Modeling Obsessive Beliefs Based on Parenting Styles and Inferential Confusion with the Mediating Role of Fear of Self
Keywords:
obsessive beliefs, parenting styles, inferential confusion, fear of selfAbstract
Obsessive beliefs are among the most important cognitive components in explaining and maintaining obsessive–compulsive disorder (OCD) and are influenced by various cognitive, emotional, and environmental factors. The present study aimed to model obsessive beliefs based on parenting styles and inferential confusion with the mediating role of fear of self. This study employed a descriptive–correlational design using structural equation modeling. The statistical population included all patients diagnosed with OCD who referred to psychology and psychiatry clinics in Shiraz, whose diagnosis had been confirmed by psychiatrists and psychologists in 2024. A total of 130 participants were selected through convenience sampling and responded to the Obsessive Beliefs Questionnaire (OBQ-44), Inferential Confusion Questionnaire–Expanded (ICQ-E), Fear of Self scale, and Parenting Styles questionnaire. Data were analyzed using SPSS version 24 and AMOS version 26. Path analysis indicated that authoritarian and permissive parenting styles as well as inferential confusion directly predicted obsessive beliefs, and fear of self significantly mediated these relationships. These findings highlight that fear of self can either facilitate or intensify the impact of cognitive and environmental factors on the formation of obsessive beliefs. The results may be applied in designing cognitive–emotional interventions and in reconsidering parenting styles for the prevention and treatment of OCD.
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1. Karno M, Golding JM, Sorenson SB, Burnam MA. The epidemiology of obsessive-compulsive disorder in five US communities. Archives of general psychiatry. 1988;45(12):1094-9. doi: 10.1001/archpsyc.1988.01800360042006.
2. Fontenelle LF, Mendlowicz MV, Versiani M. The descriptive epidemiology of obsessive-compulsive disorder. Progress in Neuro-Psychopharmacology and Biological Psychiatry. 2006;30(3):327-37. doi: 10.1016/j.pnpbp.2005.11.001.
3. Sharma E, Thennarasu K, Reddy YJ. Long-term outcome of obsessive-compulsive disorder in adults: a meta-analysis. The Journal of Clinical Psychiatry. 2014;75(9):10746. doi: 10.4088/JCP.13r08849.
4. Hazell CM, McNally RJ. Mental contamination and obsessive-compulsive disorder symptoms: A mediation model. Journal of Obsessive-Compulsive and Related Disorders. 2016;11:1-5. doi: 10.1016/j.jocrd.2016.06.004.
5. Clarck DA. Innovation in obsessive-compulsive disorder. A commentary. Journal of Behavior Therapy and Experimental Psychiatry. 2015;49:129-32. doi: 10.1016/j.jbtep.2015.10.006.
6. Doron G, Kyros M. Obsessive-compulsive disorder. A review of possible specific internal representation within a broader cognitive throry. Clinical Psychology review. 2005;25:415-32. doi: 10.1016/j.cpr.2005.02.002.
7. Del Borrello L, O'Connor K. The role of obsessive beliefs and inferential confusion in predicting treatment outcomes for different subtypes of obsessive-compulsive disorder. International Journal of Cognitive Therapy. 2014;7(1):43-66. doi: 10.1521/ijct.2014.7.1.43.
8. Wong FS, Lim V, Black MI, Grisham JR. The impact of modifying obsessive-compulsive beliefs about perfectionism. Journal of Behavior Therapy and Experimental Psychiatry. 2021;73:101675. doi: 10.1016/j.jbtep.2021.101675.
9. Baraby LP, Wong SF, Radomsky AS, Aardema F. Dysfunctional reasoning processes and their relationship with feared self-perceptions and obsessive-compulsive symptoms: An investigation with a new task-based measure of inferential confusion. Journal of Obsessive-Compulsive and Related Disorders. 2021;28:100593. doi: 10.1016/j.jocrd.2020.100593.
10. Aardema F, O'Connor KP, Emmelkamp PM, Marchand A, Todorov C. Inferential confusion in obsessive-compulsive disorder: the inferential confusion questionnaire. Behaviour Research and Therapy. 2005;43(3):293-308. doi: 10.1016/j.brat.2004.02.003.
11. Aardema F, Radomsky AS, O'Connor KP, Julien D. Inferential confusion, obsessive beliefs, and obsessive-compulsive symptoms: A multidimensional investigation of cognitive domains. Clinical psychology & psychotherapy. 2008;15(4):227-38. doi: 10.1002/cpp.581.
12. Uzun O, Demirci K. Inferential confusion as a cognitive vulnerability for OCD. Current Approaches in Psychiatry. 2019;11(2):198-207.
13. Aardema F, Wu K, Moulding R, Audet JS, Baraby LP. The relationship of inferential confusion and obsessive beliefs with specific obsessive-compulsive symptoms. Journal of obsessive-compulsive and related disorders. 2018;18:98-105. doi: 10.1016/j.jocrd.2018.03.004.
