The Structural Relationships of Pathological Personality Dimensions and Obsessive-Compulsive Symptom Dimensions with the Mediating Role of Experiential Avoidance

Document Type : Research Paper

Authors

1 Department of Psychology, Faculty of Education and Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran

2 PhD student, Department of Psychology, Faculty of Education and Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran

10.22034/jmpr.2024.62114.6259

Abstract

The present study was conducted with the aim of investigating the structural relationships between the pathological dimensions of personality and the dimensions of obsessive-compulsive symptoms with the mediation role of experiential avoidance among students of Shahid Madani University of Azerbaijan. The method of this study was a type of correlation studies using the structural equation modeling method. The statistical population included all male and female students of Shahid Madani University of Azerbaijan, from which 203 people were selected by cluster random sampling. In this study, Personality Inventory for DSM-5 (PID-5; Krueger et al., 2012), Obsessive-compulsive Disorder-revised (OCI-R; Foa et al., 1998) and experiential avoidance questionnaire (MEAQ; Gámez et al., 2011) were used. Data were analyzed using SPSS and AMOS software. The results showed that the direct effect of pathological dimensions of personality on dimensions of obsessive-compulsive symptoms (β = 0.84) and the direct effect of pathological dimensions of personality on experiential avoidance was positive and significant (β = 0.26). Also, the direct effect of experiential avoidance on dimensions of obsessive -compulsive symptoms was positive and significant (β = 0.15). The indirect effect of pathological dimensions of personality on dimensions of obsessive-compulsive symptoms was positive and significant (β = 0.80). In this research, examining the pathological dimensions of personality as stable and influencing factors on the dimensions of obsessive-compulsive symptoms, as well as examining the role of other mediating variables, can have various clinical implications for therapists in order to identify the risk factors of this disorder and its treatment-resistant type.

