{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:03:03Z","timestamp":1777914183337,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,8,11]],"date-time":"2022-08-11T00:00:00Z","timestamp":1660176000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Indian Journal of Psychological Medicine"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The emotion of disgust has been linked with the underlying nature of the contamination subtype of obsessive-compulsive disorder (C-OCD). Prior studies show that disgust contributes to the development of C-OCD by reinforcing avoidance strategies. Therefore, experiential avoidance (EA) may influence the effect between disgust sensitivity (DS) and C-OCD symptom severity. This study aimed to investigate the mediational role of EA between DS and C-OCD severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional design was adopted with 45 patients of OCD and 45 healthy controls. Both the groups were assessed on the Obsessive-Compulsive Inventory, the Disgust Scale (Revised), and Acceptance and Action Questionnaire\u2013II. Yale-Brown Obsessive Compulsive Scale (Y-BOCS) checklist and symptom severity scale were additionally administered to the patients with OCD. Independent t-tests, Pearson\u2019s product\u2013moment correlation, regression analysis, and mediation analysis were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>DS and EA were positively associated with contamination-washing symptoms and symptom severity. Regression analysis indicated that DS and EA were highly associated with contamination\/washing severity scores among both the patients with C-OCD and the healthy controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The study implicates that disgust is a central emotion underlying the presentation of obsessions and compulsions, which are of contamination concerns. Further, EA has a role in the maintenance of OCD through avoidance learning; however, it may not be interacting with DS to cause OCD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02537176221116267","type":"journal-article","created":{"date-parts":[[2022,8,11]],"date-time":"2022-08-11T21:40:36Z","timestamp":1660254036000},"page":"580-585","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Experience of Disgust and Symptom Severity in Contamination Subtype of Obsessive-Compulsive Disorder: Role of Experiential Avoidance"],"prefix":"10.1177","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2408-4793","authenticated-orcid":false,"given":"Raina Jane","family":"D\u2019Mello","sequence":"first","affiliation":[{"name":"Dept. of Clinical Psychology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay","family":"Kumar","sequence":"additional","affiliation":[{"name":"Dept. of Clinical Psychology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,8,11]]},"reference":[{"key":"bibr1-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.6.593"},{"key":"bibr2-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2004.04.003"},{"key":"bibr3-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1016\/S0193-953X(18)30205-3"},{"issue":"8","key":"bibr4-02537176221116267","first-page":"295","volume":"10","author":"Brady RE","year":"2012","journal-title":"Expert Rev Neurother"},{"key":"bibr5-02537176221116267","first-page":"5","volume-title":"Clinical handbook of obsessive-compulsive and related disorders","author":"Bennet S","year":"2015"},{"key":"bibr6-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1016\/S0887-6185(02)00173-1"},{"key":"bibr7-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1016\/S0191-8869(00)00215-4"},{"key":"bibr8-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2007.03.008"},{"key":"bibr9-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.64.6.1152"},{"key":"bibr10-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2005.02.001"},{"key":"bibr11-02537176221116267","author":"Conley SL","year":"2019","journal-title":"J Obs Compuls Relat Disord"},{"key":"bibr12-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2003.10.009"},{"key":"bibr13-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1037\/11856-002"},{"key":"bibr14-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(03)00058-5"},{"key":"bibr15-02537176221116267","first-page":"185","volume":"16","author":"Schienle A","year":"2003","journal-title":"Anxiety Stress Coping"},{"key":"bibr16-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.19.4.437"},{"key":"bibr17-02537176221116267","volume-title":"Relational frame theory: A post Skinnerian account of human language and cognition","author":"Hayes SC","year":"2006"},{"key":"bibr18-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2014.02.008"},{"key":"bibr19-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1989.01810110048007"},{"issue":"20","key":"bibr20-02537176221116267","first-page":"22","volume":"59","author":"Sheehan DV","year":"1998","journal-title":"J Clin Psychiatry"},{"key":"bibr21-02537176221116267","first-page":"281","volume":"19","author":"Olatunji BO","year":"2007","journal-title":"PsycholAssess"},{"key":"bibr22-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.10.3.206"},{"key":"bibr23-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465800001065"},{"key":"bibr24-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2011.03.007"},{"key":"bibr25-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1521\/bumc.2014.78.3.253"},{"key":"bibr26-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2007.08.011"},{"key":"bibr27-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2005.09.003"},{"key":"bibr28-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1177\/1745691616688879"},{"key":"bibr29-02537176221116267","unstructured":"Lappalainen P. Disgust propensity, fear of contamination and underlying dimensions of obsessive-compulsive symptoms. Petra Sif Markkusdottir Lappalainen, 2012."},{"key":"bibr30-02537176221116267","first-page":"124","volume":"6","author":"Melli G","year":"2015","journal-title":"J Obs Compuls Relat Disord"},{"key":"bibr31-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2005.09.005"},{"key":"bibr32-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2008.04.006"},{"key":"bibr33-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2850.2012.01282.x"},{"key":"bibr34-02537176221116267","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2017.06.005"}],"container-title":["Indian Journal of Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02537176221116267","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02537176221116267","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02537176221116267","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T16:44:01Z","timestamp":1777653841000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02537176221116267"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,11]]},"references-count":34,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1177\/02537176221116267"],"URL":"https:\/\/doi.org\/10.1177\/02537176221116267","relation":{},"ISSN":["0253-7176","0975-1564"],"issn-type":[{"value":"0253-7176","type":"print"},{"value":"0975-1564","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,11]]}}}