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恋爱伴侣对强迫症症状接纳相关因素的初步研究。

A preliminary study of factors associated with accommodation of obsessive-compulsive symptoms by romantic partners.

作者信息

Toohey Brianna G, Quinlan Elly, Reece John, Wootton Bethany M, Paparo Josephine

机构信息

Psychological Sciences, Australian College of Applied Professions, Sydney, New South Wales, Australia.

School of Psychological Sciences, University of Tasmania, Launceston, Tasmania, Australia.

出版信息

Br J Clin Psychol. 2025 Jun;64(2):218-232. doi: 10.1111/bjc.12499. Epub 2024 Aug 27.

Abstract

OBJECTIVES

The accommodation of symptoms of obsessive-compulsive disorder (OCD) by loved ones is highly prevalent and impactful on treatment outcomes; however, little is known about factors that influence accommodation by romantic partners of OCD sufferers. The aim of this preliminary investigation was to explore such correlates.

METHODS

A community sample of 50 patients self-identifying with OCD (M = 29.3; SD = 9.3; 74% female) and 20 individuals self-identifying as the partner of someone with OCD (M = 32.1; SD = 12.4; 65% female) participated in this study via an online questionnaire.

RESULTS

Associations were found between partner accommodation of OCD and a range of obsessions and compulsions across the patient and partner samples, as well as patient-reported symptom severity, functional impairment and negative emotion states. Neuroticism was also positively associated with partner accommodation in the patient sample but did not contribute to its prediction over and above other known correlates of family accommodation. In the partner sample, extraversion was found to be a unique negative correlate of partner accommodation.

CONCLUSIONS

These findings highlight the vital role both patient and partner factors play in the accommodation of OCD behaviours by romantic partners and the importance of involving loved ones in the treatment of individuals with OCD.

摘要

目的

亲人对强迫症(OCD)症状的迁就非常普遍,且对治疗结果有影响;然而,对于影响强迫症患者浪漫伴侣迁就行为的因素却知之甚少。这项初步调查的目的是探索此类相关因素。

方法

一个由50名自我认定患有强迫症的患者(M = 29.3;标准差 = 9.3;74%为女性)和20名自我认定为强迫症患者伴侣的个体(M = 32.1;标准差 = 12.4;65%为女性)组成的社区样本通过在线问卷参与了本研究。

结果

在患者和伴侣样本中,伴侣对强迫症的迁就与一系列强迫观念和强迫行为之间存在关联,同时也与患者报告的症状严重程度、功能损害和负面情绪状态有关。在患者样本中,神经质也与伴侣迁就呈正相关,但在预测伴侣迁就方面,它并不比其他已知的家庭迁就相关因素更有贡献。在伴侣样本中,外向性被发现是伴侣迁就的一个独特的负相关因素。

结论

这些发现凸显了患者因素和伴侣因素在浪漫伴侣对强迫症行为的迁就中所起的关键作用,以及让亲人参与强迫症患者治疗的重要性。

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Predictors of family accommodation in obsessive compulsive disorder.强迫症中家庭适应的预测因素。
Asian J Psychiatr. 2020 Oct;53:102189. doi: 10.1016/j.ajp.2020.102189. Epub 2020 May 30.
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Family accommodation in adult obsessive-compulsive disorder: clinical perspectives.成人强迫症中的家庭调适:临床视角
Psychol Res Behav Manag. 2017 Sep 20;10:293-304. doi: 10.2147/PRBM.S124359. eCollection 2017.

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