Keywords

Main Subjects

References

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington, DC. https://doi.org/10.1176/appi.books.9780890425596
Amini, M., Dabaghi, P., & Lotfi, M. (2018). The investigation of psychometric properties of the Persian version of personality inventory for DSM-5 (PID-5) in soldiers. J Mil Med, 20(2), 145-53. (In Persian) magiran.com/p1827860  
Angelakis, I., & Gooding, P. (2020). Obsessive–compulsive disorder and suicidal experiences: The role of experiential avoidance. Suicide and Life‐threatening Behavior, 50(2), 359-371. https://doi.org/10.1111/sltb.12593
‏‏Angelakis, I., & Pseftogianni, F. (2021). Association between obsessive-compulsive and related disorders and experiential avoidance: A systematic review and meta-analysis. journal of Psychiatric Research, 138, 228-239. https://doi.org/10.1016/.psychires.2021.03.062    
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., ... & Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behavior therapy, 42(4), 676-688. https://doi.org/10.1016/.beth.2011.03.007
Bluett, E. J., Homan, K. J., Morrison, K. L., Levin, M. E., & Twohig, M. P. (2014). Acceptance and commitment therapy for anxiety and OCD spectrum disorders: An empirical review. Journal of anxiety disorders, 28(6), 612-624. 10.1016/j.janxdis.2014.06.008 ‏
Chawla, N., & Ostafin, B. (2007). Experiential avoidance as a functional dimensional approach to psychopathology empirical review. Journal of clinical psychology, 63(9), 871-890. https://doi.org/10.1002/clp.20400
‏Corchs, F., Corregiari, F., Ferrão, Y. A., Takakura, T., Mathis, M. E., Lopes, A. C., ... & Bernik, M. (2008). Personality traits and treatment outcome in obsessive-compulsive disorder. Brazilian Journal of Psychiatry, 30, 246-250. https://doi.org/10.1590/S1516-44462008000300012    
Denys, D., Tenney, N., van Megen, H., de Geus, F., & Westenberg, H. G. (2004). Axis I and II comorbidity in a large sample of patients with obsessive–compulsive disorder. Journal of Affective Disorders, 80(2-3), 155-162. https://doi.org/10.1016/S0165-0327(03)00056-9   
Den Ouden, L., Tiego, J., Lee, R. S., Albertella, L., Greenwood, L. M., Fontenelle, L., ... & Segrave, R. (2020). The role of Experiential Avoidance in transdiagnostic compulsive behavior: a structural model analysis. Addictive Behaviors, 108, 106464.  https://doi.org/10.1016/.addbeh.2020.106464
‏‏Foa, E.B., Huppert, .D., Leiberg, S., Hacak, G., Langner, R., et al. (2002). The Obsessive-Compulsive Inventory: Development and validation of a short version. Psychological Assessment,14, 485-496. https://doi.org/10.1037/1040-3590.14.4.485 
Foa, E. B., Kozak, M., Salkovskis, P. M., Coles, M. E., & Amir, N. (1998). The validation of a new obsessive compulsive disorder scale: The Obsessive–Compulsive Inventory. Psychological Assessment, 10(3), 206. https://doi.org/10.1037/1040-3590.10.3.206 
Fontenelle, L. F., Destrée, L., Brierley, M. E., Thompson, E. M., Yücel, M., & Albertella, L. (2021). Are different stressful or traumatic life events related to types of obsessive-compulsive and related disorders? An online study. Journal of Affective Disorders Reports, 5, 100170.  https://doi.org/10.1016/.adr.2021.100170
Fontenelle, L. F., Albertella, L., Brierley, M. E., Thompson, E. M., Destrée, L., Chamberlain, S. R., & Yücel, M. (2021). Correlates of obsessive-compulsive and related disorders symptom severity during the COVID-19 pandemic. Journal of psychiatric research, 143, 471-480.  https://doi.org/10.1016/.psychires.2021.03.046‏
Gámez, W., Chmielewski, M., Kotov, R., Ruggero, C., & Watson, D. (2011). Development of a measure of experiential avoidance: the Multidimensional Experiential Avoidance Questionnaire. Psychological assessment, 23(3), 692. https://doi.org/10.1037/a0023242    
Ghassemzadeh, H., Shams, G., Abedi, J., Karamghadiri, N., Ebrahimkhani, N. & Rajabloo, M. (2011). Psychometric Properties of a Persian-Language Version of the Obsessive-Compulsive Inventory-Revised: OCI-R Persian. Psychology, 2, 210-215. (In Persian)  10.4236/psych.2011.23032
Giridharan, N., Smárason, O., Provenza, N. R., Banks, G. P., Shofty, B., Goodman, W. K., ... & Storch, E. A. (2023). Psychotherapy for Treatment-Resistant Obsessive-Compulsive Disorder. Advances in Psychiatry and Behavioral Health. https://doi.org/10.1016/.ypsc.2023.03.010
Hayes, S. C. (2016). Acceptance and Commitment Therapy, Relational Frame Theory, and the Third Wave of Behavioral and Cognitive Therapies – Republished Article. Behavior Therapy, 47 (6), Pages 869-885, ISSN 0005-7894. https://doi.org/10.1016/.beth.2016.11.006            
Hayes, S. C., Strosahl, K. D., & Strosahl, K. (Eds.). (2004). A practical guide to acceptance and commitment therapy. Springer Science & Business Media.
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. journal of consulting and clinical psychology, 64(6), 1152. https://doi.org/10.1037//0022-006x.64.6.1152   
‏Hong, R. Y., & Tan, Y. L. (2021). DSM-5 personality traits and cognitive risks for depression, anxiety, and obsessive- compulsive symptoms. Personality and individual differences, 169, 110041.  https://doi.org/10.1016/.paid.2020.110041
jacob, G. A., Ower, N., & Buchholz, A. (2013). The role of experiential avoidance, psychopathology, and borderline personality features in experiencing positive emotions: A path analysis. journal of behavior therapy and experimental psychiatry, 44(1), 61-68.  https://doi.org/10.1016/.btep.2012.07.006
Jones, J., Penner, F., Schramm, A. T., & Sharp, C. (2020). Experiential avoidance in adolescents with borderline personality disorder: comparison with a non-BPD psychiatric group and healthy controls. Cognitive behaviour therapy, 49(3), 197-209. https://doi.org/10.1080/16506073.2019.1623303  ‏
