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However, further empirical research is still needed to better understand these constructs in the context of this disorder. The present study investigated the relation between self\u2010compassion, emotion regulation difficulties, obsessive beliefs, and obsessive\u2013compulsive symptom severity in 90 patients with OCD using self\u2010report questionnaires. Symptom severity and obsessive beliefs were negatively correlated to self\u2010compassion and positively associated with emotion regulation difficulties. Additionally, self\u2010compassion showed a negative relation to emotion regulation difficulties. Emotion regulation difficulties\u2014but not self\u2010compassion\u2014predicted symptom severity when controlling for obsessive beliefs and depression in a hierarchical regression analysis. Further analyses showed that emotion regulation deficits mediated the relationship between self\u2010compassion and OCD symptom severity. Our results provide preliminary evidence that targeting self\u2010compassion and putting more emphasis on emotion regulation deficits might be promising treatment approaches for patients with OCD. Future studies could investigate which specific interventions that directly address these variables improve treatment outcome.<\/jats:p>","DOI":"10.1002\/cpp.2451","type":"journal-article","created":{"date-parts":[[2020,3,28]],"date-time":"2020-03-28T00:25:48Z","timestamp":1585355148000},"page":"630-639","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":61,"title":["Self\u2010compassion and emotion regulation difficulties in obsessive\u2013compulsive disorder"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1643-6015","authenticated-orcid":false,"given":"Angelika","family":"Eichholz","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6639-8977","authenticated-orcid":false,"given":"Adrian","family":"Meule","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Hospital, LMU Munich  Munich Germany"},{"name":"Schoen Clinic Roseneck  Prien am Chiemsee Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Heese","sequence":"additional","affiliation":[{"name":"Schoen Clinic Roseneck  Prien am Chiemsee Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakob","family":"Neum\u00fcller","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0261-3145","authenticated-orcid":false,"given":"Ulrich","family":"Voderholzer","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Hospital, LMU Munich  Munich Germany"},{"name":"Schoen Clinic Roseneck  Prien am Chiemsee Germany"},{"name":"Department of Psychiatry and Psychotherapy University Hospital of Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674370605100702"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2017.09.002"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60240-3"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(02)00026-8"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.11.004"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145445509344180"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2014.10.008"},{"key":"e_1_2_8_10_1","volume-title":"Alles unter Kontrolle \u2010 Zwangsgedanken und Zwangshandlungen \u00fcberwinden","author":"Baer L.","year":"1993"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-012-9280-y"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0025754"},{"key":"e_1_2_8_13_1","volume-title":"Manual for the Beck Depression Inventory\u2010II","author":"Beck A. 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