Godwin Tanya L, Godwin Hayward J, Simonds Laura M
School of Psychology, University of Surrey, Guildford, UK.
School of Psychology, University of Southampton, Southampton, UK.
Clin Psychol Psychother. 2020 Nov;27(6):887-901. doi: 10.1002/cpp.2476. Epub 2020 Jun 24.
Obsessive-compulsive disorder (OCD) is one of the most debilitating health conditions in the world. There has been a vast amount of research into factors that increase the likelihood of developing OCD, and there are several explanatory models. Current cognitive models of OCD can be split into appraisal-based and self-doubt models. To date, cognitive-behavioural therapy for OCD (grounded in appraisal-based models) is the recommended treatment approach, and research into the importance of self-doubt beliefs has been somewhat neglected. This paper therefore aims to consolidate current research, utilizing a systematic review approach, to establish the relationship between fear of self, self-ambivalence, and obsessive-compulsive symptomatology. A systematic search was conducted based on inclusion criteria identified for this review. Papers were then individually appraised for quality and key data extracted from each paper. A total of 11 studies were included in the final sample. Fear of self and self-ambivalence were both consistently found to be significant predictors of obsessive-compulsive symptomatology. In particular, research suggests that there is a strong link between self-doubt beliefs and obsessions and obsessional beliefs related to OCD. Limitations of the review and suggestions for future research are made and applications to clinical practice discussed.
强迫症（OCD）是世界上最使人衰弱的健康状况之一。针对增加患强迫症可能性的因素已有大量研究，并且存在多种解释模型。当前的强迫症认知模型可分为基于评估的模型和自我怀疑模型。迄今为止，针对强迫症的认知行为疗法（基于评估模型）是推荐的治疗方法，而对自我怀疑信念重要性的研究在一定程度上被忽视了。因此，本文旨在利用系统综述方法整合当前研究，以确定对自我的恐惧、自我矛盾情感与强迫症状之间的关系。根据本次综述确定的纳入标准进行了系统检索。然后对论文逐一进行质量评估，并从每篇论文中提取关键数据。最终样本共纳入11项研究。对自我的恐惧和自我矛盾情感均一直被发现是强迫症状的重要预测因素。特别是，研究表明自我怀疑信念与强迫症相关的强迫观念和强迫性信念之间存在紧密联系。文中指出了综述的局限性以及对未来研究的建议，并讨论了其在临床实践中的应用。
