Ekinci Okan, Ekinci Asli
a Department of Psychiatry , Usak State Hospital , Usak , Turkey.
Nord J Psychiatry. 2016 Nov;70(8):591-8. doi: 10.1080/08039488.2016.1188150. Epub 2016 Jun 1.
Cognitive insight, a recently developed insight measure, refers to metacognitive processes of the re-evaluation and correction of distorted beliefs and misinterpretations. However, to the best of the authors' knowledge, no study has specifically examined cognitive insight, demographics, psychopathological variables, and distorted beliefs in OCD.
The aim of this research was to examine links between cognitive insight and demographics, clinical factors, and distorted beliefs among patients with OCD.
Eighty-four consecutive outpatients with a diagnosis of OCD underwent a detailed clinical assessment for OCD, including the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Beck Cognitive Insight Scale (BCIS), Thought-Action Fusion Scale (TAFS), White Bear Thought Suppression Inventory, Metacognition Questioniarre-30 (MCQ-30), and a sociodemographic questionnaire. In addition, 82 control subjects matched for age, education, and gender were tested.
BCIS-self-certainty scores were all substantially higher in subjects with remitted and unremitted OCD than in healthy comparison subjects, while BCIS-composite scores were significantly lower in both patient groups than controls. Obsession and compulsion severity had significant effects on BCIS scores. In addition, it was found that the specific symptoms were linked to self-certainty scores. Self-reflectiveness and composite scores had positive correlations with the sub-scale scores of the MCQ-30, while the TAF-morality score was positively correlated with self-certainty scores.
The results demonstrated poor cognitive insight among remitted and unremitted OCD patients. In addition, the present study suggested significant associations between sociodemographic and clinical features and dysfunctional appraisals. Cognitive-behavioural techniques aimed at enhancing cognitive insight may be beneficial for patients with OCD, particularly patients who have prominent dysfunctional beliefs.
认知洞察力是一种最近开发的洞察力测量方法，指的是对扭曲信念和错误解读进行重新评估和纠正的元认知过程。然而，据作者所知，尚无研究专门考察强迫症患者的认知洞察力、人口统计学特征、心理病理变量和扭曲信念。
本研究旨在考察强迫症患者的认知洞察力与人口统计学特征、临床因素及扭曲信念之间的联系。
84例连续的强迫症门诊患者接受了针对强迫症的详细临床评估，包括耶鲁-布朗强迫症量表（Y-BOCS）、贝克认知洞察力量表（BCIS）、思维-行动融合量表（TAFS）、白熊思维抑制量表、元认知问卷-30（MCQ-30）以及一份社会人口学问卷。此外，对82名年龄、教育程度和性别相匹配的对照受试者进行了测试。
缓解期和未缓解期强迫症患者的BCIS-自我确定性得分均显著高于健康对照受试者，而两组患者的BCIS-综合得分均显著低于对照组。强迫观念和强迫行为的严重程度对BCIS得分有显著影响。此外，还发现特定症状与自我确定性得分有关。自我反思性和综合得分与MCQ-30的子量表得分呈正相关，而TAF-道德得分与自我确定性得分呈正相关。
结果表明缓解期和未缓解期强迫症患者的认知洞察力较差。此外，本研究表明社会人口学和临床特征与功能失调性评估之间存在显著关联。旨在提高认知洞察力的认知行为技术可能对强迫症患者有益，尤其是那些有突出功能失调信念的患者。
