Moritz Steffen, Wahl Karina, Ertle Andrea, Jelinek Lena, Hauschildt Marit, Klinge Ruth, Hand Iver
University Medical Center Hamburg-Eppendorf, Department of Psychiatry and Psychotherapy, Hamburg, Germany.
Behav Modif. 2009 Mar;33(2):274-92. doi: 10.1177/0145445508327444. Epub 2008 Dec 1.
Inflated responsibility is ascribed a pivotal role in the pathogenesis of obsessive-compulsive disorder (OCD). The aim of the study was to assess interpersonal attitudes and behaviors contributing to enhanced responsibility in OCD. In particular, we tested the hypothesis that individuals diagnosed with OCD share stronger latent aggression toward others, resulting in a high degree of interpersonal ambivalence. A total of 176 participants with OCD, 42 participants with anxiety or depression as well as 42 healthy controls completed the Responsibility and Interpersonal Behaviors and Attitudes Questionnaire (RIBAQ). The factor analysis confirmed three factors: (1) inflated worry/responsibility, (2) latent aggression/calculating behavior and (3) suspiciousness/distrust. Whereas the psychiatric group displayed enhanced scores relative to healthy participants regarding responsibility and suspiciousness, OCD patients achieved significantly higher scores on the latent aggression dimension relative to both control groups. Results are consistent with the notion that participants with OCD show both inflated levels of (authentic) responsibility and latent aggression.
夸大的责任感在强迫症（OCD）的发病机制中被认为起着关键作用。本研究的目的是评估导致强迫症患者责任感增强的人际态度和行为。具体而言，我们检验了以下假设：被诊断为强迫症的个体对他人怀有更强的潜在攻击性，从而导致高度的人际矛盾情绪。共有176名强迫症患者、42名焦虑或抑郁患者以及42名健康对照者完成了责任与人际行为及态度问卷（RIBAQ）。因素分析确定了三个因素：（1）夸大的担忧/责任感，（2）潜在攻击性/算计行为，以及（3）猜疑/不信任。与健康参与者相比，精神疾病组在责任感和猜疑方面得分更高，而强迫症患者在潜在攻击性维度上的得分显著高于两个对照组。结果与以下观点一致，即强迫症患者表现出夸大的（真实）责任感水平和潜在攻击性。
