{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T16:05:48Z","timestamp":1783094748819,"version":"3.54.6"},"reference-count":63,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2024,4,13]],"date-time":"2024-04-13T00:00:00Z","timestamp":1712966400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Impulsivity in eating disorders (ED) has been historically focused on bingeing\u2013purging symptoms, evidencing lower levels in restricting subtypes. In the recent literature, obsessive\u2013compulsive disorder (OCD) has been described as characterized by high cognitive impulsivity. This specific impulsivity factor has been rarely studied in anorexia nervosa (AN). In this study, 53 inpatients with anorexia nervosa and 59 healthy controls completed the following questionnaires: the Barratt Impulsiveness Scale (BIS-11), the Obsessive\u2013Compulsive Inventory (OCI), the Eating Disorders Inventory\u20142 (EDI\u20132), the State\u2013Trait Anxiety Inventory (STAI), and the Beck Depression Inventory (BDI). AN individuals showed significantly increased levels of cognitive instability but no difference in global score and other subscales of impulsivity compared to the healthy controls. Among AN individuals, cognitive instability emerged as being associated with the global score and obsession subscale of the OCI. It was also significantly associated with interoceptive awareness and impulse regulation. Cognitive instability was the main predictor of obsessive thoughts and behaviors in AN. Our study supports the hypothesis of AN as being characterized by high cognitive instability and adds the result that the cognitive domain of impulsivity may be associated with the presence of obsessive symptoms, specifically obsessive thoughts.<\/jats:p>","DOI":"10.3390\/nu16081156","type":"journal-article","created":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T03:56:13Z","timestamp":1713153373000},"page":"1156","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Cognitive Impulsivity in Anorexia Nervosa in Correlation with Eating and Obsessive Symptoms: A Comparison with Healthy Controls"],"prefix":"10.3390","volume":"16","author":[{"given":"Francesco","family":"Bevione","sequence":"first","affiliation":[{"name":"Eating Disorders Unit, Department of Neuroscience \u201cRita Levi Montalcini\u201d, University of Turin, via Cherasco 15, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8877-0138","authenticated-orcid":false,"given":"Matteo","family":"Martini","sequence":"additional","affiliation":[{"name":"Eating Disorders Unit, Department of Neuroscience \u201cRita Levi Montalcini\u201d, University of Turin, via Cherasco 15, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1524-1272","authenticated-orcid":false,"given":"Federica","family":"Toppino","sequence":"additional","affiliation":[{"name":"Eating Disorders Unit, Department of Neuroscience \u201cRita Levi Montalcini\u201d, University of Turin, via Cherasco 15, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1347-7054","authenticated-orcid":false,"given":"Paola","family":"Longo","sequence":"additional","affiliation":[{"name":"Eating Disorders Unit, Department of Neuroscience \u201cRita Levi Montalcini\u201d, University of Turin, via Cherasco 15, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5826-5664","authenticated-orcid":false,"given":"Giovanni","family":"Abbate-Daga","sequence":"additional","affiliation":[{"name":"Eating Disorders Unit, Department of Neuroscience \u201cRita Levi Montalcini\u201d, University of Turin, via Cherasco 15, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annalisa","family":"Brustolin","sequence":"additional","affiliation":[{"name":"Eating Disorders Unit, Department of Neuroscience \u201cRita Levi Montalcini\u201d, University of Turin, via Cherasco 15, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9385-0332","authenticated-orcid":false,"given":"Matteo","family":"Panero","sequence":"additional","affiliation":[{"name":"Eating Disorders Unit, Department of Neuroscience \u201cRita Levi Montalcini\u201d, University of Turin, via Cherasco 15, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,4,13]]},"reference":[{"key":"ref_1","unstructured":"Balasundaram, P., and Santhanam, P. (2023). Eating Disorders, StatPearls Publishing."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1002\/wps.21182","article-title":"Outcomes in People with Eating Disorders: A Transdiagnostic and Disorder-Specific Systematic Review, Meta-Analysis and Multivariable Meta-Regression Analysis","volume":"23","author":"Solmi","year":"2024","journal-title":"World Psychiatry"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1017\/S0033291718002088","article-title":"Treatment Outcomes for Anorexia Nervosa: A Systematic Review and Meta-Analysis of Randomized Controlled Trials","volume":"49","author":"Murray","year":"2019","journal-title":"Psychol. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1007\/s40501-015-0061-6","article-title":"Eating Disorders and Their Relationship to Impulsivity","volume":"2","author":"Lavender","year":"2015","journal-title":"Curr. Treat. Options Psychiatry"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.tics.2011.11.009","article-title":"Neurocognitive Endophenotypes of Impulsivity and Compulsivity: Towards Dimensional Psychiatry","volume":"16","author":"Robbins","year":"2012","journal-title":"Trends Cogn. Sci."