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The compulsion profile in patients with obsessive compulsive disorder (OCD) was assessed by using the RAD. Thirty\u2010two patients from two sources participated in the study. Before pooling the two subgroups, we checked that they did not differ significantly with regard to demographic and clinical variables. Patients reported several categories of compulsion. The most frequently reported compulsions were washing and checking. In a given person, checking compulsions (in contrast to washing compulsions) were often produced by several different obsessions. Almost all the patients reported repeating the compulsions because of a need to feel sure. There were far more \u201ccertain\u201d compulsions than \u201cuncertain\u201d compulsions. The number of repetitions was significantly lower for certain compulsions than for uncertain compulsions. The person felt greater relief from guilt and responsibility and a greater decrease in discomfort at the end of a compulsive episode for certain compulsions than for uncertain compulsions. In conclusion, the need to ritualize (prompted by uncertainty, i.e., potential danger) might explain the maintenance (or posttreatment recurrence) of OCD in many patients. The need for certainty in the completion of a compulsion may be worth considering as a therapeutic tool. The development of an approach based on the need for certainty might help to improve treatment outcomes.<\/jats:p>","DOI":"10.1002\/cpp.2422","type":"journal-article","created":{"date-parts":[[2019,12,27]],"date-time":"2019-12-27T18:14:28Z","timestamp":1577470468000},"page":"228-238","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["A study of the <scp>Repeated Actions Diary<\/scp> in patients suffering from obsessive compulsive disorder"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4306-9011","authenticated-orcid":false,"given":"Martine","family":"Bouvard","sequence":"first","affiliation":[{"name":"Psychology and neurocognition laboratory Univ. Grenoble Alpes, Univ. 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