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This study examined cognitive models of OCD, the associations between stressful life events (SLEs) and symptom severity, and the unique challenges faced by adolescents living with OCD symptoms. Two indirect pathways were tested: one involving SLEs and the other perceived stress, with both pathways including inferential confusion and obsessional beliefs as mediators. A sample of adolescents presenting with OCD symptoms completed validated measures assessing stress, obsessive beliefs, inferential confusion, and symptom severity. Results indicated that inferential confusion showed a significant indirect association between perceived stress and OCD symptom severity, whereas obsessional beliefs did not emerge as significant mediators. These findings suggest that inferential confusion represents an important cognitive factor associated with OCD symptoms in youth and may be especially salient under conditions of elevated stress. They also underscore the value of further investigating interventions that address inferential confusion in early OCD\u2010focused treatments for adolescents.<\/jats:p>","DOI":"10.1002\/cpp.70231","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T12:31:11Z","timestamp":1769689871000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From Stress to Obsession: The Role of Inferential Confusion and Obsessive Beliefs in Adolescent Obsessive\u2010Compulsive Symptoms"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8063-2013","authenticated-orcid":false,"given":"Lysandre","family":"Bourguignon","sequence":"first","affiliation":[{"name":"Department of Psychology Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al  Montr\u00e9al Canada"},{"name":"Centre de recherche de l'Institut universitaire en sant\u00e9 mentale de Montr\u00e9al  Montr\u00e9al Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie\u00a0B.","family":"Leclerc","sequence":"additional","affiliation":[{"name":"Department of Psychology Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al  Montr\u00e9al Canada"},{"name":"Centre de recherche de l'Institut universitaire en sant\u00e9 mentale de Montr\u00e9al  Montr\u00e9al Canada"},{"name":"Centre de Recherche du Centre int\u00e9gr\u00e9 Universitaire De Sant\u00e9 et De Services Sociaux Du Nord\u2010de\u2010l'\u00cele\u2010de\u2010Montr\u00e9al  Montr\u00e9al Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1589-7511","authenticated-orcid":false,"given":"Frederick","family":"Aardema","sequence":"additional","affiliation":[{"name":"Centre de recherche de l'Institut universitaire en sant\u00e9 mentale de Montr\u00e9al  Montr\u00e9al Canada"},{"name":"Department of Psychiatry Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,29]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Resolving OCD: Understanding Your Obsessional Experience","author":"Aardema F.","year":"2024"},{"key":"e_1_2_8_3_1","volume-title":"Resolving OCD: Advanced Strategies for Overcoming Obsessional Doubt","author":"Aardema F.","year":"2025"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2121"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2024"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506070600621922"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.581"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2019.100479"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10862\u2010009\u20109157\u2010x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12481"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2887"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2022.101728"},{"key":"e_1_2_8_14_1","first-page":"141","article-title":"Early Childhood Experiences Shaping Vulnerability to Obsessive\u2010Compulsive Disorder","volume":"12","author":"Barcaccia B.","year":"2015","journal-title":"Journal of Treatment Evaluation"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22907"},{"key":"e_1_2_8_16_1","volume-title":"Inventaires Beck Youth\u2013Deuxi\u00e8me \u00c9dition (BYI\u2010II)","author":"Beck J. 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