Coles Meredith E, Frost Randy O, Heimberg Richard G, Rhéaume Josée
Adult Anxiety Clinic of Temple, Department of Psychology, Temple University, Weiss Hall, 1701 North 13th Street, Philadelphia, PA 19122-6085, USA.
Behav Res Ther. 2003 Jun;41(6):681-700. doi: 10.1016/s0005-7967(02)00044-x.
Individuals with obsessive-compulsive disorder (OCD) frequently report uncomfortable sensations of things not being just right ("not just right experiences"; NJREs) and a need to ritualize until they quiet these sensations. However, very little work has been conducted to empirically examine the nature and characteristics of this phenomenon. In this paper, we present two studies that systematically examine NJREs in large undergraduate samples. In Study 1, NJREs were shown to be related to both OCD features and maladaptive domains of perfectionism. In Study 2, NJREs were again significantly related to OCD features. Further, NJREs were shown to have particularly strong relationships with specific OCD symptom clusters (e.g., checking, ordering). Finally, NJREs were significantly more strongly correlated with features of OCD than symptoms from other domains of psychopathology (e.g., social anxiety, trait anxiety, worry, depression). General conclusions are drawn, and future directions are discussed.
患有强迫症(OCD)的个体经常报告感觉事情不对劲时会产生不舒服的感觉(“不对劲的体验”;NJREs),并且需要进行仪式化行为,直到这些感觉消失。然而,很少有研究从实证角度来检验这一现象的本质和特征。在本文中,我们展示了两项在大量本科学生样本中系统研究NJREs的研究。在研究1中,NJREs被证明与强迫症特征和完美主义的适应不良领域都有关联。在研究2中,NJREs再次与强迫症特征显著相关。此外,NJREs被证明与特定的强迫症症状群(如检查、排序)有特别强的关系。最后,与其他精神病理学领域的症状(如社交焦虑、特质焦虑、担忧、抑郁)相比,NJREs与强迫症特征的相关性显著更强。我们得出了一般性结论,并讨论了未来的研究方向。