Department of Psychology, Concordia University, 7141 Sherbrooke St. West, Montréal, QC, H4B 1R6, Canada.
J Anxiety Disord. 2010 Mar;24(2):211-22. doi: 10.1016/j.janxdis.2009.10.010. Epub 2009 Nov 6.
Excessive reassurance-seeking (ERS) is a common problem among both obsessive-compulsive and depressed populations. However, the content and cognitive processes involved in ERS may differ in these populations according to the unique cognitive and behavioral characteristics demonstrated by each group. To assess factors involved in the onset, maintenance and termination of ERS and repeated checking, the current investigation employed a semi-structured interview with non-depressed obsessive-compulsive disorder (OCD) respondents (n=15), clinically depressed individuals without OCD (n=15), and healthy control participants (n=20). Results showed that whereas individuals with OCD reported seeking reassurance primarily about perceived general threats (e.g., fire, theft), the depressed group reported seeking reassurance primarily about perceived social threats (e.g., abandonment, loss of support). Clinical participants reported greater anxiety, sadness and perceived threat in association with ERS and repeated checking than healthy control participants. These findings are discussed in terms of cognitive-behavioral models of OCD and depression.
过度寻求保证（ERS）是强迫症和抑郁症患者中常见的问题。然而，根据每个群体表现出的独特认知和行为特征，ERS 和反复检查中涉及的内容和认知过程在这些人群中可能不同。为了评估 ERS 和反复检查的发生、维持和终止的相关因素，本研究采用半结构化访谈对非抑郁强迫症（OCD）受访者（n=15）、无 OCD 的临床抑郁个体（n=15）和健康对照组参与者（n=20）进行了评估。结果表明，强迫症患者主要寻求对感知到的一般威胁（例如火灾、盗窃）的保证，而抑郁组则主要寻求对感知到的社会威胁（例如被遗弃、失去支持）的保证。与健康对照组相比，临床参与者报告说，在 ERS 和反复检查时会感到更大的焦虑、悲伤和感知到的威胁。这些发现根据 OCD 和抑郁的认知行为模型进行了讨论。
