Pozza Andrea, Giaquinta Nicoletta, Dèttore Davide
Department of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, 53100 Florence, Italy ; Miller Institute of Behavioral and Cognitive Psychotherapy, Corso Torino 19/2, 16129 Genoa, Italy.
Miller Institute of Behavioral and Cognitive Psychotherapy, Corso Torino 19/2, 16129 Genoa, Italy.
Psychiatry J. 2015;2015:707850. doi: 10.1155/2015/707850. Epub 2015 Sep 6.
Poor attention has been dedicated to the relation between Alexithymia and specific OCD symptoms dimensions. Knowledge about which Alexithymia domains are the most affected ones in OCD dimensions could inform clinical practice, suggesting the need for the introduction of psychotherapeutic interventions targeting Alexithymia deficits. The current study aimed to investigate which OCD symptom dimension correlated with Alexithymia domains. A total of 425 community individuals (mean age = 27.80, SD = 9.89, 60% women) completed measures of Alexithymia, OCD symptoms dimensions, anxiety, and depression. Moderate correlations emerged between Difficulty Identifying Feelings and Hoarding (r = .36, p < .001) and Checking symptoms (r = .34, p < .001) and between Difficulty Describing Feelings and Pure Obsessing (r = .31, p < .001). Difficulty Identifying Feelings uniquely predicted OCD symptoms (β = 0.20, t = 3.96, and p < .001), after controlling for anxiety and depression. A main effect emerged of Alexithymia on Ordering (β = 0.70, t = 2.50, p < .05) and Pure Obsessing symptoms (β = 0.043, t = 2.08, and p < .05). Psychotherapeutic interventions specifically targeting Alexithymia should be integrated in the treatment of Ordering and Pure Obsessing symptoms. Difficulty Identifying Feelings and Difficulty Describing Feelings should be addressed in the psychotherapeutic treatment of Hoarding, Checking, and Pure Obsessing, respectively.
对于述情障碍与特定强迫症症状维度之间的关系，人们关注较少。了解在强迫症维度中哪些述情障碍领域受影响最大，可为临床实践提供参考，这表明有必要引入针对述情障碍缺陷的心理治疗干预措施。本研究旨在调查哪些强迫症症状维度与述情障碍领域相关。共有425名社区个体（平均年龄 = 27.80，标准差 = 9.89，60%为女性）完成了述情障碍、强迫症症状维度、焦虑和抑郁的测量。在难以识别情感与囤积（r = 0.36，p < 0.001）以及检查症状（r = 0.34，p < 0.001）之间，以及在难以描述情感与纯粹强迫观念（r = 0.31，p < 0.001）之间出现了中等程度的相关性。在控制焦虑和抑郁后，难以识别情感独特地预测了强迫症症状（β = 0.20，t = 3.96，p < 0.001）。述情障碍对整理（β = 0.70，t = 2.50，p < 0.05）和纯粹强迫观念症状（β = 0.043，t = 2.08，p < 0.05）产生了主效应。专门针对述情障碍的心理治疗干预应纳入整理和纯粹强迫观念症状的治疗中。在囤积、检查和纯粹强迫观念的心理治疗中，应分别处理难以识别情感和难以描述情感的问题。
