Moritz Steffen, Jacobsen Dirk, Kloss Martin, Fricke Susanne, Rufer Michael, Hand Iver
Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf, Martinistrasse 52, D-20246 Hamburg, Germany.
Behav Res Ther. 2004 Jun;42(6):671-82. doi: 10.1016/S0005-7967(03)00190-6.
Previous research has produced conflicting findings on whether or not patients with subclinical or manifest obsessive-compulsive disorder (OCD) share an attentional bias for anxiety-related material. In the present study, 35 OCD patients were compared with 20 healthy controls on their performance in an emotional Stroop paradigm. Nine different stimulus conditions were compiled, including sets for depression-related and anxiety-related words as well as stimuli from two constructs with a potential relevance for the pathogenesis and maintenance of OCD symptomatology: responsibility and conscientiousness. Patients did not show enhanced interference for any of the conditions. Syndrome subtype and severity, avoidance and speed of information processing did not moderate results. The present study concurs with most prior research that OCD patients display no interference effect for general threat words. It deserves further consideration, that emotional interference effects in OCD as seen in other anxiety disorders occur when using idiosyncratic word material with a direct relation to the individual's primary concerns.
先前的研究对于亚临床或明显的强迫症（OCD）患者是否对与焦虑相关的材料存在注意偏向产生了相互矛盾的结果。在本研究中，对35名强迫症患者和20名健康对照者在情绪Stroop范式中的表现进行了比较。编制了九种不同的刺激条件，包括与抑郁相关和与焦虑相关的词汇集，以及来自与强迫症症状的发病机制和维持可能相关的两个构念的刺激：责任感和尽责性。患者在任何条件下均未表现出增强的干扰。综合征亚型和严重程度、回避以及信息处理速度均未调节结果。本研究与大多数先前的研究一致，即强迫症患者对一般威胁性词汇没有干扰效应。值得进一步考虑的是，与其他焦虑症一样，当使用与个体主要担忧直接相关的特质性词汇材料时，强迫症中会出现情绪干扰效应。
