Radomsky Adam S, Rachman S
Department of Psychology, Concordia University, 7141 Sherbrooke St West, Montreal, QC, Canada H4B 1R6.
J Behav Ther Exp Psychiatry. 2004 Jun;35(2):137-51. doi: 10.1016/j.jbtep.2004.04.005.
Investigations of memory and associated phenomena in obsessive-compulsive disorder (OCD) can advance our understanding of this often debilitating problem. Theoretical models predict both the presence and absence of memory biases in favour of threat-relevant information in association with anxiety disorders generally, and with OCD specifically. Two previous experiments (one involving compulsive washing and another involving compulsive checking) that demonstrated such a memory bias are reviewed in the context of the existing literature. Additionally, a new experiment failing to demonstrate such a bias (in association with compulsive ordering and arranging) is presented. The results are discussed in terms of cognitive-behavioural and information processing approaches to understanding OCD. It is argued that experiments which utilize stimuli that are low in ecological validity are unlikely to detect explicit memory biases in OCD. As such, experimental paradigms that are perceived as particularly significant, relevant and important to participants with OCD are encouraged.
对强迫症(OCD)患者的记忆及相关现象进行研究,有助于我们深入了解这一常常使人衰弱的问题。理论模型预测,一般焦虑症,尤其是强迫症患者,会存在或不存在有利于与威胁相关信息的记忆偏差。在现有文献的背景下,回顾了之前两个证明存在这种记忆偏差的实验(一个涉及强迫洗涤,另一个涉及强迫检查)。此外,还介绍了一个未能证明这种偏差(与强迫整理和排列有关)的新实验。从认知行为和信息处理方法的角度对结果进行了讨论,以理解强迫症。有人认为,使用生态效度低的刺激的实验不太可能检测到强迫症患者的显性记忆偏差。因此,鼓励采用对强迫症患者特别显著、相关和重要的实验范式。