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OCD 和焦虑障碍中寻求保证和与保证相关行为的模式。

Patterns of reassurance seeking and reassurance-related behaviours in OCD and anxiety disorders.

机构信息

Centre for Forensicd Mental Health, Chiba University, Chiba, Japan.

出版信息

Behav Cogn Psychother. 2013 Jan;41(1):1-23. doi: 10.1017/S1352465812000665. Epub 2012 Sep 4.

Abstract

BACKGROUND

Reassurance seeking is particularly prominent in obsessive-compulsive disorder (OCD) and may be important in OCD maintenance.

AIMS

This study used a new self-report questionnaire to measure the range of manifestations of reassurance-seeking behaviours, describing their sources from which they seek, frequency, process (how they seek), and consequences (as opposed to triggers and motivations). This study also attempts to identify the degree to which reassurance is specific to OCD as opposed to panic disorder.

METHOD

Reassurance Seeking Questionnaire (ReSQ) was administered to 153 individuals with OCD, 50 individuals with panic disorder with/without agoraphobia, and 52 healthy controls. The reliability and validity of the measure was evaluated and found to be satisfactory.

RESULTS

Reassurance seeking was found to be more frequent in both anxiety disorders relative to healthy controls. Individuals diagnosed with OCD were found to seek reassurance more intensely and carefully, and were more likely to employ "self-reassurance" than the other two groups.

CONCLUSIONS

Further investigation of reassurance will enable better understanding of its role in the maintenance of anxiety disorders in general and OCD in particular.

摘要

背景

在强迫症(OCD)中,寻求安慰的行为尤为突出,这可能对 OCD 的维持很重要。

目的

本研究使用新的自报问卷来测量寻求安慰行为的表现范围,描述他们寻求安慰的来源、频率、过程(如何寻求)和后果(与触发因素和动机相反)。本研究还试图确定寻求安慰的程度是特定于 OCD 还是广泛性焦虑症。

方法

对 153 名强迫症患者、50 名伴有/不伴有广场恐怖症的惊恐障碍患者和 52 名健康对照者进行了安慰寻求问卷(ReSQ)的评估。该测量方法的信度和效度评估结果令人满意。

结果

与健康对照组相比,两种焦虑症患者的寻求安慰行为更为频繁。与其他两组相比,被诊断为 OCD 的个体表现出更强烈和更仔细地寻求安慰,并且更有可能采用“自我安慰”。

结论

进一步研究安慰寻求将有助于更好地理解其在维持一般焦虑症和特别是 OCD 中的作用。

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