French Sam George, Salkovskis Paul Martin, Bream Victoria
The University of Oxford, United Kingdom; Oxford Health NHS Foundation Trust, United Kingdom.
The University of Oxford, United Kingdom; Oxford Health NHS Foundation Trust, United Kingdom.
Behav Res Ther. 2023 Apr;163:104275. doi: 10.1016/j.brat.2023.104275. Epub 2023 Feb 11.
Mental contamination in people with OCD has been linked to the perceived impact of being betrayed and betraying others. In this study, participants with OCD (N = 56) and community controls (N = 37) were randomised to an induction involving eliciting autobiographical memories of either being betrayed by someone they trusted or betraying someone that trusted them. The OCD group experienced greater increases in state mental contamination and anxiety than the control group, but no differences were observed between groups in urges to wash or drink. Both betrayal conditions elicited similar levels of mental contamination and anxiety. The results of this study suggest that people with OCD experience similar increases in mental contamination and anxiety not only when recalling memories of being a victim of betrayal but also when recalling being a perpetrator. People with OCD are therefore more sensitive to betrayal experiences than community controls. Clinical implications and implications for future research are discussed.
强迫症患者的心理污染与被背叛和背叛他人的感知影响有关。在本研究中,将强迫症患者(N = 56)和社区对照组(N = 37)随机分为两组,一组诱发其回忆被信任的人背叛或背叛信任他们的人的自传式记忆。与对照组相比,强迫症组的状态心理污染和焦虑增加得更多,但两组在洗涤或饮水冲动方面未观察到差异。两种背叛情境引发的心理污染和焦虑水平相似。本研究结果表明,强迫症患者不仅在回忆被背叛的受害者记忆时,而且在回忆成为背叛者的记忆时,心理污染和焦虑都会有类似程度的增加。因此,与社区对照组相比,强迫症患者对背叛经历更敏感。本文还讨论了临床意义及对未来研究的启示。