Neal Rachael L, Radomsky Adam S
Department of Psychology, Concordia University, Canada.
Department of Psychology, Concordia University, Canada.
J Behav Ther Exp Psychiatry. 2015 Dec;49(Pt B):188-194. doi: 10.1016/j.jbtep.2015.03.014. Epub 2015 Apr 7.
Repeated reassurance seeking (RS) is a hallmark feature of obsessive-compulsive disorder (OCD). Research in related areas of psychopathology suggests that familiarity with a partner can influence symptom expression. We hypothesized that participants in the company of a familiar (vs. unfamiliar) partner would seek more reassurance following an ambiguous task involving contamination-related threat.
Participants completed an ambiguous dishwashing task in the company of a familiar or unfamiliar other, and were subsequently given an opportunity to seek reassurance. Participants and their assigned partners completed a measure of RS wherein they reported the number of times the participant sought reassurance; actual reassurance seeking was coded based on a recording of the interaction.
Results demonstrated that participants sought more reassurance from familiar (vs. unfamiliar) others F(3, 86) = 9.20, p < .001, partial η(2) = .24); this effect was robust when partner-reported (F(1, 88) = 27.04, p < .001, partial η(2) = .24), a trend when participant-reported (F(1, 88) = 2.72, p = .10, partial η(2) = .03), but not significant when using objectively-coded data (F(1, 88) = 0.14, p = .71, partial η(2) = .00).
As this experiment was a preliminary attempt to examine RS in an interpersonal context, the study may not have captured compulsive or excessive RS.
Overall, results suggest that RS may be perceived as more excessive by familiar (versus unfamiliar) others, which may contribute to the distress experienced by carers of individuals with OCD.
反复寻求安慰(RS)是强迫症(OCD)的一个标志性特征。心理病理学相关领域的研究表明,与伴侣的熟悉程度会影响症状表现。我们假设,在涉及污染相关威胁的模糊任务后,与熟悉(而非陌生)伴侣在一起的参与者会寻求更多安慰。
参与者在熟悉或陌生的他人陪伴下完成一项模糊的洗碗任务,随后有机会寻求安慰。参与者及其指定的伴侣完成了一项RS测量,其中他们报告参与者寻求安慰的次数;实际的寻求安慰行为根据互动记录进行编码。
结果表明,参与者从熟悉(而非陌生)的他人那里寻求了更多安慰(F(3, 86) = 9.20, p <.001, 偏η(2) =.24);当由伴侣报告时,这种效应很显著(F(1, 88) = 27.04, p <.001, 偏η(2) =.24),当由参与者自己报告时呈趋势(F(1, 88) = 2.72, p =.10, 偏η(2) =.03),但使用客观编码数据时不显著(F(1, 88) = 0.14, p =.71, 偏η(2) =.00)。
由于本实验是在人际背景下检验RS的初步尝试,该研究可能未捕捉到强迫性或过度的RS。
总体而言,结果表明熟悉(相对于陌生)的他人可能会觉得RS更过度,这可能导致强迫症患者照顾者所经历的痛苦。