{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T16:36:19Z","timestamp":1784306179712,"version":"3.55.0"},"reference-count":85,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:00:00Z","timestamp":1761004800000},"content-version":"vor","delay-in-days":50,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Although previous research has examined the individual roles of unwanted intrusive thoughts (UITs), inferential confusion and feared selves in obsessive\u2010compulsive disorder (OCD), no study to date has evaluated their combined effects on OCD severity. This is particularly relevant given that the inference\u2010based approach (IBA) posits a close link between inferential confusion and feared selves in the context of obsessional doubt. The present study with a cross\u2010sectional design investigated the role of inferential confusion and feared selves in mediating the relationship between OCD\u2010relevant UITs and OCD severity. A clinical sample of 306 individuals with a primary diagnosis of OCD (mean age\u2009=\u200932.95,\n                    <jats:italic>SD<\/jats:italic>\n                    \u2009=\u20099.99, female\u2009=\u200958.8%) who also had some comorbid psychiatric disorders, with the exception of a current or previous history of personality disorders, psychotic disorders and substance use disorders, completed a battery of self\u2010reported measures\u2014including the Questionnaire of Unpleasant Intrusive Thoughts, Fear of Self Questionnaire\u2010Multidimensional Version, Patient Health Questionnaire and Expanded Version of the Inference Confusion Questionnaire)\u2014as well as the clinician\u2010administered version of the Yale\u2010Brown Obsessive\u2010Compulsive Scale. Bootstrapped mediation analyses (5000 resamples, 95% confidence interval) revealed that UITs were indirectly associated with OCD severity via inferential confusion and one specific dimension of feared selves: the feared corrupted self. Mediation was not supported for the feared culpable or malformed selves in this model. However, a serial mediation pathway emerged wherein inferential confusion and both feared corrupted and culpable selves sequentially mediated the link between UITs and clinician\u2010rated OCD severity. The findings suggest that inferential confusion, along with specific feared self domains, plays a critical role in differentiating intrusive thoughts that are common in the general population from obsessional doubt, as conceptualised in the IBA. Within the inference\u2010based framework, these processes do not merely escalate UITs; rather, they actively produce obsessional doubts that disconnect the individual from reality and render the imagined threat personally meaningful, persistent and in need of resolution.\n                  <\/jats:p>","DOI":"10.1002\/cpp.70164","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T18:25:17Z","timestamp":1761071117000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Cognitive Architecture of Obsessional Doubt: Inferential Confusion and Feared Selves in OCD\u2010Relevant Intrusions"],"prefix":"10.1002","volume":"32","author":[{"given":"Mohammad","family":"Aminaee","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology, Faculty of Psychology and Education Shiraz University  Shiraz 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Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7276-9885","authenticated-orcid":false,"given":"Mehdi\u00a0Reza","family":"Sarafraz","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Faculty of Psychology and Education Shiraz University  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1887-668X","authenticated-orcid":false,"given":"Mohammad\u00a0Ali","family":"Goodarzi","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Faculty of Psychology and Education Shiraz University  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,21]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Resolving OCD: Understanding Your Obsessional Experience","author":"Aardema F.","year":"2024"},{"key":"e_1_2_11_3_1","volume-title":"Resolving OCD: Advanced 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