Bartın State Hospital, Department of Psychiatry, Bartın, Turkey.
Compr Psychiatry. 2013 Jul;54(5):541-8. doi: 10.1016/j.comppsych.2012.11.006. Epub 2013 Jan 9.
This study aimed to determine the relationship between metacognitions and insight in obsessive compulsive disorder. One hundred individuals who had been diagnosed according to "Diagnostic and Statistical Manual of Mental Disorders Fourth Edition Text Revision" criteria as having obsessive compulsive disorder and 50 healthy controls are included in the study. A sociodemographic and clinical data form, the Yale-Brown Obsession and Compulsion Scale and the Beck Depression Inventory were given to the participants. Insight is assessed by the 11th item of the Yale-Brown Obsession and Compulsion Scale. The Metacognition Questionnaire-30 was administered to both the obsessive compulsive disorder and the control groups to assess metacognitions. We found that the metacognition scores were statistically different in all groups and that the metacognition scores were higher in the obsessive compulsive disorder with good insight group than in the obsessive compulsive disorder with poor insight and control groups. In the obsessive compulsive disorder with poor insight group, all of the metacognition subscale scores were lower than those in the obsessive compulsive disorder with good insight group. Our findings elucidate the relationship between metacognitions and insight in obsessive compulsive disorder.
本研究旨在确定强迫症中元认知与洞察力之间的关系。研究纳入了 100 名根据“精神障碍诊断与统计手册第四版文本修订版”标准诊断为强迫症的患者和 50 名健康对照者。参与者接受了社会人口统计学和临床数据表格、耶鲁-布朗强迫症量表和贝克抑郁量表的评估。洞察力通过耶鲁-布朗强迫症量表的第 11 项进行评估。元认知问卷-30 用于评估强迫症患者和对照组的元认知。我们发现，所有组的元认知评分均存在统计学差异，且洞察力良好的强迫症患者的元认知评分高于洞察力差的强迫症患者和对照组。在洞察力差的强迫症患者组中，所有元认知子量表评分均低于洞察力良好的强迫症患者组。我们的研究结果阐明了强迫症中元认知与洞察力之间的关系。
