Hartley Samantha, Haddock Gillian, Vasconcelos e Sa Débora, Emsley Richard, Barrowclough Christine
School of Psychological Sciences, University of Manchester, UK; Greater Manchester West Mental Health NHS Foundation Trust, UK.
School of Psychological Sciences, University of Manchester, UK; Manchester Mental Health and Social Care Trust, UK.
Behav Res Ther. 2015 Feb;65:1-4. doi: 10.1016/j.brat.2014.12.002. Epub 2014 Dec 6.
Attempts to control or suppress thoughts are often unsuccessful and may even lead to an increase in the unwanted content. Intrusive thoughts and thought control are influential in the experience of psychosis, although recent findings have arisen from non-clinical samples and data tend to be retrospective in nature. The current study utilised repeated momentary assessments (experience sampling methodology) delivered as part of participants' daily routine to examine the associations between thought control and the experience of persecutory delusions and auditory hallucinations. The findings revealed that thought control was related to the subsequent severity and distress in relation to psychotic symptoms. Moreover, most of these effects persisted over two subsequent monitoring timepoints, although their size was diminished. These findings add weight to models of psychosis that include a role for thought control, and also highlight opportunities for targeted momentary interventions. Future work might seek to elucidate which specific aspects of thought control are important, alongside the use of more multifaceted measures of psychotic experiences.
试图控制或抑制想法往往是不成功的，甚至可能导致不想要的内容增加。侵入性思维和思维控制在精神病体验中具有影响力，尽管最近的研究结果来自非临床样本，且数据往往具有回顾性。本研究采用重复的即时评估（经验取样法），作为参与者日常活动的一部分，以检验思维控制与被害妄想和幻听体验之间的关联。研究结果表明，思维控制与随后精神病症状的严重程度和痛苦程度相关。此外，这些影响大多在随后的两个监测时间点持续存在，尽管其影响程度有所减弱。这些发现为包含思维控制作用的精神病模型提供了支持，也凸显了有针对性的即时干预的机会。未来的研究可能会试图阐明思维控制的哪些具体方面很重要，同时使用更全面的精神病体验测量方法。
