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解释“感觉不对”体验中内疚与强迫症状的相互作用。

Explaining Interaction of Guilt and Obsessive-Compulsive Symptoms in Not Just Right Experiences.

作者信息

Zaccari Vittoria, Rogier Guyonne, Pulsinelli Daniela, Mancini Francesco, D'Olimpio Francesca

机构信息

School of Cognitive Psychotherapy, Rome, Italy.

Department of Psychology, University Guglielmo Marconi, Rome, Italy.

出版信息

Clin Neuropsychiatry. 2022 Feb;19(1):39-44. doi: 10.36131/cnfioritieditore20220106.

Abstract

OBJECTIVE

"Not Just Right Experiences" (NJREs) are currently considered a characteristic of Obsessive-Compulsive Disorder (OCD). Significant associations have been found between NJREs and Obsessive-Compulsive (OC) symptoms in nonclinical and clinical populations. Literature support a significant relationship between NJREs, feelings of guilt and OC features. This study aims to clarify the role of the potential interplay between guilt and OC symptomatology in NJREs and verify if high levels of guilt will predict NJREs and OC symptoms and trait guilt levels will positively interact in their prediction of NJREs.

METHOD

One hundred and eighty-nine adults recruited from normal population were assessed with questionnaires of NJREs and OC symptoms and proneness to experience guilt.

RESULTS

All the variables involved in the study (NJREs severity, guilt and OCI-R scores) were positively and significantly correlated and showed that guilt and OCI-R scores significantly and positively interact in the prediction of NJREs levels. Guilt predicted NJREs only when levels of OCI-R were high.

CONCLUSIONS

These results support the association between guilt sensitivity or OC symptoms and NJREs in clinical and nonclinical participants and that a disposition toward high levels of guilt and OC symptoms have a particular sensitivity to NJREs corroborating centrality of guilt in OC symptoms.

摘要

目的

“非恰到好处体验”(NJREs)目前被认为是强迫症(OCD)的一个特征。在非临床和临床人群中,已发现NJREs与强迫观念及强迫行为(OC)症状之间存在显著关联。文献支持NJREs、内疚感与OC特征之间存在显著关系。本研究旨在阐明内疚感与OC症状学之间潜在的相互作用在NJREs中的作用,并验证高内疚水平是否能预测NJREs和OC症状,以及特质内疚水平在预测NJREs时是否会产生正向交互作用。

方法

从正常人群中招募了189名成年人,用NJREs问卷、OC症状问卷和内疚体验倾向问卷对他们进行评估。

结果

研究中涉及的所有变量(NJREs严重程度、内疚感和OCI-R得分)均呈显著正相关,且表明内疚感和OCI-R得分在预测NJREs水平时存在显著正向交互作用。只有当OCI-R水平较高时,内疚感才能预测NJREs。

结论

这些结果支持了临床和非临床参与者中内疚感敏感性或OC症状与NJREs之间的关联,以及高水平内疚感和OC症状的倾向对NJREs具有特殊敏感性,这证实了内疚感在OC症状中的核心地位。

相似文献

9
Not just right experience: is it influenced by feelings of guilt?不仅仅是合适的经历:它会受到内疚感的影响吗?
J Behav Ther Exp Psychiatry. 2008 Jun;39(2):162-76. doi: 10.1016/j.jbtep.2007.02.002. Epub 2007 Mar 12.

本文引用的文献

1
Deontological and Altruistic Guilt Feelings: A Dualistic Thesis.道义论与利他主义内疚感:一种二元论观点。
Front Psychol. 2021 Jun 22;12:651937. doi: 10.3389/fpsyg.2021.651937. eCollection 2021.
7
Deontological guilt and obsessive compulsive disorder.道义性内疚与强迫症
J Behav Ther Exp Psychiatry. 2015 Dec;49(Pt B):157-163. doi: 10.1016/j.jbtep.2015.05.003. Epub 2015 May 16.
10
Abnormal processing of deontological guilt in obsessive-compulsive disorder.强迫症中道义性内疚的异常处理
Brain Struct Funct. 2014 Jul;219(4):1321-31. doi: 10.1007/s00429-013-0570-2. Epub 2013 May 17.

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