Psychology Department, Brynmair Clinic, Llanelli, Hywel Dda Health Board, Wales.
Behav Cogn Psychother. 2011 Jul;39(4):399-411. doi: 10.1017/S1352465810000883. Epub 2011 Feb 21.
Magical thinking (MT), which has historically been associated with psychotic disorders, has more recently been found to be a central cognitive construct in Obsessive-Compulsive Disorder (OCD) that is associated with a poor prognosis (Einstein and Menzies, 2008). Although MT has been found to distinguish OCD from Panic Disorder (PD) (Einstein and Menzies, 2006), little is known about its role in other anxiety disorders.
This study aimed to compare whether elevated levels of magical thinking could distinguish individuals with OCD from non-anxious controls and individuals with Generalized Anxiety Disorder (GAD).
The Magical Ideation Scale (MIS, Eckblad and Chapman, 1983) was used to compare levels of magical thinking in groups of individuals with OCD (n = 40), GAD (n = 15), and a normal control group (n = 19).
As expected, the mean MIS score of the OCD group was significantly higher than that of the non-clinical group. Interestingly, there was no significant difference between the mean MIS scores of the OCD and GAD group. However, the results of correlational analyses suggest that it may have differing roles in these disorders.
Although elevated MT is evident in individuals with OCD, it may not be specific to OCD and may also be prominent in GAD. Further research is recommended to elucidate the exact role of this construct in these disorders.
神奇思维（MT）曾与精神病性障碍有关，最近被发现是强迫症（OCD）的核心认知结构，与预后不良有关（Einstein 和 Menzies，2008）。尽管 MT 已被发现可将 OCD 与惊恐障碍（PD）区分开（Einstein 和 Menzies，2006），但对于其在其他焦虑障碍中的作用知之甚少。
本研究旨在比较是否存在高水平的神奇思维可以将 OCD 患者与非焦虑对照者和广泛性焦虑障碍（GAD）患者区分开来。
使用神奇思维量表（MIS，Eckblad 和 Chapman，1983）比较 OCD 组（n=40）、GAD 组（n=15）和正常对照组（n=19）中神奇思维的水平。
正如预期的那样，OCD 组的 MIS 平均得分明显高于非临床组。有趣的是，OCD 组和 GAD 组的 MIS 平均得分之间没有显著差异。然而，相关分析的结果表明，它在这些疾病中可能具有不同的作用。
虽然 OCD 患者存在升高的 MT，但它可能不是 OCD 特有的，也可能在 GAD 中突出。建议进一步研究阐明这一结构在这些疾病中的确切作用。
