Effectiveness of Thought-Stopping in Treating Obsessive-Compulsive Disorder and Compulsive Hoarding Disorders
DOI:
https://doi.org/10.25217/0020247525500Keywords:
female students, compulsive hoarding, obsessive-compulsive, thought stoppingAbstract
The present study aimed to identify the effectiveness of a counseling program based on thought-stopping among female students suffering from obsessive-compulsive disorder (OCD) and compulsive hoarding disorder (CHD). The sample consisted of 40 students distributed equally and randomly to the treatment and control groups. OCD and CHD scales and a program based on cognitive behavioral therapy (CBT) in thought-stopping were applied. The program began with discussion, thought-stopping exercises, homework, and evaluation at the end of the session. The experimental design was employed. Both the treatment group and control group received pretests, posttest, and follow-up of OCD and CHD scales. Analysis of covariance (ANCOVA), one-way analysis of variance (ANOVA), and the paired sample t-test were used to address the study hypotheses. The results showed that there were significant differences between the treatment and control group in OCD and CHD in favor of the treatment group on the posttest, with high effects, respectively, of 30% and 26%. Results also showed the program's effectiveness of thought-stopping on the follow-up test, a month after program termination. Thought-stopping training of cognitive behavioral therapy method contributes effectively to reducing OCD and HCD among female students in the school environment, we recommend applying this technique to improve adjustment and lifestyle. Therefore, CBT is a highly effective treatment in reducing cognitive distortions and irrational thoughts and effectively deals with OCD and HCD caused by negative and maladaptive thoughts.
References
Abdel-Khaleq, A. & Mayasa, A. (1990). Obsessions and their relationship to both anxiety, fears and depression. Journal of the Faculty of Arts, 5(3), 38-54.
Abdel-Khaleq, A. (2003). Obsessive-compulsive disorder Diagnosis and treatment. Kuwait University: Scientific Publishing Council.
Abramowitz, J., Whiteside, S., Kalsy, S. & Tolin, D. (2003). Thought Waiting list strategies in obsessive-compulsive disorder: a replication and ex tension. Journal of Behavior Research and Therapy, 41(5), 529-540. https://pubmed.ncbi.nlm.nih.gov/12711262/
Al-Bajari, A. (2007). The effectiveness of the method of stopping ideas in modifying the future trends of university students. Annual Scientific Conference of the Faculty of Basic Education, University of Mosul, 5(2), 38-50.
https://link.springer.com/article/10.1007/s10942-020-00367-y
Aldahadha, B. (2018). Disputing Irrational Beliefs Among Convicted Terrorists and
Extremist Beliefs. Journal of Rational-Emotive Cognitive-Behavior Therapy, 36(4),
-416. https://doi.org/10.1007/s10942-018-0293-7.
Aldahadha, B. (2021). Metacognition, mindfulness attention awareness, and their relationships with depression and anxiety. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 39(2), 183–200. https://doi.org/10.1007/s10942-020-00367-y
Aldahadha, B. (2024). The effect of reverence (‘Khushoo’) in Muslim prayer on cardiovascular responses. Islamic Guidance and Counseling Journal, 7(2). https://doi.org/10.25217/0020247453600
Aldahadha, B., & Karaki, W. (2022). The Jordanian version of the Thought Control Questionnaire Insomnia Revised (TCQI R). Journal of Rational-Emotive & Cognitive-Behavior Therapy, 40(1), 40–60. https://doi.org/10.1007/s10942-021-00398-z
Al-Douri, W. (2003). The effectiveness of a cognitive behavioral therapy program in mental health of gifted students. Unpublished Ph.D. thesis, College
Education, University of Baghdad.
Al-Humairi, A. (2014). Obsessive-compulsive disorder in adolescence. Journal for Studies and Research, 5(1), 3-20.
Al-Miqdadi, Y. (2008). The effectiveness of a high behavioral counseling program to reduce obsessive-compulsive disorder among a sample of Al-Bayt University students. Journal of Umm Al-Qura University for Educational and Psychological Sciences, 20, (2), 45-62.
Al-Sharman, A., & Jaradat, A. (2024). Differences in intrinsic and extrinsic motivation and symptoms of obsessive-compulsive disorder among secondary school students in light of some variables. Jordanian Educational Journal, 9 (1), 27-51. https://search.mandumah.com/Record1443859
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D. C: American Psychiatric Association
Barnes, T. N., Smith, S. W., & Miller, M. D. (2014). School-based cognitive-behavioral interventions in the treatment of aggression in the United States: A meta-analysis. Aggression and Violent Behavior, 19(4), 311–321. https://doi.org/10.1016/j.avb.2014.04.013
Beck, A. (2000). Cognitive therapy and emotional disorders. Translation: Adel Mustafa, p. 1, Cairo: Arab Horizons House.
