Abramowitz J S, Whiteside S, Lynam D, Kalsy S
Mayo Clinic, Department of Psychiatry and Psychology, Rochester, MN 55905, USA.
Behav Res Ther. 2003 Sep;41(9):1069-79. doi: 10.1016/s0005-7967(02)00243-7.
Thought-action fusion (TAF) is a cognitive bias presumed to underlie the development of obsessional problems (i.e. obsessive-compulsive disorder; OCD). Previous studies have found that TAF is related to not only OCD, but also to other anxiety disorders. In the present study we compared levels of TAF in OCD patients and in patients with other anxiety disorders, depression, and healthy controls to examine whether TAF is characteristic of individuals with emotional distress in general, as opposed to anxiety disorders per se. We also examined whether negative affect (i.e. anxiety and depression) mediates the relationship between OCD and TAF. Results indicated that OCD patients were characterized by higher scores on likelihood-self and likelihood-other TAF, but that this difference was predominately due to differences in negative affect. These findings support a model in which negative affect mediates the relationship between OCD and TAF.
思维-行动融合（TAF）是一种认知偏差，被认为是导致强迫问题（即强迫症；OCD）的潜在因素。先前的研究发现，TAF不仅与强迫症有关，还与其他焦虑症有关。在本研究中，我们比较了强迫症患者、其他焦虑症患者、抑郁症患者和健康对照组的TAF水平，以检验TAF是否是一般情绪困扰个体的特征，而不是焦虑症本身的特征。我们还研究了消极情绪（即焦虑和抑郁）是否介导了强迫症与TAF之间的关系。结果表明，强迫症患者在自我可能性和他人可能性TAF上得分较高，但这种差异主要是由于消极情绪的差异。这些发现支持了一个消极情绪介导强迫症与TAF之间关系的模型。
