AUTHOR=Jungmann Stefanie M. , Vollmer Noelle , Selby Edward A. , Witthöft Michael 

TITLE=Understanding Dysregulated Behaviors and Compulsions: An Extension of the Emotional Cascade Model and the Mediating Role of Intrusive Thoughts

JOURNAL=Frontiers in Psychology

VOLUME=7

YEAR=2016

URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2016.00994

DOI=10.3389/fpsyg.2016.00994

ISSN=1664-1078

ABSTRACT=<p><bold>Objective:</bold> The Emotional Cascade Model (ECM) by <xref ref-type="bibr" rid="B61">Selby et al. (2008)</xref> proposes that people often engage in dysregulated behaviors to end extreme, aversive emotional states triggered by a self-perpetuating vicious cycle of (excessive) rumination, negative affect, and attempts to suppress negative thoughts.</p><p><bold>Method:</bold> Besides replicating the ECM, we introduced intrusions as a mediator between rumination and behavioral dysregulation and tested this extended ECM for compulsions as part of obsessive–compulsive disorders. A structural equation modeling approach was used to test this in a sample of <italic>N</italic> = 414, randomly recruited from the general population.</p><p><bold>Results:</bold> Intrusions were found to fully mediate the effect of rumination on a broad array of dysregulated behaviors and compulsions. This mediation endured when controlling for symptoms of depression.</p><p><bold>Conclusion:</bold> These findings support the idea that rumination fuels intrusions, which in turn foster dysregulated behaviors. Therefore, addressing rumination as well as intrusions may improve psychotherapeutic interventions for mental disorders characterized by dysregulated behaviors and/or extreme aversive emotional states.</p>