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寻求安慰在强迫症中的作用:寻求安慰、功能失调信念、负性情绪与强迫症状的关联。

The role of reassurance seeking in obsessive compulsive disorder: the associations between reassurance seeking, dysfunctional beliefs, negative emotions, and obsessive- compulsive symptoms.

机构信息

Department of Psychology, Ankara Hacı Bayram Veli University, Emniyet Mahallesi Abant 1 Cad. No:10/2D Yenimahalle, Ankara, Turkey.

出版信息

BMC Psychiatry. 2020 Jul 7;20(1):356. doi: 10.1186/s12888-020-02766-y.

DOI:10.1186/s12888-020-02766-y
PMID:32635924
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7339499/
Abstract

BACKGROUND

This study investigates the association of reassurance seeking with obsessive compulsive (OC) symptoms, dysfunctional beliefs, and negative emotions.

METHODS

Reassurance Seeking Questionnaire, Obsessive-Compulsive Inventory, Obsessive Beliefs Questionnaire, Trait Anger Expression Inventory, and Guilt Inventory were applied to 53 obsessive compulsive disorder (OCD) patients and 591 non-clinical participants.

RESULTS

The results showed that the severity of the OC symptoms significantly predicted the carefulness of OCD patients during reassurance seeking, indicating increased carefulness during reassurance seeking as the severity of OC symptoms increased. Moreover, feelings of guilt increased with increasing intensity of reassurance seeking. In addition, carefulness during reassurance seeking significantly predicted the level of anxiety. Responsibility/threat estimation, perfectionism/need for certainty, and importance/control of thoughts significantly predicted the OC symptoms. Moreover, the dysfunctional beliefs directly associated with an increased need to seek reassurance from different sources and seek reassurance more carefully. In terms of mediational effect, the results revealed that the individuals who had distorted beliefs were more likely to have OC symptoms and, in turn, the OC symptoms increased carefulness during reassurance seeking. The analysis of the model test revealed mostly similar results to those obtained for the clinical sample.

CONCLUSIONS

The findings revealed a close relationship between OC symptoms and reassurance-seeking behaviors.

摘要

背景

本研究旨在探讨寻求安慰与强迫观念(OC)症状、功能失调信念和负性情绪之间的关联。

方法

采用寻求安慰问卷、强迫症量表、强迫信念问卷、特质愤怒表达量表和内疚量表对 53 名强迫症(OCD)患者和 591 名非临床参与者进行了调查。

结果

结果表明,OC 症状的严重程度显著预测了 OCD 患者在寻求安慰时的谨慎程度,表明随着 OC 症状的加重,寻求安慰时的谨慎程度也会增加。此外,寻求安慰的程度与内疚感的增加呈正相关。此外,寻求安慰时的谨慎程度显著预测了焦虑水平。责任/威胁估计、完美主义/确定性需求和思想的重要性/控制显著预测了 OC 症状。此外,功能失调信念与从不同来源寻求安慰和更仔细地寻求安慰的需求直接相关。就中介效应而言,结果表明,有扭曲信念的个体更有可能出现 OC 症状,而 OC 症状又会增加寻求安慰时的谨慎程度。模型测试的分析得出了与临床样本相似的结果。

结论

研究结果揭示了 OC 症状与寻求安慰行为之间的密切关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/531a/7339499/1e5b4abe8002/12888_2020_2766_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/531a/7339499/1e5b4abe8002/12888_2020_2766_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/531a/7339499/1e5b4abe8002/12888_2020_2766_Fig1_HTML.jpg

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