University of Arkansas, Fayetteville, Arkansas, United States.
Cogn Behav Ther. 2012;41(3):203-11. doi: 10.1080/16506073.2011.621969. Epub 2012 Feb 6.
Cognitive accounts of obsessive compulsive disorder (OCD) assert that core beliefs are crucial to the development, maintenance, and treatment of the disorder. There are a number of obsessive beliefs that are considered fundamental to OCD, including personal responsibility, threat estimation, perfectionism, need for certainty, importance of thoughts, and thought control. The present study investigated if pretreatment severity of obsessive beliefs, as well as the change in obsessive beliefs following treatment, predicted intensive, residential cognitive behavioral therapy (CBT) treatment outcome. A series of hierarchical regression analyses were carried out to investigate the relations between obsessive beliefs and treatment outcome. Results indicated that inflated pretreatment responsibility/threat estimation beliefs were significantly related to less overall obsessive compulsive (OC) symptom reduction at discharge, explaining 2% of the overall variance. Changes in obsessive beliefs broadly, and importance/control of thoughts specifically, were positively related to overall OC symptom reduction at discharge, respectively explaining 18% and 3.6% variance. Results are modestly consistent with a number of theoretical models, which argue that inflated responsibility, threat estimation, and thought control are important to the maintenance and treatment of OCD.
认知理论认为强迫症（OCD）的核心信念对疾病的发展、维持和治疗至关重要。有许多被认为是 OCD 基础的强迫观念，包括个人责任感、威胁评估、完美主义、确定性需求、思想重要性和思想控制。本研究探讨了治疗前强迫观念的严重程度以及治疗后强迫观念的变化是否可以预测密集型住院认知行为疗法（CBT）的治疗效果。进行了一系列层次回归分析，以研究强迫观念与治疗结果之间的关系。结果表明，治疗前膨胀的责任/威胁评估信念与出院时整体 OCD 症状减轻程度显著相关，解释了总方差的 2%。强迫观念的变化以及思想的重要性/控制与出院时的整体 OCD 症状减轻呈正相关，分别解释了 18%和 3.6%的方差。结果与一些理论模型基本一致，这些模型认为膨胀的责任感、威胁评估和思想控制对 OCD 的维持和治疗很重要。
