Rosa-Alcázar Ángel, Olivares-Olivares Pablo J, Martínez-Esparza Inmaculada Concepción, Parada-Navas José Luis, Rosa-Alcázar Ana I, Olivares-Rodríguez José
Departamento de Psicología, Universidad Católica de Murcia, Spain.
Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Universidad de Murcia, Spain.
Int J Clin Health Psychol. 2020 Jan-Apr;20(1):20-28. doi: 10.1016/j.ijchp.2019.07.006. Epub 2019 Dec 31.
BACKGROUND/OBJECTIVE: The main aim of this study was to analyze differences in inhibition and cognitive flexibility, taking into account some variables that may influence results (non verbal reasoning, depression, anxiety, intolerance of uncertainty, comorbidity, medication consumption).
The participants were 95 adults aged 17-61 years old ( = 33.48, = 11.13), primary (most severe) Generalized Anxiety Disorder or Obsessive-Compulsive Disorder and a healthy control group. Neuropsychological neasures were completed using computerized Wisconsin Card Sorting Test, Stroop Color Word Test and Go/NoGo Task.
Clinical groups presented worse results in cognitive flexibility to the control group. The obsessive-compulsive group showed worse scores in flexibility than the generalized anxiety group, once non-verbal reasoning and tolerance to uncertainty were controlled. Comorbidity and medication use did not affect results in the obsessive compulsive group but did however influence the generalized anxiety group.
Cognitive flexibility could be included treatment in the treatment of obsessive-compulsive disorder and generalized anxiety disorder.
背景/目的：本研究的主要目的是分析抑制和认知灵活性的差异，同时考虑一些可能影响结果的变量（非言语推理、抑郁、焦虑、对不确定性的不耐受、共病、药物消耗）。
参与者为95名年龄在17至61岁之间的成年人（平均年龄=33.48，标准差=11.13），患有原发性（最严重）广泛性焦虑症或强迫症，以及一个健康对照组。使用计算机化的威斯康星卡片分类测试、斯特鲁普颜色词测试和Go/NoGo任务完成神经心理学测量。
临床组在认知灵活性方面的结果比对照组差。在控制了非言语推理和对不确定性的耐受性后，强迫症组在灵活性方面的得分比广泛性焦虑组差。共病和药物使用对强迫症组的结果没有影响，但对广泛性焦虑组有影响。
认知灵活性可纳入强迫症和广泛性焦虑症的治疗中。
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