Berle David, Phillips Emily S
Clinical Psychologist at the Nepean Anxiety Disorders Clinic and Adult Mental Health Rehabilitation Services, Sydney West Area Health Service, Australia.
Psychiatry. 2006 Fall;69(3):228-38. doi: 10.1521/psyc.2006.69.3.228.
In this paper, we review the growing body of literature investigating the association between obsessive-compulsive disorder (OCD) and the emotion of disgust. Initially studied with regard to specific phobias, the potential role of disgust responses in contamination concerns has led researchers to investigate possible associations between disgust and OCD symptoms. The literature on disgust-sensitivity in OCD is reviewed. Studies of disgust recognition in OCD and research using neuroimaging methods are then summarized. We suggest that disgust has a moderate association with OCD symptoms, particularly those which are contamination-based or which have a religious focus. Evidence for a disgust recognition deficit in patients with OCD is lacking; however, neuroimaging findings have confirmed hypothesized associations between contamination-focused OCD and the insula cortex, which has been implicated in disgust processing. Finally, treatment implications are discussed, and suggestions are made for further research.
在本文中，我们回顾了越来越多的关于研究强迫症（OCD）与厌恶情绪之间关联的文献。最初是针对特定恐惧症进行研究的，厌恶反应在污染相关问题中的潜在作用促使研究人员去探究厌恶与强迫症症状之间可能存在的关联。本文对有关强迫症中厌恶敏感性的文献进行了综述。接着总结了强迫症中厌恶识别的研究以及使用神经成像方法的研究。我们认为厌恶与强迫症症状存在中度关联，尤其是那些基于污染或具有宗教焦点的症状。强迫症患者中缺乏厌恶识别缺陷的证据；然而，神经成像研究结果证实了以污染为重点的强迫症与脑岛皮质之间的假设关联，脑岛皮质与厌恶处理有关。最后，讨论了治疗意义，并提出了进一步研究的建议。
