Çetin Çağlar, Eroğlu Elçin Özçelik, Özdemir Pınar, Demir Başaran
Kahraman Kazan State Hospital, Department of Psychiatry, Ankara, Turkey.
Hacettepe University Faculty of Medicine, Department of Psychiatry, Ankara, Turkey.
Noro Psikiyatr Ars. 2024 Aug 20;61(3):265-270. doi: 10.29399/npa.28635. eCollection 2024.
This study aimed to investigate the relationship between symptom dimensions within obsessive-compulsive disorder and thought-action fusion, magical thinking, and schizotypal personality traits.
This research was designed as a cross-sectional case-control study. The study population involved patients with obsessive-compulsive disorder, and healthy controls who did not exhibit any psychiatric disorders following the Structured Clinical Interview for DSM-IV (SCID-I). Thought-Action Fusion Scale (TAFS), Magical Ideation Scale (MIS), Vancouver Obsessional-Compulsive Inventory (VOCI), Schizotypal Personality Questionnaire (SPQ), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) were administered to all participants. The two groups were compared in terms of sociodemographic variables and scale scores, Spearman's correlation analysis was performed to examine the relationship between TAFS total and all subscale scores, magical thinking, schizotypal personality traits and OCD symptom dimensions scores.
The study comprised 37 patients with OCD and 36 healthy controls. The patient group exhibited significantly higher scores in TAF total and all subscales, MIS, SCQ, BDI, and BAI, compared to the healthy control group. Positive correlations between magical ideation scores and VOCI-obsessions and VOCI-hoarding subscale scores and between schizotypal personality scores and VOCI-obsessions, VOCI-hoarding, VOCI-just right, VOCI indecisiveness scores was found.
The relationship between symptom dimensions in obsessive-compulsive disorder such as sexual, religious, aggression, hoarding, symmetry/ordering and magical thinking and schizotypal personality traits shows that these variables are among the determining factors for OCD symptoms. .
本研究旨在调查强迫症症状维度与思维 - 行动融合、奇幻思维及分裂型人格特质之间的关系。
本研究设计为横断面病例对照研究。研究对象包括强迫症患者以及经《精神疾病诊断与统计手册第四版》（DSM-IV）结构化临床访谈（SCID-I）后未表现出任何精神疾病的健康对照者。对所有参与者施测思维 - 行动融合量表（TAFS）、奇幻观念量表（MIS）、温哥华强迫症量表（VOCI）、分裂型人格问卷（SPQ）、贝克焦虑量表（BAI）、贝克抑郁量表（BDI）。比较两组在社会人口学变量和量表得分方面的差异，进行Spearman相关分析以检验TAFS总分与所有子量表得分、奇幻思维、分裂型人格特质及强迫症症状维度得分之间的关系。
该研究包括37例强迫症患者和36名健康对照者。与健康对照组相比，患者组在TAF总分及所有子量表、MIS、SCQ、BDI和BAI上的得分显著更高。发现奇幻观念得分与VOCI-强迫观念和VOCI-囤积子量表得分之间以及分裂型人格得分与VOCI-强迫观念、VOCI-囤积、VOCI-恰到好处、VOCI-犹豫不决得分之间存在正相关。
强迫症中的性、宗教、攻击、囤积、对称/秩序等症状维度与奇幻思维及分裂型人格特质之间的关系表明，这些变量是强迫症症状的决定因素之一。
