Department of Psychological Sciences, University of Connecticut, Storrs, CT, USA.
Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Cogn Behav Ther. 2021 Nov;50(6):452-465. doi: 10.1080/16506073.2020.1861083. Epub 2021 Jan 21.
Previous research has shown that intrusive thoughts in obsessive-compulsive disorder (OCD) often focus on emotionally significant aspects of individuals' lives (e.g., values and beliefs). The current study sought to expand our understanding of OC symptoms related to sexual orientation (SO-OC symptoms) by investigating the roles of homophobia (i.e., negative attitudes, affect, and behaviors toward individuals with a same-gender orientation) and disgust propensity and sensitivity. A total of 592 self-identified heterosexual college students were recruited to complete measures of homophobia, disgust propensity and sensitivity, and SO-OC symptoms. Results of separate parallel mediation analyses indicated that the relationships between homophobic affect/attitudes and avoidance/aggression on one hand, and SO-OC symptoms on the other, were partially mediated specifically by disgust sensitivity, after controlling for gender. Theoretical and clinical implications are discussed, including how homophobia can be conceptualized as a disgust response in the treatment of SO-OC symptoms, as well as how other constructs of potential interest (sexual and moral disgust, religiosity, conservative sexual ideology) can be examined in future research.
先前的研究表明，强迫症（OCD）中的侵入性思维通常集中在个体生活中情感上重要的方面（例如，价值观和信仰）。本研究旨在通过调查对同性恋的恐惧（即对具有同性取向的个体的消极态度、情感和行为）和厌恶倾向和敏感性，来扩展我们对与性取向相关的 OC 症状（SO-OC 症状）的理解。共有 592 名自认为是异性恋的大学生被招募来完成对同性恋恐惧、厌恶倾向和敏感性以及 SO-OC 症状的测量。平行中介分析的结果表明，在控制了性别之后，一方面对同性恋的恐惧情感/态度和回避/攻击，另一方面与 SO-OC 症状之间的关系，部分通过厌恶敏感性来中介。讨论了理论和临床意义，包括如何将对同性恋的恐惧概念化为治疗 SO-OC 症状的厌恶反应，以及如何在未来的研究中检验其他潜在相关的构念（性和道德厌恶、宗教信仰、保守的性观念）。
