A growing body of research has revealed robust associations between disgust and obsessive-compulsive disorder (OCD) symptoms. The present study aimed to understand if particular disgust domains are more closely associated with OC symptoms subscales, especially contamination and washing. A sample of 60 OCD patients from an outpatient Iranian psychiatric clinic completed self-report questionnaires including the Disgust Scale-Revised (DS-R), the Obsessive-Compulsive Inventory-Revised (OCI-R) and the Padua inventory-Washington State University revision (PI- WSUR). The results indicated correlations between the total, core and contamination subscales of the DS-R together with the OCI-R total score as well as with the PI-WSUR total score. However, no correlation was found between these inventories and the DS-R animal reminder subscale. The DS-R total score also correlated with the washing and checking subscales of the OCI-R and with the contamination obsessions and washing and checking compulsions of the PI-WSUR. The relationship between disgust and demographic characteristics showed that the DS-R total, core and contamination scores were significantly higher for women and married subjects, and that the animal reminder subscale score was significantly higher for women than men. Although symptoms presentation, risk factors, and outcomes may vary cross-culturally, very little is known about disgust emotion as an OCD symptom in Iranian and eastern cultures. Additional work is needed to better understand these symptoms in other eastern cultures.
KeywordsOCDDisgust EmotionPersian and Eastern Cultures
American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed., Text Rev.). Washington DC: Author.
Burns, G. L., Keortge, S. G., Formea, G. M., & Sternberger, L. G. (1996). Revision of the Padua Inventory of Obsessive Compulsive Disorder Symptoms: Distinctiveness between Worry, Obsessions, and Compulsions. Behaviour Research and Therapy, 34, 163-173. http://dx.doi.org/10.1016/0005-7967(95)00035-6
Cisler, J. M., Olatunji, B. O., Sawchuk, C. N., & Lohr, J. M. (2008). Specificity of Emotional Maintenance Processes among Contamination Fears and Blood-Injection-Injury Fears. Journal of Anxiety Disorders, 22, 915-923. http://dx.doi.org/10.1016/j.janxdis.2007.09.006
Connolly, K. M., Olatunji, B. O, & Lohr, J. M. (2008). Evidence for Disgust Sensitivity Mediating the Sex Differences Found in Blood-Injection Injury Phobia and Spider Phobia. Personal and Individual Differences, 44, 898-908. http://dx.doi.org/10.1016/j.paid.2007.10.020
Curtis, V., Aunger, R., & Rabie, T. (2004). Evidence That Disgust Evolved to Protect from Risk of Disease. Proceedings of the Royal Society Biological Sciences, 271, 131-133. http://dx.doi.org/10.1098/rsbl.2003.0144
Dadfar, M., Bolhari, J., Malakouti, K., & Bayan Zadeh, A. (2001). An Examination of the Phenomenology of Obsessive-Compulsive Disorder. The Quarterly Journal of Andisheh VaRaftar, 7, 27-32.
Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., et al. (2002). The Obsessive-Compulsive Inventory: Development and Validation of a Short Version. Psychological Assessment, 14, 485-496. http://dx.doi.org/10.1037/1040-3590.14.4.485
Foa, E. B., Kozak, M. J., 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, 206-214. http://dx.doi.org/10.1037/1040-3590.10.3.206
Ghassemzadeh, H., Mojtabai, R., Khamseh, A., Ebrahimkhani, N., Issazadegan, A., & Saif-Nobakht, Z. (2002). Symptoms of Obsessive-Compulsive Disorder in a Sample of Iranian Patients. International Journal of Social Psychiatry, 48, 220-228. http://dx.doi.org/10.1177/002076402128783055
Ghassemzadeh, H., Shams, G., Jamal, A., 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. http://dx.doi.org/10.4236/psych.2011.23032
Haidt, J., McCauley, C., & Rozin, P. (1994). Individual Differences in Sensitivity to Disgust: A Scale Sampling Seven Domains of Disgust Elicitors. Personality and Individual Differences, 16, 701-713. http://dx.doi.org/10.1016/0191-8869(94)90212-7
Izard, C. E. (1993). Organizational and Motivational Functions of Discrete Emotions. In M. Lewis, J. M. Haviland-Jones, & L. F. Barret (Eds.), Handbook of Emotions (pp. 631-641). New York: Guilford Press.
