Moulding Richard, Kyrios Michael, Doron Guy
Department of Psychology, University of Melbourne, Parkville, Victoria 3052, Australia.
Behav Res Ther. 2007 Jul;45(7):1693-702. doi: 10.1016/j.brat.2006.08.020. Epub 2006 Oct 16.
Obsessive-compulsive disorder (OCD) is characterized by repeated and persistent attempts by the individual to control their thoughts and by taking action through rituals in order to prevent feared or personally distressing outcomes. While cognitive theories of OCD have generated supportive research findings and effective treatments, they have not considered broader control beliefs that may motivate aspects of OC-phenomenology. We have previously proposed that broader control beliefs, specifically desire for control and sense of control, may play a role in OC-symptoms (Moulding & Kyrios, 2006). In the present study, non-clinical participants (N=219) were presented with four hypothetical scenarios relevant to an OCD-checking concern, and using a manipulation paradigm, the relationship between control constructs and appraisals hypothesized to be relevant to OCD (threat, responsibility) was examined. Desire for control was moderately affected to responsibility and threat appraisals, while sense of control did not relate to these constructs. The relationship between aspects of OC-phenomenology and appraisals of control, responsibility and threat were also investigated. Higher desire for control predicted both affect and action, while a lower sense of control predicted higher distress and action, over-and-above appraisals of threat and responsibility. Control appraisals were particularly relevant to use of action, and to affect in the low responsibility situations. A possible interactive model of desire for control, threat and responsibility is discussed.
强迫症(OCD)的特征是个体反复且持续地试图控制自己的思维,并通过仪式化行为来采取行动,以防止恐惧的或个人痛苦的结果。虽然强迫症的认知理论已经产生了支持性的研究结果和有效的治疗方法,但它们尚未考虑到可能激发强迫现象学某些方面的更广泛的控制信念。我们之前曾提出,更广泛的控制信念,特别是对控制的渴望和控制感,可能在强迫症状中起作用(莫尔丁 & 基里奥斯,2006年)。在本研究中,向非临床参与者(N = 219)呈现了四个与强迫症检查相关的假设情景,并使用一种操纵范式,研究了控制结构与假设与强迫症相关的评估(威胁、责任)之间的关系。对控制的渴望受到责任和威胁评估的中度影响,而控制感与这些结构无关。还研究了强迫现象学的各个方面与控制、责任和威胁评估之间的关系。除了威胁和责任评估之外,对控制的更高渴望预测了情感和行动,而较低的控制感预测了更高的痛苦和行动。控制评估与行动的使用以及低责任情况下的情感特别相关。讨论了一个关于对控制的渴望、威胁和责任的可能的交互模型。