Yorulmaz Orçun, Dirik Gülay, Karaali Oya, Uvez Emel
Department of Psychology, Faculty of Arts and Science, Uludağ University, Bursa, Turkey.
Turk Psikiyatri Derg. 2010 Summer;21(2):135-42.
Among the influential cognitive factors in obsessive-compulsive disorder (OCD), inferential confusion is a cognitive bias, which is described as the acceptance of possibilities as reality in contrast to sensory information. The present study aimed to determine the role of this construct in a clinical sample, and to test the cross-cultural validity of inferential confusion and to determine the psychometric properties of the Inferential Confusion Scale (ICS) in a Turkish clinical sample.
The study included a group of patients with OCD and other anxiety disorders, and a control group, both of which were administered the ICS, Eysenck Personality Questionnaire- Revised and Abbreviated Form (EPQR-A), Obsessive-Compulsive Beliefs Questionnaire (OBQ), Beck Depression Inventory (BDI), Trait Anxiety Inventory (TAI), and Padua Inventory-WSUR. One-way analysis of covariance (ANCOVA) was performed for group comparisons, while Pearson's Product Moment Correlation test was used to examine interrelationships among the variables.
ANCOVA analysis results indicate that OCD patients expressed more concern on the ICS, which had satisfactory reliability values, and this difference remained when controlled for depression and anxiety. In addition, inferential confusion was positively associated with OCD symptoms and relevant cognitive measures; thus, it seems that the Turkish version of the ICS is a reliable and valid instrument for the evaluation of inferential confusion. Furthermore, as with responsibility-threat estimation and depression, inferential confusion was one of the cognitive factors that differentiated the OCD patients from the controls and was a significant predictor of OCD symptoms, beyond other cognitive variables.
In accordance with the literature, the findings of the present study show that the Turkish ICS is a reliable and valid measure for use in Turkey, and that inferential confusion is a critical cognitive factor with an important role in OCD.
在强迫症（OCD）中有影响的认知因素中，推理混淆是一种认知偏差，它被描述为与感官信息相反，将可能性当作现实来接受。本研究旨在确定这一结构在临床样本中的作用，检验推理混淆的跨文化效度，并确定推理混淆量表（ICS）在土耳其临床样本中的心理测量特性。
该研究纳入了一组强迫症患者和其他焦虑症患者以及一个对照组，两组均接受了ICS、艾森克人格问卷修订简版（EPQR - A）、强迫信念问卷（OBQ）、贝克抑郁量表（BDI）、特质焦虑量表（TAI）和帕多瓦量表 - WSUR。进行单因素协方差分析（ANCOVA）以进行组间比较，同时使用皮尔逊积差相关检验来检验变量之间的相互关系。
ANCOVA分析结果表明，强迫症患者在ICS上表现出更多担忧，该量表具有令人满意的信度值，在控制抑郁和焦虑后这种差异依然存在。此外，推理混淆与强迫症症状及相关认知测量呈正相关；因此，ICS的土耳其语版本似乎是评估推理混淆的可靠且有效的工具。此外，与责任威胁估计和抑郁一样，推理混淆是区分强迫症患者与对照组的认知因素之一，并且是强迫症症状的重要预测指标，超越了其他认知变量。
与文献一致，本研究结果表明土耳其语的ICS是在土耳其使用的可靠且有效的测量工具，并且推理混淆是强迫症中一个关键的认知因素，在其中起着重要作用。
