Document Type : Research Article


1 Faculty of Education and Psychology, University of Alzahra, Tehran, Iran

2 Professor of clinical psychology, Department Of Psychology, University of Alzahra, Tehran, Iran.

3 Forghani Hospital Research Development Committee. Qom University of Medical Sciences, Qom, Iran.

4 Faculty of Education and Psychology, Yazd University, Yazd, Iran.


Emotional disturbance is a central attribute of pathology in various disorders, in particular obsessive-compulsive disorder. Anger is one of the main emotions that has been neglected and these few findings have many contradictions and a lot of turmoil. Therefore, the present study aimed to develop an integrated model for experiencing anger in these individuals. This research was qualitative research and was the kind of grounded theory. Participants were 29 individuals with obsessive-compulsive disorder who were selected by purposeful sampling and snowball sampling. Also Data collection was through semi-structured interviews, narrative interviews and imagery. In order to analyze the data, the systematic scheme of Strauss and Corbin was used based on three open, axial and selective coding steps. Then the categories were organized in a paradigmatic grounded model. The results of this research show the causal conditions, context, intervening conditions, how to experience anger, management strategies and its consequences in these individuals. These findings emphasize the need for preventive programs based on causative variables and the design of therapeutic programs based on these findings to improve the symptoms of the disorder. Further research is needed to revise and complete the identity of obsessive-compulsive disorder.


