Aardema Frederick, O'Connor Kieron P, Emmelkamp Paul M G
Centre de Recherche Fernand-Seguin, Montréal, Québec, Canada.
Cogn Behav Ther. 2006;35(3):138-47. doi: 10.1080/16506070600621922.
The goal of the present study was to investigate whether inferential confusion could account for the relationships between obsessional beliefs and obsessive-compulsive disorder (OCD). The Inferential Confusion Questionnaire and the Obsessive Beliefs Questionnaire were administered to a sample of 85 participants diagnosed with OCD. Results showed that the relationship between obsessive beliefs and obsessive-compulsive symptoms decreased considerably when controlling for inferential confusion. Conversely, the relationship between inferential confusion and obsessive-compulsive symptoms was not substantially affected when controlling for obsessive beliefs. Since inferential confusion has an overlap with overestimation of threat, a competing hypothesis for the results was investigated. Results indicated that inferential confusion was factorially distinct from overestimation of threat, and that the independent construct of inferential confusion remains significantly related to obsessive-compulsive symptoms when controlling for anxious mood. These results are consistent with the claim that inferential confusion may be a more critical factor in accounting for OCD symptoms than are obsessive beliefs and appraisals.
本研究的目的是调查推理混乱是否能够解释强迫观念与强迫症（OCD）之间的关系。对85名被诊断为强迫症的参与者样本进行了推理混乱问卷和强迫观念问卷测试。结果显示，在控制推理混乱后，强迫观念与强迫症状之间的关系大幅降低。相反，在控制强迫观念后，推理混乱与强迫症状之间的关系并未受到实质性影响。由于推理混乱与威胁高估存在重叠，因此对该结果的一个竞争性假设进行了调查。结果表明，推理混乱在因素上与威胁高估不同，并且在控制焦虑情绪后，推理混乱这一独立结构与强迫症状仍显著相关。这些结果与以下观点一致，即推理混乱在解释强迫症症状方面可能比强迫观念和评估更为关键。
