Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Psychiatr Q. 2023 Sep;94(3):345-360. doi: 10.1007/s11126-023-10037-8. Epub 2023 Jul 6.
Dysfunctional beliefs are central in the development and maintenance of obsessive-compulsive disorder (OCD) as well as its treatment. Yet, research suggests that not all dysfunctional beliefs are equally important for each of the symptom dimensions of OCD. However, results are inconsistent in that studies contradict each other regarding the associations between specific symptom dimensions and belief domains. The aim of the present study was to clarify which belief domain is specifically associated with which OCD symptom dimension. Results could help to tailor treatments more specifically to the patient's OCD symptom dimension. In- and outpatients with OCD (N = 328; 43.6% male and 56.4% female) filled out questionnaires on symptom dimensions of OCD (Obsessive-Compulsive Inventory Revised) and dysfunctional beliefs (Obsessive Beliefs Questionnaire). A structural equation model analysis was conducted to identify the associations between dysfunctional beliefs and symptom dimensions. Our results showed that perfectionism/intolerance of uncertainty was associated with hoarding and symmetry/ordering, (2) overestimation of threat/inflated responsibility was associated with checking compulsions, and (3) importance of thoughts/control of thoughts was associated with obsessing. These results were largely supported by a backward selection. Our results demonstrated associations of specific dysfunctional beliefs and specific OCD symptom dimensions. However, future studies are necessary to replicate these findings with other measures (e.g., clinician ratings).
功能失调信念在强迫症（OCD）的发展和维持及其治疗中起着核心作用。然而，研究表明，并非所有的功能失调信念对 OCD 的每个症状维度都同样重要。然而，结果并不一致，因为研究相互矛盾，关于特定症状维度和信念领域之间的关联。本研究的目的是澄清哪个信念领域与 OCD 的哪个症状维度有特定的关联。研究结果可以帮助更有针对性地根据患者的 OCD 症状维度来定制治疗方案。强迫症患者（N=328；43.6%为男性，56.4%为女性）填写了强迫症症状维度问卷（强迫症清单修订版）和功能失调信念问卷（强迫信念问卷）。进行了结构方程模型分析，以确定功能失调信念与症状维度之间的关联。我们的研究结果表明，完美主义/不确定性不容忍与囤积和对称/秩序有关，（2）对威胁/夸大责任的高估与检查强迫有关，（3）对思想/思想控制的重视与困扰有关。这些结果在很大程度上得到了反向选择的支持。我们的研究结果表明，特定的功能失调信念与特定的 OCD 症状维度之间存在关联。然而，需要进一步的研究来使用其他措施（例如，临床医生的评估）来复制这些发现。
