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强迫观念、畸形恐惧症、疑病症和饮食失调相关心理侵入的功能联系。

Functional links of obsessive, dysmorphic, hypochondriac, and eating-disorders related mental intrusions.

作者信息

Pascual-Vera Belén, Belloch Amparo

机构信息

Research and Treatment Unit for Obsessions and Compulsions (I'TOC), Universidad de Valencia, Spain.

出版信息

Int J Clin Health Psychol. 2018 Jan-Apr;18(1):43-51. doi: 10.1016/j.ijchp.2017.09.001. Epub 2017 Oct 16.

Abstract

Unwanted mental intrusions (UMIs) are the normal variants of obsessions in Obsessive-Compulsive Disorder (OCD), preoccupations about defects in Body Dysmorphic Disorder (BDD), images about illness in Hypochondriasis (HYP), and thoughts about eating in Eating Disorders (EDs). The aim was to examine the similarities and differences in the functional links of four UMI contents, adopting a within-subject perspective. : 438 university students and community participants (  = 29.84,  = 11.41; 70.54% women) completed the Questionnaire of Unpleasant Intrusive Thoughts (QUIT) to assess the functional links (emotions, appraisals, and neutralizing/control strategies) of the most upsetting UMIs with OCD, BDD, HYP and EDs-contents. : HYP-related intrusions caused the highest emotional impact, OCD-related intrusions were the most interfering, and EDs-related intrusions interfered the least. The four UMI were equally ego-dystonic. Women appraised OCD-related intrusions more dysfunctionally, but men appraised the four intrusive contents similarly. All UMI instigated the urge to "do something", to keep them under control and/or neutralizing them. : Similarities among the functional links of intrusions related to OCD, BDD, HYP and EDs contents support their transdiagnostic nature and they might contribute to understanding common factors in these disorders.

摘要

unwanted mental intrusions (UMIs) 是强迫症(OCD)中强迫观念的正常变体、躯体变形障碍(BDD)中对缺陷的过度关注、疑病症(HYP)中关于疾病的意象以及进食障碍(EDs)中关于饮食的想法。目的是采用受试者内视角,研究四种UMI内容在功能联系上的异同。438名大学生和社区参与者(平均年龄 = 29.84岁,标准差 = 11.41岁;70.54%为女性)完成了不愉快侵入性思维问卷(QUIT),以评估最令人困扰的UMI与OCD、BDD、HYP和EDs内容之间的功能联系(情绪、评估和中和/控制策略)。结果显示:与HYP相关的侵入引起的情绪影响最大,与OCD相关的侵入干扰性最强,与EDs相关的侵入干扰性最小。这四种UMI在自我不和谐方面程度相同。女性对与OCD相关的侵入的评估更具功能障碍性,但男性对这四种侵入性内容的评估相似。所有UMI都引发了“做点什么”的冲动,以控制和/或中和它们。结论:与OCD、BDD、HYP和EDs内容相关的侵入在功能联系上的相似性支持了它们的跨诊断性质,并且可能有助于理解这些疾病的共同因素。

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