University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Behav Res Ther. 2011 Oct;49(10):695-9. doi: 10.1016/j.brat.2011.07.010. Epub 2011 Jul 29.
The present study examined whether beliefs about the importance of thoughts (i.e., thought--action fusion; TAF) are related to the target subject of the negative thought. One hundred and seven undergraduate students were randomly assigned to imagine either a beloved relative or a stranger being diagnosed with cancer and provided in vivo ratings of anxiety, likelihood, moral wrongness, urge to neutralize, and how upsetting the event would be if it occurred. Results indicated that thinking of a relative being diagnosed with cancer provoked more distress, urges to neutralize, and higher estimates of likelihood, as well greater use of mental neutralizing behaviors, compared to thinking of a stranger. Contrary to our prediction, the groups did not differ in their ratings of the moral wrongness. These findings broadly support the assertion that the more personally significant a negative intrusive thought, the more it will provoke distress and urges to neutralize. Results are discussed in terms of the cognitive model of obsessions and clinical implications are addressed.
本研究考察了对思想重要性的信念（即思维-行动融合；TAF）是否与负面思维的目标对象有关。107 名本科生被随机分配想象一位心爱的亲戚或陌生人被诊断出患有癌症，并对焦虑、可能性、道德错误、中和冲动以及如果发生这种情况会多么不安进行现场评分。结果表明，与想象一个陌生人相比，想到一个亲戚被诊断出患有癌症会引起更多的痛苦、中和冲动以及更高的可能性估计，以及更多地使用心理中和行为。与我们的预测相反，两组在道德错误的评价上没有差异。这些发现广泛支持这样一种观点，即负面侵入性思维越与个人意义重大，就越会引起痛苦和中和冲动。结果在强迫症的认知模型的基础上进行了讨论，并提出了临床意义。