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"567","DOI":"10.2466\/pms.1993.77.2.567","article-title":"Comparison among Various Methods of Assessment of Impulsiveness","volume":"77","author":"Otero","year":"1993","journal-title":"Percept. Mot. Skills"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1002\/1097-4679(199511)51:6<768::AID-JCLP2270510607>3.0.CO;2-1","article-title":"Factor Structure of the Barratt Impulsiveness Scale","volume":"51","author":"Patton","year":"1995","journal-title":"J. Clin. Psychol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1016\/S0191-8869(00)00064-7","article-title":"The Five Factor Model and Impulsivity: Using a Structural Model of Personality to Understand Impulsivity","volume":"30","author":"Whiteside","year":"2001","journal-title":"Pers. Individ. Dif."},{"key":"ref_9","unstructured":"Angleitner, A. (2001). Advances in Individual Differences Research, PABST Science Publishers."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1002\/erv.2543","article-title":"Delay Discounting of Reward and Impulsivity in Eating Disorders: From Anorexia Nervosa to Binge Eating Disorder","volume":"25","author":"Steward","year":"2017","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_11","first-page":"199","article-title":"Decision-Making, Impulsiveness and Temperamental Traits in Eating Disorders","volume":"17","author":"Ciberti","year":"2020","journal-title":"Clin. Neuropsychiatry"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1002\/erv.2734","article-title":"Emotional and Non-emotional Facets of Impulsivity in Eating Disorders: From Anorexia Nervosa to Bulimic Spectrum Disorders","volume":"28","author":"Testa","year":"2020","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1002\/erv.952","article-title":"A Systematic Review of Impulsivity in Eating Disorders","volume":"17","author":"Waxman","year":"2009","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.psychres.2003.12.001","article-title":"Predicting Borderline and Antisocial Personality Disorder Features in Nonclinical Subjects Using Measures of Impulsivity and Aggressiveness","volume":"125","author":"Fossati","year":"2004","journal-title":"Psychiatry Res."},{"key":"ref_15","first-page":"113","article-title":"Impulsivity and Executive Function in Borderline Personality Disorder","volume":"44","author":"Zamalloa","year":"2016","journal-title":"Actas Esp. Psiquiatr."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1955","DOI":"10.1017\/S0033291714003079","article-title":"Impulsivity in Borderline Personality Disorder","volume":"45","author":"Barker","year":"2015","journal-title":"Psychol. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1089\/cap.2010.0096","article-title":"Impulsivity in Adolescents with Bipolar Disorder and\/or Attention-Deficit\/Hyperactivity Disorder and Healthy Controls as Measured by the Barratt Impulsiveness Scale","volume":"21","author":"Nandagopal","year":"2011","journal-title":"J. Child Adolesc. Psychopharmacol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1198","DOI":"10.1111\/j.1360-0443.2008.02223.x","article-title":"Impulsivity, Age of First Alcohol Use and Substance Use Disorders among Male Adolescents: A Population Based Case\u2014Control Study","volume":"103","author":"Bassani","year":"2008","journal-title":"Addiction"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1016\/j.psychres.2012.06.010","article-title":"Behavioral and Cognitive Impulsivity in Obsessive\u2013Compulsive Disorder and Eating Disorders","volume":"200","author":"Boisseau","year":"2012","journal-title":"Psychiatry Res."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1556\/2006.4.2015.039","article-title":"Think Twice: Impulsivity and Decision Making in Obsessive\u2013Compulsive Disorder","volume":"4","author":"Grassi","year":"2015","journal-title":"J. Behav. Addict."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1002\/bsl.820","article-title":"Trait Impulsivity in a Forensic Inpatient Sample: An Evaluation of the Barratt Impulsiveness Scale","volume":"26","author":"Haden","year":"2008","journal-title":"Behav. Sci. Law"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"152155","DOI":"10.1016\/j.comppsych.2019.152155","article-title":"Self-Reported and Neurocognitive Impulsivity in Obsessive-Compulsive Disorder","volume":"97","author":"Frydman","year":"2020","journal-title":"Compr. Psychiatry"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1111\/bjc.12290","article-title":"A Multi-method Examination of the Link between Obsessive-compulsive Symptomatology and Emotion-related Impulsivity","volume":"60","author":"Hudiburgh","year":"2021","journal-title":"Br. J. Clin. Psychol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"156","DOI":"10.3109\/13651501.2013.855792","article-title":"Characterizing Impulsivity Profile in Patients with Obsessive\u2013Compulsive Disorder","volume":"18","author":"Benatti","year":"2014","journal-title":"Int. J. Psychiatry Clin. Pract."