Corey, G. (2013). Theory and Practice of Counseling and Psychotherapy, (9 ed), USA: Belmont, Calif: Wadsworth.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.
David, F., Frost, R. O & Steketee, G. (2007). Buried in treasure: Help for compulsive Acquiring, saving and hoarding. New York: Oxford University Press.
Donnell, A. J., Thomas, A., & Buboltz, W. C., Jr (2001). Psychological reactance: factor structure and internal consistency of the Questionnaire for the Measurement of Psychological Reactance. The Journal of social psychology, 141(5), 679–687. https://doi.org/10.1080/00224540109600581
Faure, K., & Forbes, K. (2021). Clarifying the Placement of Obsessive-Compulsive Disorder in the Empirical Structure of Psychopathology. Journal of Psychopathology and Behavioral Assessment, 43, 671–685. https://doi.org/10.1007/s10862-021-09868-1
Fenske, J. N, & Schwenk, T. L. (2009). "Obsessive compulsive disorder: diagnosis and management". American family physician, 80 (3), 239–45. https://pubmed.ncbi.nlm.nih.gov/19621834/
Frost, R. O., Tolin, D. F., Steketee, G., Fitch, K. & Bruns, A. (2009). Excessive acquisition in hoarding. Journal of Anxiety disorder, 23, 632 – 639. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2735347/
Frost, R.O., Steketee, G., & Grisham, J. (2004). Measurement of compulsive hoarding: saving inventory revised. Behavior Research and Therapy, 42, 11631182. https://pubmed.ncbi.nlm.nih.gov/15350856/
Fusco, K. (2021). Are you a digital hoarder? Retrieved 9 December 2021 from https://www.headspace.com/articles/digital-hoarding
Ghaemian, A., Nabati, M., Saeedi, M., Kheradmand, M., & Moosazadeh, M. (2020). Prevalence of self-reported coronary heart disease and its associated risk factors in Tabari cohort population. BMC cardiovascular disorders, 20(1), 238. https://doi.org/10.1186/s12872-020-01526-w
Gilliam, C. M., & Tolin, D, F. (2010). Compulsive Hoarding. Bulletin of the Menninger Clinic, 74 (2), 93–121. https://pubmed.ncbi.nlm.nih.gov/20545491/
Grisham, J. & Barlow, D. (2005). Compulsive hoarding: Current research and Therapy. Behavior Research and Therapy, 27, 45-52. https://link.springer.com/article/10.1007/s10862-005-3265-z
Hattie, J. (1985) Methodology Review: Assessing Unidimensionality of Tests and Items. Applied Psychological Measurement, 9, 139-164. http://dx.doi.org/10.1177/014662168500900204
Himle, J. A., Fischer, D. J., Muroff, J. R., Van Etten, M. L., Lokers, L. M., Abelson, J. L., & Hanna, G. L. (2006). Videoconferencing-based cognitive-behavioral therapy for obsessive-compulsive disorder. Behavior research and therapy, 44(12), 1821–1829. https://doi.org/10.1016/j.brat.2005.12.010
Hollon, S. D., & DiGiuseppe, R. (2011). Cognitive theories of psychotherapy. In History of psychotherapy: Continuity and change, 2nd ed. (pp. 203-241). American Psychological Association.
Jaisoorya, T.S., Janardhan Reddy, Y., Nair, B., Rani, A., Menon, P.G., Revamma, M., Jeevan, C.R., Radhakrishnan, K., Jose, V., & Thennarasu, K. (2017). Prevalence and correlates of obsessive-compulsive disorder and subthreshold obsessive-compulsive disorder among college students in Kerala, India. Indian Journal of Psychiatry, 59, 56 - 62. https://doi.org/10.1016/j.jocrd.2020.100604
Keyhani, A., Shabani, M. J., Etesam, F., Rezaeimanesh, N., Azimi, A., & Moghadasi, A. N. (2023). Evaluation of obsessive-compulsive disorder prevalence in Iranian patients with multiple sclerosis and its relationship with demographic characteristics. Current journal of neurology, 22(4), 204–209. https://doi.org/10.18502/cjn.v22i4.14523
Liberman, N., Lazarov, A., & Dar, R. (2023). Obsessive-Compulsive Disorder: The Underlying Role of Diminished Access to Internal States. Current Directions in Psychological Science, 32(2), 118-124. https://doi.org/10.1177/09637214221128560
Miller, C. J., Smith, S. N., & Pugatch, M. (2020). Experimental and quasi-experimental designs in implementation research. Psychiatry research, 283, 112452. https://doi.org/10.1016/j.psychres.2019.06.027
Padmanabhanunni, A., & Gerhardt, M. (2019). Normative beliefs as predictors of physical, non-physical and relational aggression among South African adolescents. Journal of child and adolescent mental health, 31(1), 1–11. https://doi.org/10.2989/17280583.2019.1579096
Singh, A., Anjankar, V. P., & Sapkale, B. (2023). Obsessive-Compulsive Disorder (OCD): A Comprehensive Review of Diagnosis, Comorbidities, and Treatment Approaches. Cureus, 15(11), e48960. https://doi.org/10.7759/cureus.48960
Talahmeh, A., & Hamdi, M. (2017). The Effectiveness of a Cognitive–Behavioral Program in Decreasing Rebellion Behavior and Psychological Alienation and Improving Social Skills among Adolescents. Dirasat: Educational Sciences, 46(1). Supplement 3. https://archives.ju.edu.jo/index.php/edu/article/view/14380
McLean, P. D., Whittal, M. L., Thordarson, D. S., Taylor, S., Söchting, I., Koch, W. J., Paterson, R., & Anderson, K. W. (2001). Cognitive versus behavior therapy in the group treatment of obsessive-compulsive disorder. Journal of consulting and clinical psychology, 69(2), 205–214. https://pubmed.ncbi.nlm.nih.gov/11393598/
Rimawi, M. (2003). Childhood and adolescence growth psychology. Amman: Al Massira Publishing House.
