Anholt Gideon E, Emmelkamp Paul M G, Cath Danielle C, van Oppen Patricia, Nelissen Henri, Smit Johannes H
Department of Clinical Psychology, University of Amsterdam, Roeterstraat 15, 1018 WB, Amsterdam, The Netherlands.
Behav Res Ther. 2004 May;42(5):529-37. doi: 10.1016/S0005-7967(03)00159-1.
The obsessive-compulsive spectrum disorder (OCSD) theory postulates that a wide range of disorders is closely related to OCD. Current cognitive models ascertain that certain beliefs leading to misinterpretation of the significance of intrusions are important in the etiology and maintenance of OCD. This study examined whether pathological gambling, a disorder belonging to the OC spectrum, is characterized by similar dysfunctional cognitions as OCD. Dysfunctional beliefs of OCD patients were compared to those of patients with pathological gambling, panic disorder and normal controls. These beliefs were measured by the Obsessive-compulsive Beliefs Questionnaire-87 (OBQ-87), which was developed by a group of leading OCD researchers [Behav. Res. Ther. 35 (1997) 667]. It was hypothesized that according to the OCSD theory, pathological gamblers would exhibit similar cognitions to OCD patients, as well as increased levels of OCD symptoms. Analysis showed that OCD patients exhibited higher OBQ-87 scores than both panic patients and normal controls, but equal to pathological gambling patients. Pathological gamblers exhibited, however, no increase in OCD symptoms. These mixed results do not seem to support the OC spectrum theory for pathological gambling, moreover being contradictory to contemporary cognitive OCD models.
强迫谱系障碍（OCSD）理论假定，多种障碍与强迫症密切相关。当前的认知模型确定，某些导致对闯入念头的意义产生误解的信念在强迫症的病因和维持中起着重要作用。本研究考察了属于强迫谱系的病理性赌博是否具有与强迫症相似的功能失调认知特征。将强迫症患者的功能失调信念与病理性赌博患者、惊恐障碍患者及正常对照组的信念进行比较。这些信念通过由一组顶尖强迫症研究人员编制的强迫信念问卷-87（OBQ-87）进行测量[《行为研究与治疗》35（1997）667]。根据OCSD理论推测，病理性赌博者会表现出与强迫症患者相似的认知，以及更高水平的强迫症症状。分析表明，强迫症患者的OBQ-87得分高于惊恐障碍患者和正常对照组，但与病理性赌博患者相当。然而，病理性赌博者的强迫症症状并未增加。这些混合结果似乎并不支持病理性赌博的强迫谱系理论，而且与当代强迫症认知模型相矛盾。
