Ojserkis Rachel, McKay Dean, Kim Se-Kang
Rhode Island Hospital, Providence, Rhode Island, and a Clinical Instructor in the Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island.
Professor of Psychology at Fordham University, Bronx, New York.
Bull Menninger Clin. 2020 Winter;84(1):53-78. doi: 10.1521/bumc_2020_84_04. Epub 2020 Jan 22.
Obsessive-compulsive (OC) symptoms have been associated with trauma exposure. Although no studies have specified relations between type of trauma and OC symptom presentations, this information may inform personalized care for this complex population. Thus, this study used profile analysis via multidimensional scaling to characterize typical OC symptom profiles in individuals exposed to interpersonal versus noninterpersonal traumas. Profiles were also correlated with self-reported disgust and mental contamination, which have been related to OC symptoms and interpersonal trauma in prior research. The interpersonal trauma group revealed two profiles: (1) Obsessing (high obsessing, low neutralizing), and (2) Ordering (high ordering, low obsessing). The noninterpersonal trauma group showed two profiles: (1) Hoarding/Ordering (high hoarding and ordering, low washing), and (2) Hoarding Only (high hoarding, low ordering). No significant correlations were found between OC profiles and disgust-related constructs. Clinical implications, limitations, and future directions are explored.
强迫症状与创伤暴露有关。虽然尚无研究明确创伤类型与强迫症状表现之间的关系,但这些信息可能为这一复杂人群的个性化护理提供参考。因此,本研究通过多维标度法进行轮廓分析,以描述人际创伤和非人际创伤个体的典型强迫症状轮廓。这些轮廓还与自我报告的厌恶和心理污染相关,先前研究表明它们与强迫症状和人际创伤有关。人际创伤组呈现出两种轮廓:(1)强迫(高强迫、低中和),以及(2)秩序(高秩序、低强迫)。非人际创伤组显示出两种轮廓:(1)囤积/秩序(高囤积和秩序、低清洗),以及(2)仅囤积(高囤积、低秩序)。强迫轮廓与厌恶相关结构之间未发现显著相关性。本文还探讨了临床意义、局限性和未来研究方向。