Timpano Kiara R, Çek Demet, Rubenstein Liza M, Murphy Dennis, Schmidt Norman B
University of Miami, Coral Gables, Florida
Temple University, Philadelphia, Pennsylvania
J Cogn Psychother. 2014;28(4):264-273. doi: 10.1891/0889-8391.28.4.264. Epub 2014 Jan 1.
Loneliness, or perceived social isolation, is associated with a range of adverse physical and emotional outcomes. In particular, feeling lonely has been linked with anxiety, anger, stress, and depressive symptoms. Although loneliness has been extensively investigated with respect to depression and social anxiety, few studies have considered the relationship between loneliness and obsessive-compulsive symptoms (OCS). Loneliness may be particularly relevant to OCS given the social stigma associated with obsessions and compulsions along with high comorbidity between OCS and depression. The overarching aim of this investigation was to examine the relationship between OCS and loneliness in a young adult sample ( = 395) recruited from a large university. Participants completed self-report measures of OCS, loneliness, depression, and social anxiety. Higher levels of OCS were associated with greater perceived loneliness, and this relationship remained significant despite controlling for depression and social anxiety. OCS had a significant association with the isolation facet of loneliness, and loneliness in turn was uniquely associated with obsessions and checking symptoms. Gender differences were examined, which indicated that females with high OCS endorsed the greatest levels of loneliness. Implications for clinical research and treatment are discussed.
孤独感，或感知到的社会孤立，与一系列不良的身体和情绪后果相关。特别是，感到孤独与焦虑、愤怒、压力和抑郁症状有关。尽管关于孤独感与抑郁症和社交焦虑症的关系已经进行了广泛研究，但很少有研究考虑孤独感与强迫症状（OCS）之间的关系。鉴于与强迫观念和强迫行为相关的社会污名以及OCS与抑郁症之间的高共病率，孤独感可能与OCS特别相关。本研究的总体目标是在从一所大型大学招募的年轻成人样本（n = 395）中检验OCS与孤独感之间的关系。参与者完成了关于OCS、孤独感、抑郁症和社交焦虑症的自我报告测量。较高水平的OCS与更高的感知孤独感相关，并且尽管控制了抑郁症和社交焦虑症，这种关系仍然显著。OCS与孤独感的孤立方面有显著关联，而孤独感反过来又与强迫观念和检查症状有独特关联。研究了性别差异，结果表明患有高OCS的女性认可的孤独感水平最高。讨论了对临床研究和治疗的启示。
