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思维-行动融合与责任态度以及思维抑制如何加重强迫症症状?

How does thought-action fusion relate to responsibility attitudes and thought suppression to aggravate the obsessive-compulsive symptoms?

机构信息

Middle East Technical University, Ankara, Turkey.

出版信息

Behav Cogn Psychother. 2011 Jan;39(1):99-114. doi: 10.1017/S1352465810000524. Epub 2010 Sep 17.

DOI:10.1017/S1352465810000524
PMID:20846469
Abstract

BACKGROUND

Comprehensive cognitive theories of obsessive compulsive disorder (OCD) propose that clinical obsessions and compulsions arise from specific sorts of dysfunctional beliefs and appraisals, such as inflated sense of responsibility, thought-action fusion (TAF), and thought suppression.

AIMS

The present study aimed to examine the mediator roles of responsibility and thought suppression between TAF and obsessive-compulsive symptoms. Specifically, it aimed to explore the relative effects of TAF factors (i.e. morality and likelihood) on inflated sense of responsibility and on thought suppression to increase the obsessive qualities of intrusions.

METHOD

Two hundred and eighty-three Turkish undergraduate students completed a battery of measures on responsibility, thought suppression, TAF, OC symptoms, and depression.

RESULTS

A series of hierarchical regression analyses, where depressive symptoms were controlled for, indicated that TAF-morality and TAF-likelihood follow different paths toward OC symptoms. Although TAF-morality associated with inflated sense of responsibility, TAF-likelihood associated with thought suppression efforts, and in turn these factors increased OC symptoms.

CONCLUSIONS

These findings provide support for the critical role of sense of responsibility and thought suppression between the relationship of TAF and OC symptoms. Findings were discussed in line with the literature.

摘要

背景

全面的强迫症认知理论提出,临床强迫观念和强迫行为源于特定类型的功能失调信念和评价,例如过度责任感、思维-行动融合(TAF)和思维抑制。

目的

本研究旨在检验 TAF 和强迫症状之间责任感和思维抑制的中介作用。具体来说,本研究旨在探讨 TAF 因素(即道德和可能性)对过度责任感和思维抑制的相对影响,以增加侵入性思维的强迫特质。

方法

283 名土耳其大学生完成了一份关于责任感、思维抑制、TAF、OC 症状和抑郁的测试。

结果

一系列分层回归分析表明,在控制抑郁症状的情况下,TAF-道德和 TAF-可能性对 OC 症状的影响途径不同。虽然 TAF-道德与过度责任感相关,TAF-可能性与思维抑制努力相关,而这些因素又增加了 OC 症状。

结论

这些发现支持了责任感和思维抑制在 TAF 和 OC 症状之间关系中的关键作用。研究结果与文献一致。

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