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正常与异常强迫观念的内容差异。

Content difference between normal and abnormal obsessions.

作者信息

Rassin Eric, Cougle Jesse R, Muris Peter

机构信息

Faculty of Social Sciences, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands.

出版信息

Behav Res Ther. 2007 Nov;45(11):2800-3. doi: 10.1016/j.brat.2007.07.006. Epub 2007 Jul 24.

Abstract

Although it has long been thought that experiencing an obsession is a psychiatric symptom, more recent literature, has seen the normalisation of obsessions and other presumably clinical phenomena. That is, not only people suffering from psychiatric disorders experience obsessions but non-clinical individuals also do so. Furthermore, it has been argued that such normal obsessions are very similar to abnormal ones, in terms of content. However, in the present study, evidence was obtained indicating that normal and abnormal obsessions do differ in content. A sample of 133 healthy undergraduates was given a list of 70 obsessions, with some originating from obsessive-compulsive disorder (OCD) patients, and others stemming from healthy volunteers. Participants were asked to indicate whether they had ever experienced these obsessions. Participants endorsed significantly more normal than abnormal obsessions, suggesting that the two kinds of obsessions do differ from each other. In addition, the experience of clinical obsessions was more strongly associated with scores on a measure of OCD symptoms, than was the experience of normal obsessions.

摘要

长期以来,人们一直认为经历强迫观念是一种精神症状,但最近的文献显示,强迫观念和其他可能的临床现象已趋于正常化。也就是说,不仅患有精神疾病的人会经历强迫观念,非临床个体也会如此。此外,有人认为,就内容而言,这种正常的强迫观念与异常的强迫观念非常相似。然而,在本研究中,有证据表明正常和异常的强迫观念在内容上确实存在差异。133名健康本科生的样本被给出了一份包含70种强迫观念的清单,其中一些源于强迫症患者,另一些则源于健康志愿者。参与者被要求指出他们是否曾经历过这些强迫观念。参与者认可的正常强迫观念明显多于异常强迫观念,这表明这两种强迫观念确实彼此不同。此外,与正常强迫观念的经历相比,临床强迫观念的经历与强迫症症状量表的得分之间的关联更强。

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