14. Aguilar S, Soriano G, Roncero M, Barrada J, Aardema F, Ocner K. Validation of the Spanish version of the Fear of Self Questionnaire. Journal of Obsessive-Compulsive and Related Disorders. 2019;21:69-74. doi: 10.1016/j.jocrd.2018.12.006.
15. Nanava FJ, Raisi A. The Mediating Role of Attachment Styles in the Relationship Between Fear of Self and Obsessive-Compulsive Symptoms. Journal of Psychological Injuries Volume. 2025;1(2):13-26.
16. Khosravi Rubiat Z, Najafi M. The Mediating Role of Psychological Distress in the Relationship Between Inferential Confusion and Obsessive-Compulsive Symptoms. Journal of Psychology. 2023;27(3):332-42.
17. Khosravi Rubiat Z, Najafi M. The Mediating Role of Self-Doubt and Obsessive Beliefs in the Relationship Between Inferential Confusion and Obsessive-Compulsive Disorder Symptoms. Quarterly Journal of Psychological Sciences. 2023;129(22):155-73.
18. Amani M, Abolghasemi A, Ahadi B, Narimani M. Examining the Effectiveness of Inference-Based Treatment in Reducing Obsessive-Compulsive Symptoms. Journal of Clinical and Counseling Psychology Research. 2013;3(61):55-68.
19. Aardema F. Fear of self: Toward a new model of obsessive-compulsive disorder. Journal of Cognitive Psychothera. 2006;20(3):263-79.
20. Najafi K, Kachouei M, Bastami Katouli M. A Structural Model of Self-Dichotomy and Reassurance Seeking with Obsessive Beliefs Mediated by Self-Doubt. Journal of Psychology Growth. 2024;13(8):171-80.
21. Sarlak M, Lotfi Kashani F, Mirhashemi M. A Structural Model Explaining High School Students' Obsessive Beliefs Based on Metacognitive Beliefs and Symptoms of Stress, Depression, and Anxiety: The Mediating Role of Inferential Confusion. Disability Studies. 2022;2(9):1-15. doi: 10.32598/shenakht.9.2.1.
22. Bagheri F. Parent-Child Relationship Pattern: A Theoretical Model of Parenting Based on Islamic Ontology and Anthropology. Bimonthly Research Journal of Educational Sciences from the Perspective of Islam. 2013;1(1):5-38.
23. Downs MF. Good parenting helps kids' mental skills. 2008.
24. Shaham L, Mohammadi K. Comparison of Parenting Styles of Mothers with Children with Obsessive-Compulsive Disorder, Phobia, and Mothers with Normal Children. Journal of Disability Studies. 2021;11(1):215-23.
25. Liang Y, Xu L, Huang Y, Zhu W, Yu J, Ma L, et al. The relationship between obsessive-compulsive symptoms and parenting styles: The mediating effect of perfectionism. 2025. doi: 10.22541/au.173935763.37800795/v1.
26. Zangolehchi Z, Imani M, Goodarzi MA, Rahimi C. Examining the Role of Childhood Trauma in Obsessive-Compulsive Symptoms Mediated by Self-Doubt, Emotional Beliefs, Obsessive Beliefs, and Mental Contamination. Quarterly Journal of New Psychological Research. 2024;19(73):215-25.
27. Secer I, Ulas S. An Investigation of the Effect of COVID-19 on OCD in Youth in the Context of Compulsive Disorder. The Lancet Psychiatry. 2020;7(7):570-57. doi: 10.1016/S2215-0366(20)30222-4.
28. Chakraborty A, Karmakar S. Impact of COVID-19 on Obsessive-Compulsive Disorder (OCD). International Journal of Psychiatry. 2020;15:256-9. doi: 10.18502/ijps.v15i3.3820.
29. Ashouri M, Bazazian S. The Mediating Role of Self-Doubt in the Relationship Between Insecure Attachment Styles and Obsessive Beliefs in a Non-Clinical Population. Journal of Medical Sciences (Urmia University Medical Journal). 2022;33(10):749-59. doi: 10.52547/umj.33.10.749.
30. Amani M, Abolghasemi A, Ahadi B, Narimani M. The Relationship Between Subsets of Obsessive-Compulsive Disorder, Inferential Confusion, and Emotion Regulation Strategies with Obsessive Beliefs in Women. Journal of Applied Psychological Research. 2012;6(1):137-50.
31. Amani M, Abolghasemi A, Ahadi B, Narimani M. A Study of Causal Relationships Between Beliefs and Inferential Confusion with Obsessive-Compulsive Disorder. New Psychological Research (Tabriz University Psychology). 2012;7(25):1-19.
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Copyright (c) 2025 Maryam Haddadi (Author); Sadrollah Khosravi; Hamidreza Zakeri (Author)
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