Labad, J., Menchon, J. M., Alonso, P., Segalas, C., Jimenez, S., & Jaurrieta, N. (2008). Gender Differences in Obsessive-Compulsive Symptom Dimensions. Depression and Anxiety, 25, 832-838. http://dx.doi.org/10.1002/da.20332
Mancini, F., Gragnani, A., & D’Olimpio, F. (2001). The Connection between Disgust and Obsessions and Compulsions in a Non-Clinical Sample. Personality and Individual Differences, 31, 1173-1180. http://dx.doi.org/10.1016/S0191-8869(00)00215-4
Matchett, G., & Davey, G. C. (1991). A Test of the Disease Avoidance Model of Animal Phobias. Behaviour Research and Therapy, 29, 91-94. http://dx.doi.org/10.1016/S0005-7967(09)80011-9
Moretz, M. W., & McKay, D. (2008). Disgust Sensitivity as a Predictor of Obsessive-Compulsive Contamination Symptoms and Associated Cognitions. Journal of Anxiety Disorders, 22, 707-715. http://dx.doi.org/10.1016/j.janxdis.2007.07.004
Muris, P., Merckelbach, H., Nederkoorn, S., Rassin, E., Candel, I., & Horselenberg, R. (2000). Disgust and Psychopathological Symptoms in a Nonclinical Sample. Personality and Individual Differences, 29, 1163-1167. http://dx.doi.org/10.1016/S0191-8869(99)00263-9
Muris, P., Merckelbach, H., Schmidt, H., & Tierney, S. (1999). Disgust Sensitivity, Trait Anxiety and Anxiety Disorders Symptoms in Normal Children. Behaviour Research and Therapy, 37, 953-961. http://dx.doi.org/10.1016/S0005-7967(99)00045-5
Olatunji, B. O., Cisler, J. M., McKay, D., & Phillips, M. (2010). Is Disgust Associated with Psychopathology? Emerging Research in the Anxiety Disorders. Psychiatry Research, 175, 1-10. http://dx.doi.org/10.1016/j.psychres.2009.04.007
Olatunji, B. O., Moretz, M., Wolitzky-Taylor, K. B., McKay, D., McGrath, P., & Ciesielski, B. (2010). Disgust Vulnerability and Symptoms of Contamination-Based OCD: Descriptive Tests of Incremental Specificity. Behavior Therapy, 42, 475-490. http://dx.doi.org/10.1016/j.beth.2009.11.005
Olatunji, B. O., Sawchuk, C. N., Arrindel, W. A., & Lohr, J. M. (2005). Disgust Sensitivity as a Mediator of the Sex Differences in Contamination Fears. Personality and Individual Differences, 38, 713-722. http://dx.doi.org/10.1016/j.paid.2004.05.025
Olatunji, B. O., Sawchuk, C. N., Lohr, J. M., & de Jong, P. J. (2004). Disgust Domains in the Prediction of Contamination Fear. Behaviour Research Therapy, 42, 93-104. http://dx.doi.org/10.1016/S0005-7967(03)00102-5
Olatunji, B. O., Williams, N. L., Tolin, D. F., Sawchuk, C. N., Abramowitz J. S., & Lohr, J. M. (2007). The Disgust Scale: Item Analysis, Factor Structure, and Suggestions for Refinement. Psychological Assessment, 19, 281-297. http://dx.doi.org/10.1037/1040-3590.19.3.281
Phillips, M. L., Senior, C., Fahy, T., & David, A. S. (1998). Disgust—The Forgotten Emotion of Psychiatry. British Journal of Psychiatry, 172, 373-375. http://dx.doi.org/10.1192/bjp.172.5.373
Rachman, S. (2004). Fear of Contamination. Behaviour Research and Therapy, 42, 1227-1255. http://dx.doi.org/10.1016/j.brat.2003.10.009
Rasmussen, S. A., & Eisen, J. L. (1992). The Epidemiology and Clinical Features of Obsessive Compulsive Disorder. Psychiatric Clinics of North America, 15, 743-758.
