García-Montes José M, Pérez-Alvarez Marino, Soto Balbuena Cristina, Perona Garcelán Salvador, Cangas Adolfo J
Departamento de Personalidad, evaluación y tratamientos psicológicos, Universidad de Almería, La Cañada de San Urbano s/n, 04120-Almería, Spain.
Behav Res Ther. 2006 Aug;44(8):1091-104. doi: 10.1016/j.brat.2005.07.008. Epub 2005 Oct 5.
On the basis of the analogy between intrusive thoughts and auditory hallucinations established by Morrison et al. [(1995). Intrusive thoughts and auditory hallucinations: a cognitive approach. Behavioural and Cognitive Psychotherapy, 23, 265-280], the present work compares the metacognitive beliefs and processes of five groups of patients (current hallucinators, never-hallucinated people with a diagnosis of schizophrenia, recovered hallucinators, obsessive-compulsive disorder (OCD) patients, and a clinical control group) and a non-clinical group. The results show that of the five metacognitive factors considered in this study, two were found to be different in the current hallucinators group in comparison to any other group in the design. Likewise, it is found that the metacognitive beliefs of the current hallucinators coincide with those of the OCD patients in various factors, particularly that relating to superstition, and this is interpreted as lending support to the model of Morrison et al. (1995). Furthermore, the results are discussed in the light of existing research on Thought-Action Fusion, stressing the role that may be played by superstitious beliefs and magical thinking in auditory hallucinations and OCD.
基于莫里森等人（1995年）所确立的侵入性思维与幻听之间的类比关系[《侵入性思维与幻听：一种认知方法》，《行为与认知心理治疗》，第23卷，第265 - 280页]，本研究比较了五组患者（当前有幻听症状的患者、被诊断为精神分裂症但从未有过幻听症状的人、已康复的有幻听症状的患者、强迫症患者以及一个临床对照组）和一个非临床组的元认知信念及过程。结果显示，在本研究考虑的五个元认知因素中，发现当前有幻听症状的患者组与研究设计中的其他任何组相比，有两个因素存在差异。同样，研究发现当前有幻听症状的患者在多个因素上的元认知信念与强迫症患者的元认知信念一致，尤其是与迷信相关的因素，这被解释为支持了莫里森等人（1995年）的模型。此外，研究结果结合现有的关于思维 - 行动融合的研究进行了讨论，强调了迷信信念和神奇思维在幻听及强迫症中可能发挥的作用。