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1016\/j.euroneuro.2015.12.003","article-title":"Compulsivity in Obsessive-Compulsive Disorder and Addictions","volume":"26","author":"Figee","year":"2016","journal-title":"Eur. Neuropsychopharmacol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1001\/archgenpsychiatry.2011.1552","article-title":"Altered Neural Reward Representations in Pathological Gamblers Revealed by Delay and Probability Discounting","volume":"69","author":"Miedl","year":"2012","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.psychres.2012.10.004","article-title":"Decision-Making and Impulsivity in Eating Disorder Patients","volume":"207","author":"Garrido","year":"2013","journal-title":"Psychiatry Res."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Abbate-Daga, G., Buzzichelli, S., Amianto, F., Rocca, G., Marzola, E., McClintock, S.M., and Fassino, S. (2011). Cognitive Flexibility in Verbal and Nonverbal Domains and Decision Making in Anorexia Nervosa Patients: A Pilot Study. BMC Psychiatry, 11.","DOI":"10.1186\/1471-244X-11-162"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"3701","DOI":"10.1017\/S003329172200037X","article-title":"Decision-Making Difficulties Mediate the Association between Poor Emotion Regulation and Eating Disorder Symptoms in Adolescence","volume":"53","author":"Francesconi","year":"2023","journal-title":"Psychol. Med."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.appet.2009.09.010","article-title":"Decision-Making Impairments in Women with Binge Eating Disorder","volume":"54","author":"Svaldi","year":"2010","journal-title":"Appetite"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.jbtep.2013.01.006","article-title":"The Relationship between Decision-Making and Perfectionism in Obsessive-Compulsive Disorder and Eating Disorders","volume":"44","author":"Boisseau","year":"2013","journal-title":"J. Behav. Ther. Exp. Psychiatry"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"263936","DOI":"10.3389\/fpsyg.2017.01651","article-title":"The Role of Working Memory for Cognitive Control in Anorexia Nervosa versus Substance Use Disorder","volume":"8","author":"Brooks","year":"2017","journal-title":"Front. Psychol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"e129","DOI":"10.1002\/erv.2161","article-title":"Understanding the Association of Impulsivity, Obsessions, and Compulsions with Binge Eating and Purging Behaviours in Anorexia Nervosa","volume":"20","author":"Hoffman","year":"2012","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"101382","DOI":"10.1016\/j.eatbeh.2020.101382","article-title":"Impulsivity and Anxiety-Related Dimensions in Adults with Bulimic-Spectrum Disorders Differentially Relate to Eating Disordered Behaviors","volume":"37","author":"Schaumberg","year":"2020","journal-title":"Eat. Behav."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1002\/eat.22579","article-title":"Dimensions of Impulsivity in Relation to Eating Disorder Recovery","volume":"49","author":"Butler","year":"2016","journal-title":"Int. J. Eat. Disord."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_37","unstructured":"First, M.B. (2015). The Encyclopedia of Clinical Psychology, Wiley."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1037\/1040-3590.10.3.206","article-title":"The Validation of a New Obsessive\u2013Compulsive Disorder Scale: The Obsessive\u2013Compulsive Inventory","volume":"10","author":"Foa","year":"1998","journal-title":"Psychol. Assess."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.janxdis.2008.07.001","article-title":"The Italian Version of the Obsessive Compulsive Inventory: Its Psychometric Properties on Community and Clinical Samples","volume":"23","author":"Sica","year":"2009","journal-title":"J. Anxiety Disord."},{"key":"ref_40","unstructured":"Garner, D.M. (1991). Eating Disorder Inventory 2: Professional Manual. Int. J. Eat. Disorder."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1007\/s40519-016-0276-6","article-title":"The Eating Disorder Examination Questionnaire: Reliability and Validity of the Italian Version","volume":"22","author":"Calugi","year":"2017","journal-title":"Eat. Weight Disord."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Spielberger, C.D., Gorsuch, R.L., and Lushene, R. (1983). State-Trait Anxiety Inventory STAI (Form Y), Mind Garden.","DOI":"10.1037\/t06496-000"},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Spielberger, C. (1983). State-Trait Anxiety Inventory for Adults\u2014Manual, Instrument and Scoring Guide, Mind Garden, Inc.","DOI":"10.1037\/t06496-000"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1001\/archpsyc.1961.01710120031004","article-title":"Inventory for Measuring Depression","volume":"4","author":"Beck","year":"1961","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"56","DOI":"10.3109\/13651501.2010.507870","article-title":"A Comparison of the Major Depression Inventory (MDI) and the Beck Depression Inventory (BDI) in Severely Depressed Patients","volume":"15","author":"Konstantinidis","year":"2011","journal-title":"Int. J. Psychiatry Clin. Pract."