Acquisition and maintenance of disgust reactions in an OCD analogue sample: Efficiency of extinction strategies through a counter-conditioning procedure.

<h4>Background</h4>Obsessive-compulsive disorder (OCD) has long been considered as an anxiety disorder, disgust is the dominant emotion in contamination-based OCD. However, disgust seems resistant to exposure with response prevention partly due to the fact that disgust is acquired throug...

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Main Authors: Caroline Novara, Cindy Lebrun, Alexandra Macgregor, Bruno Vivet, Pierre Thérouanne, Delphine Capdevielle, Stephane Raffard
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0254592&type=printable
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author Caroline Novara
Cindy Lebrun
Alexandra Macgregor
Bruno Vivet
Pierre Thérouanne
Delphine Capdevielle
Stephane Raffard
author_facet Caroline Novara
Cindy Lebrun
Alexandra Macgregor
Bruno Vivet
Pierre Thérouanne
Delphine Capdevielle
Stephane Raffard
author_sort Caroline Novara
collection DOAJ
description <h4>Background</h4>Obsessive-compulsive disorder (OCD) has long been considered as an anxiety disorder, disgust is the dominant emotion in contamination-based OCD. However, disgust seems resistant to exposure with response prevention partly due to the fact that disgust is acquired through evaluative conditioning.<h4>Aims</h4>The present research investigates a counter-conditioning intervention in treating disgust-related emotional responses in two groups of individuals with high (High contamination concerns, HCC, n = 24) and low (Low contamination concerns LCC, n = 23) contamination concerns.<h4>Methods</h4>The two groups completed a differential associative learning task in which neutral images were followed by disgusting images (conditioned stimulus; CS+), or not (CS-). Following this acquisition phase, there was a counter-conditioning procedure in which CS+ was followed by a very pleasant unconditional stimulus while CS- remained unreinforced.<h4>Results</h4>Following counter-conditioning, both groups reported significant reduction in their expectancy of US occurrence and reported less disgust with CS+. For both expectancy and disgust, reduction was lower in the HCC group than in the LCC group. Disgust sensitivity was highly correlated with both acquisition and maintenance of the response acquired, while US expectation was predicted by anxiety.<h4>Conclusion</h4>Counter-conditioning procedure reduces both expectations and conditioned disgust.
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spelling doaj-art-0df82789ede948718a97539300e75ab82025-02-09T05:30:42ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01167e025459210.1371/journal.pone.0254592Acquisition and maintenance of disgust reactions in an OCD analogue sample: Efficiency of extinction strategies through a counter-conditioning procedure.Caroline NovaraCindy LebrunAlexandra MacgregorBruno VivetPierre ThérouanneDelphine CapdevielleStephane Raffard<h4>Background</h4>Obsessive-compulsive disorder (OCD) has long been considered as an anxiety disorder, disgust is the dominant emotion in contamination-based OCD. However, disgust seems resistant to exposure with response prevention partly due to the fact that disgust is acquired through evaluative conditioning.<h4>Aims</h4>The present research investigates a counter-conditioning intervention in treating disgust-related emotional responses in two groups of individuals with high (High contamination concerns, HCC, n = 24) and low (Low contamination concerns LCC, n = 23) contamination concerns.<h4>Methods</h4>The two groups completed a differential associative learning task in which neutral images were followed by disgusting images (conditioned stimulus; CS+), or not (CS-). Following this acquisition phase, there was a counter-conditioning procedure in which CS+ was followed by a very pleasant unconditional stimulus while CS- remained unreinforced.<h4>Results</h4>Following counter-conditioning, both groups reported significant reduction in their expectancy of US occurrence and reported less disgust with CS+. For both expectancy and disgust, reduction was lower in the HCC group than in the LCC group. Disgust sensitivity was highly correlated with both acquisition and maintenance of the response acquired, while US expectation was predicted by anxiety.<h4>Conclusion</h4>Counter-conditioning procedure reduces both expectations and conditioned disgust.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0254592&type=printable
spellingShingle Caroline Novara
Cindy Lebrun
Alexandra Macgregor
Bruno Vivet
Pierre Thérouanne
Delphine Capdevielle
Stephane Raffard
Acquisition and maintenance of disgust reactions in an OCD analogue sample: Efficiency of extinction strategies through a counter-conditioning procedure.
PLoS ONE
title Acquisition and maintenance of disgust reactions in an OCD analogue sample: Efficiency of extinction strategies through a counter-conditioning procedure.
title_full Acquisition and maintenance of disgust reactions in an OCD analogue sample: Efficiency of extinction strategies through a counter-conditioning procedure.
title_fullStr Acquisition and maintenance of disgust reactions in an OCD analogue sample: Efficiency of extinction strategies through a counter-conditioning procedure.
title_full_unstemmed Acquisition and maintenance of disgust reactions in an OCD analogue sample: Efficiency of extinction strategies through a counter-conditioning procedure.
title_short Acquisition and maintenance of disgust reactions in an OCD analogue sample: Efficiency of extinction strategies through a counter-conditioning procedure.
title_sort acquisition and maintenance of disgust reactions in an ocd analogue sample efficiency of extinction strategies through a counter conditioning procedure
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0254592&type=printable
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