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临床强迫症样本中的分裂型、解离型和想象过程

Schizotypal, Dissociative, and Imaginative Processes in a Clinical OCD Sample.

作者信息

Paradisis Stella-Marie, Aardema Frederick, Wu Kevin D

机构信息

Research Centre, Montreal Mental Health University Institute.

University of Montreal.

出版信息

J Clin Psychol. 2015 Jun;71(6):606-24. doi: 10.1002/jclp.22173. Epub 2015 Apr 7.

Abstract

OBJECTIVE

Previous research in a nonclinical sample has suggested that schizotypal, dissociative, and imaginative processes may play a role in obsessive-compulsive disorder (OCD) symptoms (Aardema & Wu, ). The present study aims to extend these findings in a clinical sample.

METHOD

N = 75 adults (mean age = 37.99; 61.3% female), meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, diagnostic criteria for OCD completed a battery of self-report questionnaires measuring schizotypal, dissociative, and imaginative processes.

RESULTS

Hierarchical regression analyses revealed inferential confusion and dissociation to be the strongest predictors of OCD symptoms, replicating and extending the findings by Aardema and Wu ().

CONCLUSION

Results support the notion that inferential confusion and dissociation are important variables to consider in understanding symptoms of OCD independently from obsessive beliefs and negative mood states.

摘要

目的

先前在非临床样本中的研究表明,分裂样、分离性和想象过程可能在强迫症(OCD)症状中起作用(阿尔德马和吴,未提及具体文献)。本研究旨在将这些发现扩展到临床样本中。

方法

N = 75名成年人(平均年龄 = 37.99岁;61.3%为女性),符合《精神障碍诊断与统计手册》第四版,修订版中强迫症的诊断标准,完成了一系列测量分裂样、分离性和想象过程的自我报告问卷。

结果

分层回归分析显示,推理混乱和分离是强迫症症状最强的预测因素,重复并扩展了阿尔德马和吴(未提及具体文献)的研究结果。

结论

结果支持这样一种观点,即推理混乱和分离是在独立于强迫观念和负面情绪状态来理解强迫症症状时需要考虑的重要变量。

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