Document Type : Research Article (s)


1 Department of Clinical Psychology, School of Education and Psychology, Shiraz University, Shiraz, Iran

2 Department of Psychology, School of Education and Psychology, Islamic Azad University Marvdasht Branch, Marvdasht, Iran


Background: COVID-19 pandemic has brought the world many different challenges. One of them is the increase in the traits of mental disorders, especially obsessive-compulsive disorder (OCD). OCD is one of the most disabling disorders for patients and families. One of the factors associated with OCD is self-regulation strategies. Investigating the associations between selfregulation strategies and OCD symptoms can help us find better ways in order to prevent and treat OCD. Additionally, in this critical period, preventive behaviors play a significant role in reducing COVID-19 cases worldwide. The present research aimed to investigate the association between self-regulation strategies, OCD traits, and preventive behaviors during COVID-19 pandemic.
Methods: This cross-sectional study aimed to determine the relationship between OCD traits and self-regulation strategies, including expressive suppression, cognitive reappraisal, self-control, integrative self-knowledge, self-compassion, and preventive behaviors during COVID-19 pandemic in 2022. We recruited 380 Iranian adolescents aged 12 to 18 (15.32±2.13) through multistage sampling method and among the students in Shiraz schools in 2022. The sample size was determined based on the study primary objective. In order to gather data, Padua obsession and compulsion inventory, integrative self-knowledge questionnaire, self-control scale, preventive behaviors scale, self-compassionate scale, and emotion regulation questionnaire were utilized as research instruments. The data were analyzed by Pearson correlation coefficient and stepwise regression analysis.
Results: The obtained findings shed light on negative relationships between OCD (65.55±20.61) and self-compassion (35.38±6.35, P=0.001), self-control (39.78±10.83, P=0.001), integrative self-knowledge (38.74±6.72, P=0.01), cognitive reappraisal (27.93±6.01, P=0.01). Moreover, positive relationships were observed between OCD, preventive behaviors (5.95±0.92), and expressive suppression (15.04±4.52, P=0.03). The results also revealed that self-regulation strategies account for 62% of preventive behaviors.
Conclusion: Self-regulation strategies were found to be important predictors for adolescents’ preventive behaviors during the pandemic. Therefore, paying further attention to self-regulation strategies in this critical period of life is of great necessity.


