School of Psychology, Interdisciplinary Center (IDC) Herzliya, Israel.
Psychol Psychother. 2012 Jun;85(2):163-78. doi: 10.1111/j.2044-8341.2011.02028.x. Epub 2011 Jun 17.
Obsessive compulsive disorder (OCD) is one of the most disabling and highly prevalent anxiety disorders (ADs). Current cognitive models of OCD implicate views about the self and world in the maintenance of the disorder. However, little research has focused on issues that may lead to vulnerability to such views. In particular, a person's attachment insecurities (attachment anxiety, avoidance) may be important risk factors increasing the likelihood of such non-adaptive perceptions (Doron & Kyrios, 2005).
Participants meeting criteria for OCD were compared with cohorts meeting criteria for other ADs and healthy controls on a range of measures including adult attachment, OC symptoms, cognitions, and mood.
Diagnosis of the clinical groups was established using the Anxiety Disorders Interview Schedule for DSM-IV (Brown, Di Nardo, & Barlow, 1994). The clinical relevance of attachment insecurities was ascertained by comparing their prevalence in an OCD sample (N = 30), an ADs sample (N = 20), and a community sample (N = 32).
Attachment anxiety was significantly higher in individuals with OCD, even when controlling for depression.
Addressing attachment anxiety in individuals presenting with OCD may be important for enhancing therapeutic outcomes. However, findings are based on cross-sectional data that preclude conclusions relating to causal influence.
强迫症（OCD）是最具致残性和高发性的焦虑障碍（AD）之一。目前关于 OCD 的认知模型表明，个体对自我和世界的看法与该障碍的维持有关。然而，很少有研究关注可能导致此类观点脆弱性的问题。特别是，一个人的依恋不安全感（依恋焦虑、回避）可能是增加出现这种非适应性认知的重要风险因素（Doron & Kyrios, 2005）。
通过一系列评估，包括成人依恋、OC 症状、认知和情绪，将符合 OCD 标准的参与者与符合其他 AD 标准和健康对照组进行比较。
采用 DSM-IV 焦虑障碍访谈表（Brown, Di Nardo, & Barlow, 1994）对临床组进行诊断。通过比较 OCD 样本（N = 30）、AD 样本（N = 20）和社区样本（N = 32）中依恋不安全感的患病率，确定其临床相关性。
即使在控制抑郁的情况下，OCD 患者的依恋焦虑也显著更高。
在出现 OCD 的个体中解决依恋焦虑问题可能对增强治疗效果很重要。然而，这些发现基于横断面数据，无法得出与因果影响相关的结论。
