The Clinical Research Unit for Anxiety and Depression, School of Psychiatry, UNSW Medicine, University of New South Wales, Australia.
J Behav Ther Exp Psychiatry. 2013 Jun;44(2):207-12. doi: 10.1016/j.jbtep.2012.09.004. Epub 2012 Oct 4.
Thought-action fusion (TAF), or maladaptive cognitions regarding the relationship between mental events and behaviours, has been implicated in the development and maintenance of obsessive-compulsive disorder (OCD). As some religions promote TAF-like appraisals, it has been proposed that religiosity may play a role in the transformation of normally occurring intrusive thoughts into clinically distressing obsessions. No research, however, has experimentally investigated the mediating role of TAF on the relationship between religiosity and OC symptoms.
85 Christian, Jewish, and Atheist/Agnostic participants were exposed to an experimental thought-induction protocol and reported on their associated levels of distress, guilt, feelings of responsibility, and urge to suppress target intrusions experienced during a 5-min monitoring period. Participants also completed measures of obsessive-compulsive symptomatology, TAF beliefs, and general psychopathology.
Using PROCESS and bootstrapping analyses, a test of the conditional indirect effects of religiosity on obsessive-compulsive symptoms revealed that Christianity moderated the effects of religiosity on moral TAF beliefs, which in turn mediated the relationship between religiosity and obsessive-compulsive symptoms. Furthermore, in the Christian group, moral TAF beliefs mediated the relationship between religiosity and ratings of guilt and responsibility following the experimental protocol.
The use of university students with moderate levels of religiosity.
Collectively the results suggest that obsessional thinking is not attributable to religion per se, but that teachings underlying certain religious doctrines may fuel TAF beliefs that are implicated in the maintenance of OCD.
思维-行动融合（TAF），或对心理事件与行为之间关系的不良认知，与强迫症（OCD）的发展和维持有关。由于一些宗教信仰提倡与 TAF 类似的评价，因此有人提出，宗教信仰可能在将正常出现的侵入性思维转变为临床上令人痛苦的强迫症方面发挥作用。然而，目前尚无研究从实验上探讨 TAF 在宗教信仰与 OC 症状之间的关系中是否起中介作用。
85 名基督教、犹太教和无神论/不可知论者参与者接受了实验性思维诱导方案，并报告了在 5 分钟监测期间经历的与目标侵入相关的困扰、内疚、责任感和抑制冲动的冲动的相关程度。参与者还完成了强迫症症状、TAF 信念和一般精神病理学的测量。
使用 PROCESS 和自举分析，对宗教信仰对强迫症症状的条件间接效应的检验表明，基督教调节了宗教信仰对道德 TAF 信念的影响，而道德 TAF 信念则介导了宗教信仰与强迫症症状之间的关系。此外，在基督教组中，道德 TAF 信念介导了宗教信仰与实验方案后内疚和责任感评分之间的关系。
使用了宗教信仰程度中等的大学生。
总体而言，研究结果表明，强迫思维不是归因于宗教本身，而是某些宗教教义背后的教义可能会助长 TAF 信念，这与 OCD 的维持有关。
