Kuelz Anne K, Stotz Ulrike, Riemann Dieter, Schredl Michael, Voderholzer Ulrich
Department of Psychiatry and Psychotherapy, University Hospital Freiburg, Freiburg, Germany.
J Nerv Ment Dis. 2010 Aug;198(8):593-6. doi: 10.1097/NMD.0b013e3181e9dd65.
Very little is known about dreams in patients with obsessive compulsive disorder, especially regarding changes over the course of treatment with stimulus exposure and response prevention. By use of dream content analysis, 40 dreams of 9 obsessive compulsive (OC) inpatients were compared with 84 dreams of 10 matched OC outpatients and 63 dreams of 11 healthy control participants. Dream protocols of inpatients were collected at the beginning of treatment and after the first exposure exercises. Controls filled in dream protocols in respective intervals. Before treatment, dreams of patients showed significantly less positive contents than dreams of healthy controls. Under treatment with exposure, a significant reduction of OC themes was observed. The findings support the continuity hypothesis of dreaming by showing a link between day-time symptoms and OC symptoms in dreams. Contrary to expectations, however, exposure treatment does not intensify dreams.
关于强迫症患者的梦境，我们所知甚少，尤其是在刺激暴露与反应阻止治疗过程中的变化。通过梦境内容分析，将9名强迫症住院患者的40个梦境与10名匹配的强迫症门诊患者的84个梦境以及11名健康对照参与者的63个梦境进行了比较。住院患者的梦境记录在治疗开始时和首次暴露练习后收集。对照组在相应时间段内填写梦境记录。治疗前，患者的梦境显示出比健康对照组的梦境明显更少的积极内容。在暴露治疗下，观察到强迫症主题显著减少。这些发现通过显示白天症状与梦境中的强迫症症状之间的联系，支持了梦境的连续性假设。然而，与预期相反，暴露治疗并没有加剧梦境。