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1002\/erv.2635","article-title":"Associations between Dimensions of Anorexia Nervosa and Obsessive\u2013Compulsive Disorder: An Examination of Personality and Psychological Factors in Patients with Anorexia Nervosa","volume":"27","author":"Levinson","year":"2019","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Panero, M., Longo, P., de Bacco, C., Abbate-Daga, G., and Martini, M. (2022). Shame, Guilt, and Self-Consciousness in Anorexia Nervosa. J. Clin. Med., 11.","DOI":"10.3390\/jcm11226683"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1007\/BF03339727","article-title":"Obsessive-Compulsive Symptoms as a Correlate of Severity in the Clinical Presentation of Eating Disorders: Measuring the Effects of Depression","volume":"4","author":"Speranza","year":"1999","journal-title":"Eat. Weight. Disord.\u2013Stud. Anorex. Bulim. Obes."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/0022-3956(95)00020-6","article-title":"Obsessionality in Eating-Disorder Patients: Relationship to Clinical Presentation and Two-Year Outcome","volume":"29","author":"Zubieta","year":"1995","journal-title":"J. Psychiatr. Res."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1016\/S0193-953X(18)30355-1","article-title":"Adolescence and Eating Disorder: The Obsessive-Compulsive Syndrome","volume":"13","author":"Rothenberg","year":"1990","journal-title":"Psychiatr. Clin. N. Am."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"e36","DOI":"10.1192\/j.eurpsy.2023.23","article-title":"Pathways to Eating Disorder Care: A European Multicenter Study","volume":"66","author":"Monteleone","year":"2023","journal-title":"Eur. Psychiatry"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"113734","DOI":"10.1016\/j.psychres.2021.113734","article-title":"Comparison between Inpatients with Anorexia Nervosa with and without Major Depressive Disorder: Clinical Characteristics and Outcome","volume":"297","author":"Panero","year":"2021","journal-title":"Psychiatry Res."},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Longo, P., Toppino, F., Martini, M., Panero, M., de Bacco, C., Marzola, E., and Abbate-Daga, G. (2022). Diagnostic Concordance between Research and Clinical-Based Assessments of Psychiatric Comorbidity in Anorexia Nervosa. J. Clin. Med., 11.","DOI":"10.3390\/jcm11247419"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1002\/eat.22019","article-title":"Early Childhood Perfectionism","volume":"45","author":"Halmi","year":"2013","journal-title":"Int. J. Eat. Disord."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1002\/eat.10138","article-title":"Obsessions and Compulsions in Anorexia Nervosa Subtypes","volume":"33","author":"Halmi","year":"2003","journal-title":"Int. J. Eat. Disord."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/2050-2974-1-16","article-title":"The Relationship between Obsessive-Compulsive Personality Disorder Traits, Obsessive-Compulsive Disorder and Excessive Exercise in Patients with Anorexia Nervosa: A Systematic Review","volume":"1","author":"Young","year":"2013","journal-title":"J. Eat. Disord."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1037\/a0032161","article-title":"The Barratt Impulsiveness Scale\u201311: Reassessment of Its Structure in a Community Sample","volume":"25","author":"Reise","year":"2013","journal-title":"Psychol. Assess."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"3005","DOI":"10.1007\/s40519-022-01473-9","article-title":"Research in Eating Disorders: The Misunderstanding of Supposing Serious Mental Illnesses as a Niche Specialty","volume":"27","author":"Marzola","year":"2022","journal-title":"Eat. Weight Disord."},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Marzola, E., Desedime, N., Giovannone, C., Amianto, F., Fassino, S., and Abbate-Daga, G. (2015). Atypical Antipsychotics as Augmentation Therapy in Anorexia Nervosa. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0125569"},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Hjell, G., Rokicki, J., Szabo, A., Holst, R., Tesli, N., Bell, C., Fischer-Vieler, T., Werner, M.C.F., Lunding, S.H., and Ormerod, M.B.E.G. (2023). Impulsivity across Severe Mental Disorders: A Cross-Sectional Study of Immune Markers and Psychopharmacotherapy. BMC Psychiatry, 23.","DOI":"10.1186\/s12888-023-05154-4"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.psychres.2014.11.058","article-title":"Efficacy of Cognitive-Behavioral Therapy for Obsessive\u2013Compulsive Disorder","volume":"225","author":"McKay","year":"2015","journal-title":"Psychiatry Res."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"100321","DOI":"10.1016\/j.ijchp.2022.100321","article-title":"Mindfulness-Based Psychotherapy in Patients with Obsessive-Compulsive Disorder: A Meta-Analytical Study","volume":"22","year":"2022","journal-title":"Int. J. Clin. Health Psychol."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1080\/07351690.2020.1782140","article-title":"Thinking about Obsessional Thinking: An Integrative Model","volume":"40","author":"Bresler","year":"2020","journal-title":"Psychoanal. 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