Doron Guy, Moulding Richard, Kyrios Michael, Nedeljkovic Maja
Department of Psychology, University of Melbourne, Melbourne, Australia.
Depress Anxiety. 2008;25(10):874-84. doi: 10.1002/da.20369.
Aspects of self-concept have been implicated in recent cognitive theories of obsessive compulsive disorder (OCD). It has been proposed that OCD is associated with perceptions of incompetence in self-domains considered important by the individual. A previous study in nonclinical individuals found that such "sensitivity of self" in the areas of job competence, morality and social acceptability was associated with elevated OCD symptoms and related beliefs. This study examined whether self-sensitivity is related to higher OCD symptoms and cognitions in individuals with OCD, and whether such self-sensitivity is specific to OCD versus other anxiety disorders. Clinical samples with OCD (N=30), other anxiety disorders (N=20) and a community control sample (N=32) participated in the study. It was found that in the OCD group, sensitivity in moral domains, but not job competence or social acceptability, was associated with higher levels of OCD symptoms and OCD-related beliefs. Sensitivity in the domains of morality and job competence was found in the OCD cohort, whereas individuals with other anxiety disorders did not show such sensitivity, suggesting some specificity of relationships to OCD. Implications for theory and therapy are discussed.
自我概念的各个方面已被纳入近期关于强迫症（OCD）的认知理论中。有人提出，强迫症与个体认为重要的自我领域中的无能感认知有关。之前一项针对非临床个体的研究发现，在工作能力、道德和社会可接受性等方面的这种“自我敏感性”与强迫症症状及相关信念的增加有关。本研究探讨了自我敏感性是否与强迫症患者更高的强迫症症状和认知有关，以及这种自我敏感性是否是强迫症相对于其他焦虑症所特有的。患有强迫症（N = 30）、其他焦虑症（N = 20）的临床样本以及一个社区对照样本（N = 32）参与了该研究。研究发现，在强迫症组中，道德领域的敏感性与更高水平的强迫症症状和强迫症相关信念有关，而工作能力或社会可接受性方面的敏感性则不然。在强迫症队列中发现了道德和工作能力领域的敏感性，而患有其他焦虑症的个体并未表现出这种敏感性，这表明与强迫症的关系存在一定特异性。文中讨论了该研究对理论和治疗的启示。