Rozin, P., Haidt, J., & McCauley, C. R. (2008). Disgust. In M. Lewis, J. M. Haviland-Jones, & L. F. Barret (Eds.), Handbook of Emotions (3rd ed., pp. 757-776). New York: Guilford Press.
Rozin, P., Taylor, C., Ross, L., Bennett, G., & Hejmadi, A. (2005). General and Specific Emotion Recognition Abilities: Relations among Individual Differences in Recognition of Disgust and Other Emotional Expressions in Facial and Bodily Representations, Obsessive-Compulsive Tendencies, and Disgust Sensitivity. Cognition and Emotion, 19, 397-412. http://dx.doi.org/10.1080/02699930441000166
Sawchuk, C. N., Lohr, J. M., Tolin, D. F., Lee, T. C., & Kleinknecht, R. A. (2000). Disgust Sensitivity and Contamination Fears in Spider and Blood-Injection-Injury Phobias. Behaviour Research and Therapy, 38, 753-762. http://dx.doi.org/10.1016/S0005-7967(99)00093-5
Schienle, A., Stark, R., Walter, B., & Vaitl, D. (2003). The Connection between Disgust Sensitivity and Blood-Related Fears, Faintness Symptoms, and Obsessive Compulsiveness in a Non-Clinical Sample. Anxiety, Stress, and Coping, 16, 185-193.
Shams, G., Foroughi, E., Moretz, M. W., & Olatunji, B. O. (2013). Factor Structure and Psychometric Properties of the Persian Disgust Scale-Revised: Examination of Specificity to Symptoms of Obsessive-Compulsive Disorder. Psychology, 4, 526-534. http://dx.doi.org/10.4236/psych.2013.46075
Shams, G., Kaviani, H., Esmaili, Y., Ebrahimkhani, N., & Amin Manesh, A. (2011). Psychometric Properties of the Persian Version of the Padua Inventory: Washington State University Revision (PI-WSUR). Iranian Journal of Psychiatry, 6, 12-18.
Thomas, J., Turkheimer, E., & Oltmanns, T. F. (2007). Psychometric Analysis of Racial Differences on the Maudsley Obsessional Compulsive Inventory. Assessment, 7, 247-258. http://dx.doi.org/10.1177/107319110000700305
Thorpe, S. J., Patel, S. P., & Simonds, L. M. (2003). The Relationship between Disgust Sensitivity, Anxiety, and Obsessions. Behaviour Research and Therapy, 41, 1397-1409. http://dx.doi.org/10.1016/S0005-7967(03)00058-5
Tolin, D. F., Woods, C. M., & Abramowitz, J. S. (2006). Disgust Sensitivity and Obsessive-Compulsive Symptoms in a Nonclinical Sample. Journal of Behavior Therapy and Experimental Psychiatry, 37, 30-40. http://dx.doi.org/10.1016/j.jbtep.2005.09.003
Tsao, S. D., & McKay, D. (2004). Behavioral Avoidance Tests and Disgust in Contamination Fears: Distinctions from Trait Anxiety. Behaviour Research and Therapy, 42, 207-216. http://dx.doi.org/10.1016/S0005-7967(03)00119-0
Woody, S. R., & Tolin, D. F. (2002). The Relationship between Disgust Sensitivity and Avoidant Behavior: Studies of Clinical and Nonclinical Samples. Journal of Anxiety Disorders, 16, 543-559. http://dx.doi.org/10.1016/S0887-6185(02)00173-1