University of British Columbia, BC, Canada.
Fordham University, NY, USA.
J Anxiety Disord. 2014 Aug;28(6):580-9. doi: 10.1016/j.janxdis.2014.06.003. Epub 2014 Jun 16.
Intrusive musical imagery (IMI) consists of involuntarily recalled, short, looping fragments of melodies. Musical obsessions are distressing, impairing forms of IMI that merit investigation in their own right and, more generally, research into these phenomena may broaden our understanding of obsessive-compulsive disorder (OCD), which is phenomenologically and etiologically heterogeneous. We present the first comprehensive review of musical obsessions, based on the largest set of case descriptions ever assembled (N=96). Characteristics of musical obsessions are described and compared with normal IMI, musical hallucinations, and visual obsessional imagery. Assessment, differential diagnosis, comorbidity, etiologic hypotheses, and treatments are described. Musical obsessions may be under-diagnosed because they are not adequately assessed by current measures of OCD. Musical obsessions have been misdiagnosed as psychotic phenomena, which has led to ineffective treatment. Accurate diagnosis is important for appropriate treatment. Musical obsessions may respond to treatments that are not recommended for prototypic OCD symptoms.
侵入性音乐意象（IMI）由不由自主地回忆、简短、循环的旋律片段组成。音乐痴迷是令人痛苦的，值得对其进行调查的形式的 IMI，更广泛地说，对这些现象的研究可以拓宽我们对强迫症（OCD）的理解，强迫症在现象学和病因学上是多种多样的。我们根据有史以来最大的案例描述集（N=96），首次对音乐痴迷进行了全面审查。描述了音乐痴迷的特征，并将其与正常的 IMI、音乐幻觉和视觉强迫性意象进行了比较。描述了评估、鉴别诊断、共病、病因假设和治疗方法。由于目前对 OCD 的评估方法不够充分，音乐痴迷可能被诊断不足。音乐痴迷被误诊为精神病现象，导致治疗无效。准确的诊断对于适当的治疗很重要。音乐痴迷可能对不推荐用于典型 OCD 症状的治疗方法有反应。
