Deck 5: Obsessive-Compulsive and Related Disorders

Question 1

In the learning model of OCD, which of the following is thought to maintain compulsive behavior?

A) Operant conditioning
B) Punishment
C) Negative expressed emotion
D) An excess of postsynaptic serotonin receptors

Answer 1

A

Question 2

Which of the following is not characteristic of compulsions in OCD?

A) They reduce anxiety when performed.
B) They can often be linked to obsessional thoughts.
C) They are done in a mechanical and automatic way.
D) Individuals often have insight into the excessive and irrational nature of their compulsive behavior.

Answer 2

C

Question 3

SSRIs are currently the most effective treatment for OCD, at least in so far as symptom reduction is concerned.

Answer 3

False

Question 4

Habituation is ...

A) When family members accommodate an OCD individual's obsessions and compulsions, and thereby maintain them.
B) When anxiety decreases after repeated exposure to a feared stimulus without the performance of compulsive behavior.
C) What differentiates OCD from trichotillomania.
D) Often accompanied by a worsening of symptoms.

Question 5

Which of the following is not commonly assessed prior to beginning CBT treatment of OCD?

A) Repressed childhood experiences.
B) Obsessional stimuli.
C) Antecedents of compulsive behaviors.
D) Avoidance behaviors.

Question 6

Which of the following is more characteristic of cognitive therapy for OCD than it is for exposure with response prevention?

A) A gradual progression from moderate to more distressing stimuli.
B) A focus on generalization during the final sessions.
C) A combination of in vivo and ex vivo exposure.
D) Use of Socratic questioning to challenge obsessional thoughts.

Question 7

It is thought that family interaction patterns are unimportant in predicting clinical outcomes in the treatment of OCD.

Question 8

Which of the following is a domain of dysfunctional beliefs in OCD?

A) Obsessional thinking
B) Perfectionism/intolerance of uncertainty
C) Insight
D) Hopelessness

Question 9

Which of the following is not true regarding the demographics of OCD?

A) Males predominate over females at a two to one ratio.
B) While onset is often in early adulthood, childhood and adolescent onset is not rare.
C) Mean age of onset is earlier in males.
D) Lifetime prevalence is estimated at somewhere between 0.7% and 2.9%.

Question 10

Which of the following is true regarding the course of OCD?

A) Symptoms will often spontaneously remit even if untreated.
B) If successfully treated, symptoms are likely to never recur.
C) Symptoms are likely to intensify during periods of stress.
D) Functioning, particularly academic or occupational functioning, is rarely affected in the long run.

Question 11

Which interpersonal characteristic has been found to weaken response to cognitive-behavioral treatment in OCD patients?

A) Family members lack of engagement in the patient's treatment
B) Symptom accommodation
C) An enmeshed family
D) Neither of the above