Saxena, S., & Maidment, K. M. (2004). Treatment of compulsive hoarding. Journal of clinical psychology, 60(11), 1143–1154. https://doi.org/10.1002/jclp.20079
Saxena, S. (2007). Is compulsive hoarding a genetically and neurobiological discrete syndrome? Implications for diagnostic classification. American Journal of Psychiatry, 164, 380–384. https://ajp.psychiatryonline.org/doi/10.1176/ajp.2007.164.3.380
Saxena S. (2008). Recent advances in compulsive hoarding. Current Psychiatry Rep. Aug;10(4):297-303. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294597/
Steketee, G., & Frost, R. O. (2007). Compulsive hoarding and acquiring: Therapist guide. Oxford University Press.
Steketee, G., Frost, R. O. & Kyrios, M. (2003). Cognitive Aspects of Compulsive Hoarding. Cognitive Therapy and Research 27, 463–479. https://doi.org/10.1023/A:1025428631552
Stiede, J. T., Spencer, S. D., Onyeka, O., Mangen, K. H., Church, M. J., Goodman, W. K., & Storch, E. A. (2024). Obsessive-Compulsive Disorder in Children and Adolescents. Annual review of clinical psychology, 20(1), 355–380. https://doi.org/10.1146/annurev-clinpsy-080822-043910
Storch, E. A., Lack, C. W., Merlo, L. J., Geffken, G. R., Jacob, M. L., Murphy, T. K., & Goodman, W. K. (2007). Clinical features of children and adolescents with obsessive-compulsive disorder and hoarding symptoms. Comprehensive psychiatry, 48(4), 313–318. https://doi.org/10.1016/j.comppsych.2007.03.001
Suñol, M., Martínez-Zalacaín, I., Picó-Pérez, M., López-Solà, C., Real, E., Fullana, M. À., Pujol, J., Cardoner, N., Menchón, J. M., Alonso, P., & Soriano-Mas, C. (2020). Differential patterns of brain activation between hoarding disorder and obsessive-compulsive disorder during executive performance. Psychological medicine, 50(4), 666–673. https://doi.org/10.1017/S0033291719000515
Tolin, D. F., Frost, R. O. & Steketee, G. (2007). An open trial of cognitive-behavioral therapy for compulsive hoarding. Behavior Research and Therapy, 45, 1461–1470. https://pubmed.ncbi.nlm.nih.gov/17306221/
Tolin, D. F., Abramowitz, J. S., Przeworski, A., & Foa, E. B. (2002). Thought suppression in obsessive-compulsive disorder. Behaviour Research and Therapy, 40(11), 1255–1274. https://doi.org/10.1016/S0005-7967(01)00095-X
Willner, P. & Goodey, R. A. (2006). Interaction of Cognitive Distortions and Cognitive Deficits in the Formulation and Treatment of Obsessive–Compulsive Behaviors in a Woman with an Intellectual Disability, Journal of Applied Research in Intellectual Disabilities, 19, 67–73. https://doi.org/10.1111/j.1468-3148.2005.00279.x
Wilson, K. A., & Chambless, D. L. (2005). Cognitive therapy for obsessive-compulsive disorder. Behaviour research and therapy, 43(12), 1645–1654. https://doi.org/10.1016/j.brat.2005.01.002
Yamada S, Nakao T, Ikari K, Kuwano M, Murayama K, Tomiyama H, et al. (2018) A unique increase in prefrontal gray matter volume in hoarding disorder compared to obsessive-compulsive disorder. PLoS ONE 13(7): e0200814. https://doi.org/10.1371/journal.pone.0200814
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Basim Aldahadha, Mohammad Kamel AlDwakat, Mubin Abdalsalam Alnawiseh

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.