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CF is hypothesized to play a role in obsessive\u2013compulsive disorder (OCD). The present study examined how well the CF domains, relative to traditional cognitive\u2013behavioural constructs (i.e., obsessive beliefs such as inflated responsibility), predict OCD symptoms. Fifty\u2010two treatment\u2010seeking adults with OCD completed self\u2010report measures of CF, obsessive beliefs, OCD symptoms, and general distress. Domains of CF were differentially associated with the responsibility for harm, symmetry, and unacceptable thoughts of OCD dimensions; yet after accounting for obsessive beliefs, only the negative evaluation domain of CF significantly predicted symmetry OCD symptoms. Obsessive beliefs significantly predicted all OCD dimensions except for contamination. These findings provide additional support for existing cognitive\u2013behavioural models of OCD across symptom dimensions, with the exception of contamination symptoms, and suggest that the believability of thoughts and feelings about negative evaluation adds to the explanation of symmetry symptoms. Conceptual and treatment implications, study limitations, and future directions are discussed.<\/jats:p>","DOI":"10.1002\/cpp.2409","type":"journal-article","created":{"date-parts":[[2019,10,28]],"date-time":"2019-10-28T11:14:30Z","timestamp":1572261270000},"page":"69-78","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Not just thinking, but believing: Obsessive beliefs and domains of cognitive fusion in the prediction of OCD symptom dimensions"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0302-2382","authenticated-orcid":false,"given":"Samantha N.","family":"Hellberg","sequence":"first","affiliation":[{"name":"Department of Psychology and Neuroscience University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Buchholz","sequence":"additional","affiliation":[{"name":"Department of Psychology and Neuroscience University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P.","family":"Twohig","sequence":"additional","affiliation":[{"name":"Department of Psychology Utah State University  Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan S.","family":"Abramowitz","sequence":"additional","affiliation":[{"name":"Department of Psychology and Neuroscience University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,11,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674370605100702"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0018260"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2005.09.011"},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. 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