Aardema Frederick, O'Connor Kieron P, Emmelkamp Paul M G, Marchand André, Todorov Christo
Centre de Recherche Fernand-Seguin, 7331 Hochelaga, Montréal, Qué., Canada H1N 3V2.
Behav Res Ther. 2005 Mar;43(3):293-308. doi: 10.1016/j.brat.2004.02.003.
The current article represents the further validation of the construct of inferential confusion amongst clinical samples. Inferential confusion is proposed to be a meta-cognitive confusion particularly relevant to obsessive compulsive disorder (OCD) that leads a person to confuse an imagined possibility with an actual probability. As such, it conceptualizes OCD as a form of belief disorder similar to a delusion or overvalued idea that is a product of distorted reasoning processes. In contrast, other cognitive models of OCD emphasize a phobic model of development in OCD, and thus consider the exaggerated interpretation of intrusions as an essential element in OCD. The present study administered a revised version of the Inferential Confusion Questionnaire, and the Obsessive Belief Questionnaire (OBQ), to a total of 183 participants in three clinical groups and a non-clinical control group. Results suggest that OCD, at least in part, follows a non-phobic model of development with inferential confusion significantly related to obsessive-compulsive symptoms independently of cognitive domains as measured by the OBQ, and mood states. Further, scores on inferential confusion were particularly high in those with OCD and delusional disorder as compared to anxious and non-clinical controls.
本文展示了对临床样本中推理混淆结构的进一步验证。推理混淆被认为是一种元认知混淆，尤其与强迫症（OCD）相关，它会导致一个人将想象中的可能性与实际概率相混淆。因此，它将强迫症概念化为一种信念障碍形式，类似于妄想或超价观念，是扭曲推理过程的产物。相比之下，强迫症的其他认知模型强调强迫症发展的恐惧模型，因此将对闯入念头的夸大解释视为强迫症的一个基本要素。本研究对三个临床组和一个非临床对照组的总共183名参与者进行了修订版的推理混淆问卷和强迫信念问卷（OBQ）测试。结果表明，强迫症至少部分遵循非恐惧发展模型，推理混淆与强迫症状显著相关，独立于OBQ测量的认知领域和情绪状态。此外，与焦虑症患者和非临床对照组相比，强迫症患者和妄想症患者的推理混淆得分特别高。
