Briggs Eric S, Price Ian R
Psychology, University of New England, Armidale, NSW, Australia.
J Anxiety Disord. 2009 Dec;23(8):1037-46. doi: 10.1016/j.janxdis.2009.07.004. Epub 2009 Jul 8.
Current cognitive-behavioral models of the etiology of obsessive-compulsive disorder (OCD) suggest that maladaptive appraisal of otherwise normal intrusive thoughts have their origins in early learning experiences. The present study investigated the relationship between adverse childhood experience and OCD symptoms and related dysfunctional beliefs in a general population using a structural equation modeling approach. The role of experiential avoidance and anxiety and depression were also explored in the model. Results indicated that adverse childhood experience was strongly associated with OCD symptoms and beliefs, but after controlling for anxiety and depression the relationship with OCD symptoms became non-significant and only a weak relationship with OCD beliefs remained. Experiential avoidance was significantly associated with OCD symptoms and beliefs and remained significant after controlling for anxiety and depression. Implications of these results in the context of a complete model of the development of OCD are discussed.
当前关于强迫症（OCD）病因的认知行为模型表明，对原本正常的侵入性思维的适应不良评估源于早期学习经历。本研究采用结构方程模型方法，调查了普通人群中童年不良经历与强迫症症状及相关功能失调信念之间的关系。模型中还探讨了经验性回避以及焦虑和抑郁的作用。结果表明，童年不良经历与强迫症症状和信念密切相关，但在控制焦虑和抑郁后，与强迫症症状的关系变得不显著，仅与强迫症信念存在微弱关系。经验性回避与强迫症症状和信念显著相关，在控制焦虑和抑郁后仍保持显著。本文讨论了这些结果在强迫症完整发展模型背景下的意义。
