Psychology Section, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine , Houston, TX, USA.
Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School , Boston, MA, United States.
Cogn Behav Ther. 2021 Mar;50(2):104-120. doi: 10.1080/16506073.2020.1819866. Epub 2020 Oct 19.
Although considerable research has highlighted the importance of cognitive and metacognitive beliefs in adult obsessive-compulsive disorder (OCD), there has been limited investigation of these beliefs in pediatric OCD. The present study investigated the clinical correlates of cognitive and metacognitive beliefs in pediatric OCD. Previous studies found positive relations between OCD symptoms and these beliefs in pediatric patients, and we hypothesized these beliefs would also be positively related to pediatric OCD symptom severity. We additionally hypothesized age would moderate these relationships in consideration of previous studies highlighting age differences in symptom presentation and self-reported beliefs. We also explored age differences in belief endorsements. Youth aged 7-17 (n = 142) diagnosed with OCD completed self-report scales to measure cognitive and meta-cognitive beliefs. OCD severity was assessed using self-report and clinician-rated measures. Pearson correlations, moderation analyses, and independent-samples t-tests were used to test our hypotheses and aims. Significant positive relationships were observed between cognitive and metacognitive beliefs and self-reported OCD severity, although age did not moderate these relationships. Age differences were found in belief endorsements. In conclusion, cognitive and metacognitive beliefs appear clinically relevant to pediatric OCD cases, and we recommend clinicians assess these beliefs and incorporate cognitive components to corresponding evidence-based treatment.
虽然大量研究强调了认知和元认知信念在成人强迫症（OCD）中的重要性，但对儿科 OCD 中这些信念的研究有限。本研究调查了儿科 OCD 中认知和元认知信念的临床相关性。以前的研究发现儿科患者的 OCD 症状与这些信念之间存在正相关，我们假设这些信念也与儿科 OCD 症状严重程度呈正相关。考虑到先前的研究强调了症状表现和自我报告信念方面的年龄差异，我们还假设年龄会调节这些关系。我们还探讨了信念认可方面的年龄差异。年龄在 7-17 岁的患有 OCD 的青少年（n=142）完成了自我报告量表，以衡量认知和元认知信念。使用自我报告和临床医生评定的量表来评估 OCD 严重程度。使用 Pearson 相关分析、调节分析和独立样本 t 检验来检验我们的假设和目的。观察到认知和元认知信念与自我报告的 OCD 严重程度之间存在显著的正相关关系，尽管年龄并未调节这些关系。在信念认可方面发现了年龄差异。总之，认知和元认知信念似乎与儿科 OCD 病例具有临床相关性，我们建议临床医生评估这些信念并将认知成分纳入相应的循证治疗中。
