Department of Psychology, Fordham University, Bronx, New York, USA.
The Institute of Living and Yale University School of Medicine, Hartford, Connecticut, USA.
Br J Clin Psychol. 2022 Sep;61(3):613-628. doi: 10.1111/bjc.12326. Epub 2021 Sep 1.
In this study, we examined the degree of generality and specificity of OC beliefs are moderated by gender among individuals with OC disorders.
The diagnostic groups consisted of: (1) individuals with obsessive-compulsive disorder (OCD; N = 398); (2) individuals with other anxiety disorders (N = 104); and (3) undergraduate students (N = 285). To evaluate the gender moderating effect, we employed stacked prediction by correspondence analysis (CA). To conduct the analysis, we generated a two-way contingency table with rows of gender nested within the diagnostic groups and columns of OC beliefs stacked to OC symptom severity. To conduct prediction by CA of this stacked table, we considered OC beliefs as predictors and OC symptoms as outcomes.
We confirmed with the CA results that OC belief generality, but not specificity because the OCD group members did show higher endorsement of OC beliefs compared to individuals with other anxiety disorders. Gender moderated the OC related beliefs of overestimation of threat, inflated responsibility, and intolerance of uncertainty, but not perfectionism in predicting OC symptoms. The correlational results obtained from the stacked prediction by CA further showed that as depression and anxiety increased, endorsement of OC beliefs was stronger for males than females.
Clinical implications and future directions are discussed.
OC belief generality was evident in the study but not specificity. Gender moderation was demonstrated in overestimation of threat, inflated responsibility, and intolerance of uncertainty. As depression and anxiety increased, endorsement of OC beliefs was stronger for males than females.
本研究旨在考察强迫症障碍个体中，性别是否调节了 OC 信念的普遍性和特异性。
诊断组包括：（1）强迫症患者（OCD；n=398）；（2）其他焦虑障碍患者（n=104）；和（3）大学生（n=285）。为了评估性别调节效应，我们采用了对应分析（CA）的分层预测。为了进行分析，我们生成了一个双向列联表，其中行嵌套在诊断组内，列则是 OC 信念分层到 OC 症状严重程度。为了对这个分层表进行 CA 预测，我们将 OC 信念视为预测变量，将 OC 症状视为结果。
我们通过 CA 结果证实了 OC 信念的普遍性，而不是特异性，因为 OCD 组的成员确实比其他焦虑障碍患者表现出更高的 OC 信念认同。性别调节了高估威胁、夸大责任和不能容忍不确定性的 OC 相关信念，但不能调节完美主义在预测 OC 症状中的作用。从分层预测 CA 获得的相关结果进一步表明，随着抑郁和焦虑的增加，男性比女性更强烈地认同 OC 信念。
讨论了临床意义和未来方向。
研究中表现出 OC 信念的普遍性，但不是特异性。在高估威胁、夸大责任和不能容忍不确定性方面表现出性别调节。随着抑郁和焦虑的增加，男性比女性更强烈地认同 OC 信念。
