Thompson-Hollands Johanna, Farchione Todd J, Barlow David H
Center for Anxiety and Related Disorders, Boston University, Boston, Massachusetts 02115, USA.
J Nerv Ment Dis. 2013 May;201(5):407-13. doi: 10.1097/NMD.0b013e31828e102c.
Thought-action fusion (TAF) is a cognitive error that has been frequently investigated within the context of obsessive-compulsive disorder (OCD). However, evidence suggests that this error may also be present in disorders other than OCD, indicating that TAF is related to higher order factors rather than a specific diagnosis. We explored TAF in a sample of patients with mixed diagnoses undergoing treatment with a transdiagnostic CBT protocol. Elevated TAF levels at baseline were not specific to patients with OCD. However, the presence of any generalized anxiety disorder (GAD) diagnosis was unexpectedly the strongest predictor of likelihood TAF. Likelihood TAF, a particular component of TAF, was reduced after transdiagnostic treatment, and this reduction was not affected by the presence of a GAD diagnosis. Results indicate that TAF is responsive to treatment and should be assessed and, perhaps, treated in disorders beyond OCD.
思维-行动融合（TAF）是一种认知错误，在强迫症（OCD）的背景下已被频繁研究。然而，有证据表明，这种错误也可能存在于强迫症以外的其他疾病中，这表明TAF与更高层次的因素有关，而不是与特定的诊断有关。我们在一组接受跨诊断认知行为疗法（CBT）方案治疗的混合诊断患者样本中探讨了TAF。基线时TAF水平升高并非强迫症患者所特有。然而，意外的是，任何广泛性焦虑症（GAD）诊断的存在是TAF可能性的最强预测因素。可能性TAF是TAF的一个特定组成部分，在跨诊断治疗后降低，并且这种降低不受GAD诊断存在的影响。结果表明，TAF对治疗有反应，并且应该在强迫症以外的疾病中进行评估，也许还应进行治疗。
