.1037/pas0000075.
Wu, K. D., & Carter, S. A. (2008). Further investigation of the Obses- sive Beliefs Questionnaire: Factor structure and specificity of relations with OCD symptoms. Journal of Anxiety Disorders, 22(5), 824–836. https://doi.org/10.1016/j.janxdis.2007.08.008.
Zessin, U., Dickhäuser, O., & Garbade, S. (2015). The relationship between self-compassion and well-being: A meta-analysis. Applied Psychology: Health and Well-Being, 7(3), 340–364. https://doi.org/10.1111/aphw.12051.

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