Melli Gabriele, Moulding Richard, Puccetti Camilla, Pinto Antonio, Caccico Laura, Drabik Marta Joanna, Sica Claudio
Institute for Behavioral and Cognitive Psychology and Psychotherapy of Florence, Florence, Italy.
Centre for Mental Health and Wellbeing Research, Deakin University, Melbourne, Australia.
Clin Psychol Psychother. 2020 Nov;27(6):847-857. doi: 10.1002/cpp.2468. Epub 2020 Jun 8.
Although current cognitive conceptualizations of obsessive-compulsive disorder (OCD) emphasize that rituals are performed in order to avoid overtly threatening outcomes, it has also been noted that there are individuals for whom the attempt to correct "not just right experiences" (NJREs) rather than dangerous outcomes per se appear important. This article examines the idea that individuals have differing tolerances for-or sensitivity to-NJREs, in a similar manner as occurs regarding for other experience such as the distinction between disgust propensity and disgust sensitivity. In Study 1, using a nonclinical Italian sample, the NJRE-Sensitivity Scale (NJRE-SS) was created and refined. Its final version consisted of eight items loading on two subscales-an intolerance of NJREs due to their perceived interference with cognitive tasks and due to their interference with enjoyment of life. In Study 2, the factor structured was confirmed in a separate sample. The measure was found to have convergent validity with related measures including a separate measure assessing the severity and frequency of NJREs themselves. However, the NJRE-SS predicted OCD symptoms over-and-above the general NJRE measure, with particularly the interference with cognitive tasks subscale being of importance. Clinical implications are discussed.
尽管目前对强迫症(OCD)的认知概念强调仪式行为是为了避免明显的威胁性后果,但也有人指出,对于一些人来说,试图纠正“感觉不对的体验”(NJREs)而非危险后果本身似乎更为重要。本文探讨了这样一种观点,即个体对NJREs的容忍度或敏感度存在差异,这与其他体验(如厌恶倾向和厌恶敏感度之间的区别)的情况类似。在研究1中,使用非临床意大利样本创建并完善了NJRE敏感度量表(NJRE-SS)。其最终版本由八个项目组成,这些项目加载在两个子量表上——由于NJREs被认为干扰认知任务以及干扰生活乐趣而导致的对NJREs的不耐受。在研究2中,在另一个样本中证实了该因子结构。研究发现该测量与相关测量具有收敛效度,包括一个单独评估NJREs本身严重程度和频率的测量。然而,NJRE-SS比一般的NJRE测量更能预测强迫症症状,特别是干扰认知任务的子量表尤为重要。文中还讨论了临床意义。