Afzali, M., Fathi -Ashtiani, A., & Azad Fallah, P. (2009). The study of defense styles & mechanisms in patients with obsessive-compulsive disorder, generalized anxiety disorder & social phobia disorder. Journal of Clinical Psychology, 1(1), 79-93. [Persian]
Aleman, A. (2005). Feelings you cannot imagine: towards a cognitive neuroscience of alexithymia. Trends in Cognitive Sciences, 9(12), 553-555.
Besharat, M. A. (2011). Perfectionism and anger. Journal of Psychology Tabriz University, 17(5), 34-53. [Persian]
Brady, R. E., Adams. T. G., & Lohr. J. M. (2010). Disgust in contamination-based obsessive-compulsive disorder: A review and model. Expert Rev. Neurother, 10(8), 1295-1305.
Cassiello–Robbin, C., & Barlow, D. H. (2016). Anger: The unrecognized emotion in emotional disorders. Clinical Psychology, Science and Practice, 23(1), 66-85.
Cosentino, T., D’Olimpio, F., Perdighe, C., Romano, G., Saliani, A. M., & Mancini, F. (2012). Acceptance of being guilty in the treatment of obsessive-compulsive disorder. Psicoterapia Cognitiva e Comportamentale, 39-56.
Creswell, J. W. (2012). Educational research: Planing, conducting and evaluating quantitive and qualitive research (4th Ed.). Boston: Pearson Education.
Dalir, M., Alipour, A., Zare, H., & Farzad, V. (2015). The comparative efficacy of cognitive bias modification-interpretation and its combination with group cognitive behavior therapy in reducing the severity of symptoms, beliefs, and obsessional behaviors. Journal of Psychological Achievements, 22(1), 1-24. [Persian]
Daros, A. R., Zakzanis, K. K., & Rector, N. A. (2014). A quantitative analysis of facial emotion recognition in obsessive–compulsive disorder. Psychiatry Research, 215(3), 514-521.
Diagnostic and statistical manual of mental disorders, 5th Edition. (2013). England, London: American Psychiatric Association.
Fatfouta, R., & Merkl, A. (2014). Associations between obsessive–compulsive symptoms, revenge, and the perception of interpersonal transgressions. Psychiatry Research, 219, 316-321.
Gentes, E. L., & Ruscio, A. M. (2011). A meta-analysis of the relation of intolerance of uncertainty to symptoms of generalized anxiety disorder, major depressive disorder, and obsessive–compulsive disorder. Clinical Psychology Review, 31, 923-933.
Hasani, J., & Ariyanakia, E. (2016). Cognitive emotion regulation strategies, anxiety and impulsivity in bipolar disorder with and without comorbid obsessive-compulsive disorder. Iranian Journal of Psychiatry and Clinical Psychology, 22(1), 39-49. [Persian]
Javaheri, A., Ghanbari, S., & Zarandi, A. R. (2011). Relationship between defense mechanisms with experience and express of anger in female university students. Journal of Applied Psychology, 5(18), 97-110. [Persian]
Kempke, S., & Luyten, P. (2007). Psychodynamic and cognitive-behavioral approaches of obsessive-compulsive disorder: Is it time to work through our ambivalence. Bulletin of the Menninger Clinic, 71(4), 291-311.
Khosravi, Z., Rahmatinejad. P., & Shahi Sadrabadi, F. (2016). A comparison of the quality of intimate relationships and interpersonal anger experience in individuals with obsessive compulsive disorder and generalized anxiety disorder and in normal group. Journal of Research in Psychological Health, 10(1), 42-32. [Persian]
Kim, J. E., Lee, S. W., & Lee, S. J. (2014) .Relationship between early maladaptive schemas and symptom dimensions in patients with obsessive–compulsive disorder. Psychiatry Res, 215, 134-140.
Kwak, K., & Lee, S. J. (2015). A comparative study of early maladaptive schemas in obsessive–compulsive disorder and panic disorder. Psychiatry Research, 230, 757-762.
Lee, S., Won, S., & Lee, S. (2010). Characteristic maladaptive schemas in patients with obsessive-compulsive disorder. Cognitive Behavior Therapy in Korea, 10, 75-91.
Mehrabinia, F., & Shamsaee, M. M. (2019). Examination of the association between early maladaptive schemas and anger rumination in students based on gender.‏ Iranian Journal of Psychiatric Nursing, 6(1), 1-8. [Persian]
Moritz, S., Kempke, S., Luyten, P., Randjbar, S., & Jelinek, L. (2011). Was Freud partly right on obsessive–compulsive disorder (OCD). Investigation of latent aggression in OCD. Psychiatry Research, 187, 180-184.
Moritz, S., Wahl, K., Ertle, A., Jelinek, L., Hauschildt, M., Klinge, R., & Hand, I., (2009). Neither saints nor wolves in disguise: ambivalent interpersonal attitudes and behaviors in obsessive–compulsive disorder. Behavior Modification, 33, 274-292.
Moscovitch, D. A., McCabe, R. E., Antony, M. M., Rocca, L., & Swinson, R. P. (2008). Anger experience and expression across the anxiety disorders. Depression & Anxiety, 25, 107-113.
Offer, R., Lavie, R., Gothelf, D., & Apter, A., (2000). Defense mechanisms, negative emotions, and psychopathology in adolescent inpatients. Comprehensive Psychiatry, 41(1), 35-41.
Parker, H. A., McNally, R. J., Nakayama, K., & Wilhelm, S. (2004). No disgust recognition deficit in obsessive–compulsive disorder. Journal of Behavior Therapy and Experimental Psychiatry, 35, 183-192.
Pasha, R., & Sarraj Khorami, A. (2018). The effects of mindfulness based cognitive therapy on thinking rumination and dysfunctional attitudes in patients suffering from major depression disorder (MDD) and obsessive-compulsive disorder (OCD). Journal of Psychological Achievements, 25(1), 93-112. [Persian]
RajeziEsfahani, S., Motaghipour, Y., Kamkari, K., Zahiredin, A., & Janbozorgi, M. (2012). Reliability and validity of the Persian version of the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS). Iranian Journal of Psychiatry and Clinical Psychology, 17(4), 297-303. [Persian]
Reddy, Y. C. J., Sundar, A. S., Narayanaswamy, J. C., & Math, S. B. (2017). Clinical practice guidelines for obsessive-compulsive disorder. Indian Journal Psychiatry, 59(1), 74-90.
Ritchie, J., & Lewis, J. (2003). Qualitative research practice: A guide for social science students and researchers. London: SAGE Publications.
Robinson, L. J., & Freeston, M. H., (2014). Emotion and internal experience in obsessive compulsive disorder: Reviewing the role of alexithymia, anxiety sensitivity and distress tolerance. Clinical Psychology Review, 34(3), 256-271.
Ronen, T., (2013). The positive power of imagery (Translated by A. Khamseh). Tehran: Arjmand Publication.
Rottenberg, J., & Johnson, S. L. (2007). Emotion and psychopathology: Bridging affective and clinical science. Washington, DC: American Psychological Association.
Saee, R., Sepehrmanesh, Z., & Ahmadvand, A., (2017). Perceived emotions in patients with obsessive-compulsive disorder: Qualitative study. Fundamentals of Mental Health, 19(2), 84-89. [Persian]
Shapiro, L. J., & Stewart, S. E. (2011). Pathological guilt: A persistent yet overlooked treatment factor in obsessive-compulsive disorder. Annals of Clinical Psychiatry, 23, 2-9.
Shoval, G., Zalsman, G., Sher, L., Apter, A., & Weizman, A. (2006). Clinical characteristics of inpatient adolescents with severe obsessive-compulsive disorder. Depression and Anxiety, 23, 62-70.
Storch, E. A., Lack, C. W., Merlo, L. J., Geffken, G. R., Jacob, M. L., Murphy, T. K., et al. (2007). Clinical features of children and adolescents with obsessive-compulsive disorder and hoarding symptoms. Comprehensive Psychiatry, 48, 313-318.
Straus, A., & Corbin, J. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory (3rd Ed.). Los Angeles: Sag Publication.
Talee-Baktash, S., Yaghoubi, H., & Yousefi, R., (2013). Comparing the
early maladaptive schemas and cognitive emotion regulation strategies in obsessive-compulsive disorder patients and healthy people. Journal Feyz, 17(5), 471-81. [Persian]
Weingarden, H., & Renshaw, K. D., (2015). Shame in the obsessive-compulsive related disorders: A conceptual review. Journal of Affective Disorders, 171, 74-84.
Yoosefi, A., Rajezi Esfahani, S., Pourshahbaz, A., Dolatshahee, B., Assadi, A., Maleki, F., & Momeni, S. (2016). Early maladaptive schemas in obsessive-compulsive disorder and anxiety disorders. Global Journal of Health Science, 8(10), 167-177. [Persian]
Young, J. E., Klosko, J. S., & Weishaar, M. E., (2013). Schema therapy: A practitioner's guide (Translated by H., Hamidpour, and Z., Andooz). Tehran: Arjmand Publication.