Korkmaz, U., Şahin, A. R., Böke, Ö., Sarısoy, G., Karabekiroğlu, A., Özdin, S., & Güz, H. Ö. (2023). Psychotic-like experiences in obsessive compulsive disorder. The European journal of Psychiatry, 37(4), 100215. https://doi.org/10.1016/.epsy.2023.06.001
Krueger, R. F., & Hobbs, K. A. (2020). An overview of the DSM-5 alternative model of personality disorders. Psychopathology, 53(3-4), 126-132. https://doi.org/10.1159/000508538
Krueger, R. F., & Markon, K. E. (2014). The role of the DSM-5 personality trait model in moving toward a quantitative and empirically based approach to classifying personality and psychopathology. Annual review of clinical psychology, 10, 477-501. https://doi.org/10.1146/annurev-clinpsy-032813-153732
Mohamadi, A., Zamani, R., & Fata, L. (2008). Validation the Persian version of revised obsessive compulsive questionnaire in students’ population. Psychological research, 11, 66-78. (In Persian) https://sid.ir/paper/66317/en
Moradi, A., Barghi Irani, Z., Bagiyan Koulemarz, M., Kariminead, K., & Zabet, M. (2018). Factor determination and psychometric features of the Multidimensional Experiential Avoidance Questionnaire (MEAQ). Social Cognition, 6(2), 57-82. (In Persian) https://doi.org/20.1001.1.23223782.1396.6.2.4.3
Nayeri, V., Soraya, S., Kamalzadeh, L., Shariat, V., Borghei, M., Bayat, S., Alavi, K. (2017). Translation and Psychometric of Personality Disorders Inventory According to DMS-V, Qom University of Medical Sciences Journal, 10(12), 87-89. (In Persian)  magiran.com/p1666071
‏Samuels, J., Bienvenu, O. J., Krasnow, J., Wang, Y., Grados, M. A., Cullen, B., ... & Nestadt, G. (2020). General personality dimensions, impairment and treatment response in obsessive–compulsive disorder. Personality and mental health, 14(2), 186-198.  https://doi.org/10.1002/pmh.1472
Samuels, J., Nestadt, G., Bienvenu, O. J., Costa, P. T., Riddle, M. A., Liang, K. Y., ... & Cullen, B. A. (2000). Personality disorders and normal personality dimensions in obsessive-compulsive disorder. The British journal of Psychiatry, 177(5), 457-462.  https://doi.org/10.1192/bp.177.5.457
Shmouli Selah Cheini, R., & Naseri, A. (2024). Mediating role of experiential avoidance in predicting borderline personality disorder based on childhood trauma. Shenakht Journal of Psychology and Psychiatry, 10(6), 142-156. (In Persian) https://doi.org/ 10.32598/shenakht.10.6.142 
Sica, C., Caudek, C., Colpizzi, I., Malerba, A., & Bottesi, G. (2024). Obsessive-compulsive symptoms and dimensional models of psychopathology: The contribution of “not ust right experiences”. Journal of Behavioral and Cognitive Therapy, 34(1), 100481.  https://doi.org/10.1016/.bct.2023.11.002
Silva, A. V., de Christo, R. B., Alves-Pereira, R., Alves, G. S., Ferreira, I. D., Cappi, C., ... & Sampaio, A. S. (2024). Experiential avoidance and obsessive-compulsive symptoms in University students. Neuroscience Applied, 3, 103924. https://doi.org/10.1016/.nsa.2023.103924
Somma, A., LeBeau, R. T., Krueger, R. F., Markon, K. E., Gialdi, G., Frau, C., ... & Fossati, A. (2021). The relationship between obsessive–compulsive spectrum disorders and DSM‐5 dysfunctional personality domains in a nonclinical sample of Italian women. Personality and mental health, 15(2), 147-156. https://doi.org/10.1002/pmh.1502
Soraya, S., Kamalzadeh, L., Nayeri, V., Bayat, E., Alavi, K., & Shariat, S. V. (2017). Factor structure of personality inventory for DSM-5 (PID-5) in an Iranian sample. Iranian journal of Psychiatry and Clinical Psychology, 22(4), 308-317. (In Persian) https://doi.org/10.18869/nirp.ipcp.22.4.308
S. Nagy, Z., Salgó, E., Bazát, B., Haduska-Dér, B., & Unoka, Z. S. (2022). Reliability and validity of the Hungarian version of the Personality Inventory for DSM-5 (PID-5). PloS one, 17(7), e0266201. https://doi.org/ 10.1371/journal.pone.0266201
‏Stahl, S. (2017). The relationship between personality functioning, experiential avoidance, and mental health in a population with personality disorders (Master's thesis, University of Twente). https://purl.utwente.nl/essays/74056
Tinella, L., Lunardi, L., Rigobello, L., Bosco, A., & Mancini, F. (2023). Relationship Obsessive Compulsive Disorder (R- OCD): The role of relationship duration, fear of guilt, and personality traits. journal of Obsessive-Compulsive and Related Disorders, 37, 100801. https://doi.org/10.1016/.ocrd.2023.100801
Wetterneck, C. T., Little, T. E., Chasson, G. S., Smith, A. H., Hart, J. M., Stanley, M. A., & Börgvinsson, T. (2011). Obsessive–compulsive personality traits: How are they related to OCD severity?. Journal of anxiety disorders, 25(8), 1024-1031. https://doi.org/10.1016/.anxdis.2011.06.011
Wetterneck, C. T., Steinberg, D. S., & Hart, J. (2014). Experiential avoidance in symptom dimensions of OCD. Bulletin of the Menninger Clinic, 78(3), 253-269. https://doi.org/10.1521/bumc.2014.78.3.253
‏Wheaton, M. G., & Pinto, A. (2017). The role of experiential avoidance in obsessive–compulsive personality disorder traits. Personality Disorders: Theory, Research, and Treatment, 8(4), 383. https://doi.org/10.1037/per0000200
Yavuz, K. F., Şahin, O., Ulusoy, S., Ipek, O. U., & Kurt, E. (2016). Experiential avoidance, empathy, and anger-related attitudesin antisocial personality disorder. Turkish Journal of medical sciences, 46(6), 1792-1800. https://doi.org.10.3906/sag-1601-80
Journal of Modern Psychological Researches
Volume 20, Issue 79
October 2025
Pages 119-130

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History

  • Receive Date: 15 June 2024
  • Revise Date: 18 October 2024
  • Accept Date: 20 October 2024

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