Department of Psychology, Aarhus University, Jens Chr, Skous Vej 4, 8000 Aarhus, Denmark.
J Anxiety Disord. 2011 May;25(4):483-9. doi: 10.1016/j.janxdis.2010.12.001. Epub 2010 Dec 21.
The primary aim of the study was to investigate dysfunctional beliefs in the form of inflated responsibility (IR) and thought action fusion (TAF) as predictive and mediating variables in individual (n=33) and group (n=37) cognitive behavioral therapy (CBT) for obsessive compulsive disorder (OCD). IR and TAF declined significantly during CBT, and the decline was positively associated with change in OCD symptoms. However, when controlling for change in depressive symptoms, only change in IR remained significantly associated with OCD symptom change. The moral subtype of TAF predicted poorer treatment outcome, but only in group CBT. Both treatments produced a similar amount of change in the dysfunctional beliefs. The results provide some, preliminary evidence that IR, but not TAF, may be specifically involved in the change mechanisms of both individual and group CBT for OCD, although the design of the study with pre- and post-therapy measurements only does not allow for a causal mediator analysis.
研究的主要目的是调查功能失调信念的形式膨胀的责任（IR）和思维行动融合（TAF）作为预测和中介变量在个体（n=33）和团体（n=37）认知行为治疗（CBT）强迫症（OCD）。在 CBT 期间，IR 和 TAF 显著下降，下降与 OCD 症状的变化呈正相关。然而，当控制抑郁症状的变化时，只有 IR 的变化与 OCD 症状的变化显著相关。TAF 的道德亚型预测治疗效果较差，但仅在团体 CBT 中。两种治疗方法都能使功能失调信念发生类似程度的变化。研究结果提供了一些初步证据，表明 IR，但不是 TAF，可能与个体和团体 CBT 治疗 OCD 的变化机制特别相关，尽管该研究设计仅进行了治疗前后的测量，因此不允许进行因果中介分析。