1. World Health Organization. Mental health and psychosocial considerations during the COVID-19 outbreak, 18 March 2020. World Health Organization; 2020. Available from: ##
2. Adam D. The hellish side of handwashing: how coronavirus is affecting people with OCD. The Guardian; 2020. Available form: ##
3. Khanna S, Kaliaperumal VG, Channabasavanna SM. Clusters of obsessive-compulsive phenomena in obsessive-compulsive disorder. Br J Psychiatry. 1990;156:51-4. doi: 10.1192/bjp.156.1.51. PubMed PMID: 2297620. ##
4. Kumar A, Somani A. Dealing with Corona virus anxiety and OCD. Asian J Psychiatr. 2020;51:102053. doi: 10.1016/j.ajp.2020.102053. PubMed PMID: 32302962; PubMed Central PMCID: PMC7151537. ##
5. Banerjee D. The other side of COVID-19: Impact on obsessive compulsive disorder (OCD) and hoarding. Psychiatry Res. 2020;288:112966. doi: 10.1016%2Fj.psychres.2020.112966. PubMed PMID: 32334276; PubMed Central PMCID: PMC7151248. ##
6. Edition F. Diagnostic and statistical manual of mental disorders. Fifth Edition. Arlington, VA, Am Psychiatric Assoc; 2013. doi: 10.1176/appi.books.9780890425596. ##
7. Starcevic V, Berle D, Brakoulias V, Sammut P, Moses K, Milicevic D, Hannan A. Functions of compulsions in obsessive–compulsive disorder. Aust N Z J Psychiatry. 2011;45(6):449-57. doi: 10.3109%2F00048674.2011.567243. PubMed PMID: 21510720. ##
8. McNamara JP, Reid AM, Balkhi AM, Bussing R, Storch EA, Murphy TK, et al. Self-regulation and other executive functions relationship to pediatric OCD severity and treatment outcome. Journal of Psychopathology and Behavioral Assessment. 2014;36(3):432-42. doi: 10.1007/s10862-014-9408-3. ##
9. Ghorbani N, Watson PJ, Farhadi M, Chen Z. A multi‐process model of self‐regulation: Influences of mindfulness, integrative self‐knowledge and self‐control in Iran. Int J Psychol. 2014;49(2):115-22. doi: 10.1002/ijop.12033. PubMed PMID: 24811882. ##
10. Muraven M, Baumeister RF. Self-regulation and depletion of limited resources: Does self-control resemble a muscle? Psychol Bull. 2000;126(2):247-59. doi: 10.1037/0033-2909.126.2.247. PubMed PMID: 10748642. ##
11. Terry ML, Leary MR. Self-compassion, self-regulation, and health. Self and identity. 2011;10(3):352-362. doi: 10.1080/15298868.2011.558404. ##
12. Gross JJ. The emerging field of emotion regulation: An integrative review. Review of General Psychology. 1998;2(3):271-99. doi: 10.1037%2F1089-2680.2.3.271. ##
13. Gross JJ, Feldman Barrett L. Emotion generation and emotion regulation: One or two depends on your point of view. Emot Rev. 2011;3(1):8-16. doi: 10.1177%2F1754073910380974. PubMed PMID: 21479078; PubMed Central PMCID: PMC3072688. ##
14. Neff K. Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity. 2003;2(2):85-101. doi: 10.1080/15298860309032. ##
15.Neff KD, Kirkpatrick KL, Rude SS. Self-compassion and adaptive psychological functioning. Journal of Research in Personality. 2007;41(1):139-54. doi: 10.1016/j.jrp.2006.03.004. ##
16. Zessin U, Dickhäuser O, Garbade S. The relationship between self‐compassion and well‐being: A meta‐analysis. Appl Psychol Health Well Being. 2015;7(3):340-64. doi: 10.1111/aphw.12051. PubMed PMID: 26311196. ##
17. Baumeister RF, Vohs KD, Tice D. The strength model of self-control. Current Directions in Psychological Science. 2007;16(6):351-355. doi: 10.1111%2Fj.1467-8721.2007.00534.x. ##
18. Hofmann W, Luhmann M, Fisher RR, Vohs KD, Baumeister RF. Yes, but are they happy? Effects of trait self‐control on affective well‐being and life satisfaction. J Pers. 2014;82(4):265-77. doi: 10.1111/jopy.12050. PubMed PMID: 23750741. ##
19. Ford JA, Blumenstein L. Self-control and substance use among college students. Journal of Drug Issues. 2013;43(1):56-68. doi: 10.1177%2F0022042612462216. ##
20. Zheng Y, Zhou Z, Liu Q, Yang X, Fan C. Perceived stress and life satisfaction: a multiple mediation model of self-control and rumination. Journal of Child and Family Studies. 2019;28(11):3091-7. doi: 10.1007/s10826-019-01486-6. ##
21. Ghorbani N, Watson PJ, Chen Z, Norballa F. Self-compassion in Iranian Muslims: Relationships with integrative self-knowledge, mental health, and religious orientation. International Journal for the Psychology of Religion. 2012;22(2):106-18. doi: 10.1080/10508619.2011.638601. ##
22. Behjati Z, Saeedi Z, Noorbala F, Enjedani E, Meybodi FA. Integrative self-knowledge and mental health. Procedia-Social and Behavioral Sciences. 2011;30:705-8. doi: 10.1016/j.sbspro.2011.10.137. ##
23. Oppen PV. Obsessions and compulsions: dimensional structure, reliability, convergent and divergent validity of the Padua Inventory. Behav Res Ther. 1992;30(6):631-7. doi: 10.1016/0005-7967(92)90008-5. PubMed PMID: 1417688. ##
24. Goodarzi MA, Firoozabadi A. Reliability and validity of the Padua Inventory in an Iranian population. Behav Res Ther. 2005;43(1):43-54. doi: 10.1016/j.brat.2003.11.004. PubMed PMID: 15531352. ##
25. Tangney JP, Baumeister RF, Boone AL. High self‐control predicts good adjustment, less pathology, better grades, and interpersonal success. J Pers. 2004;72(2):271-324. doi: 10.1111/j.0022-3506.2004.00263.x. PubMed PMID: 15016066. ##
26. Ghorbani N, Watson PJ, Hargis MB. Integrative Self-Knowledge Scale: Correlations and incremental validity of a cross-cultural measure developed in Iran and the United States. J Psychol. 2008;142(4):395-412. doi: 10.3200/JRPL.142.4.395-412. PubMed PMID: 18792651. ##
27. Neff KD. The development and validation of a scale to measure self-compassion. Self and Identity. 2003;2(3):223-50. doi: 10.1080/15298860309027. ##
28. Lee SY, Yang HJ, Kim G, Cheong HK, Choi BY. Preventive behaviors by the level of perceived infection sensitivity during the Korea outbreak of Middle East Respiratory Syndrome in 2015. Epidemiol Health. 2016;38:e2016051. doi: 10.4178%2Fepih.e2016051. PubMed PMID: 28092927; PubMed Central PMCID: PMC5309729. ##
29. Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol. 2003;85(2):348-62. doi: 10.1037/0022-3514.85.2.348. PubMed PMID: 12916575. ##
30. Besharat MA, Bazzazian S. Psychometri properties of the Cognitive Emotion Regulation Questionnaire in a sample of Iranian population. Advances in Nursing & Midwifery. 2015;24(84):61-70. Persian. ##
31. Wetterneck CT, Lee EB, Smith AH, Hart JM. Courage, self-compassion, and values in obsessive-compulsive disorder. Journal of Contextual Behavioral Science. 2013;2(3-4):68-73. doi: 10.1016/j.jcbs.2013.09.002. ##
32. Leeuwerik T, Cavanagh K, Strauss C. The association of trait mindfulness and self-compassion with obsessive-compulsive disorder symptoms: results from a large survey with treatment-seeking adults. Cognitive Therapy and Research. 2020;44(1):120-135. doi: 10.1007/s10608-019-10049-4. ##
33. Eichholz A, Schwartz C, Meule A, Heese J, Neumüller J, Voderholzer U. Self‐compassion and emotion regulation difficulties in obsessive–compulsive disorder. Clin Psychol Psychother. 2020;27(5):630-639. doi: 10.1002/cpp.2451. PubMed PMID: 32222000. ##
34. Froreich FV, Vartanian LR, Grisham JR, Touyz SW. Dimensions of control and their relation to disordered eating behaviours and obsessive-compulsive symptoms. J Eat Disord. 2016;4:14. doi: 10.1186/s40337-016-0104-4. PubMed PMID: 27144009; PubMed Central PMCID: PMC4853853. ##
35. Kishore VR, Samar R, Reddy YJ, Chandrasekhar CR, Thennarasu K. Clinical characteristics and treatment response in poor and good insight obsessive–compulsive disorder. Eur Psychiatry. 2004;19(4):202-8. doi: 10.1016/j.eurpsy.2003.12.005. PubMed PMID: 15196601. #