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强迫症症状维度中的经验性回避。

Experiential avoidance in symptom dimensions of OCD.

作者信息

Wetterneck Chad T, Steinberg Daniel S, Hart John

出版信息

Bull Menninger Clin. 2014 Summer;78(3):253-69. doi: 10.1521/bumc.2014.78.3.253.

Abstract

Experiential avoidance (EA) involves an unwillingness to remain in contact or experience unpleasant private events through attempts to avoid or escape from these experiences. EA is hypothesized to play a role in obsessive-compulsive disorder (OCD); however, previous studies have not found a significant relationship between EA and OCD severity. The present study examined the relationship between EA and OCD severity as measured by an updated measure of EA, an established measure of OCD severity (i.e., the Obsessive-Compulsive Inventory-Revised [OCI-R]), and a new measure of OCD symptom dimension severity, the Dimensional Obsessive-Compulsive Scale (DOCS). A sample of 83 nonreferred individuals meeting criteria for OCD completed the measures. Correlations between EA and the OCI-R corroborated previous findings; however, EA was significantly correlated with the DOCS. There were differences across the symptom dimensions, with EA significantly correlated with unacceptable thoughts, responsibility for harm, and symmetry, but not with contamination.

摘要

经验性回避(EA)是指通过试图避免或逃离这些经历,而不愿意接触或体验不愉快的个人事件。据推测,经验性回避在强迫症(OCD)中起作用;然而,先前的研究尚未发现经验性回避与强迫症严重程度之间存在显著关系。本研究通过更新后的经验性回避测量方法、既定的强迫症严重程度测量方法(即强迫症问卷修订版[OCI-R])以及新的强迫症症状维度严重程度测量方法——维度强迫症量表(DOCS),来检验经验性回避与强迫症严重程度之间的关系。83名符合强迫症标准的未被转诊个体的样本完成了这些测量。经验性回避与OCI-R之间的相关性证实了先前的研究结果;然而,经验性回避与DOCS显著相关。症状维度之间存在差异,经验性回避与不可接受的想法、伤害责任和对称性显著相关,但与污染无关。

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