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为更好地理解谁可能易受反刍思维对强迫症状影响的影响：一项探索性分析。

Toward a Better Understanding of Who Is Likely to Be Susceptible to the Effects of Rumination on Obsessive-Compulsive Symptoms: An Explorative Analysis.

作者信息

Wahl Karina, Kollárik Martin, Heinzel Carlotta V, Koch Stefan, Voderholzer Ulrich, Lieb Roselind

机构信息

Division of Clinical Psychology and Epidemiology, Department of Psychology, University of Basel, Missionsstr. 62a, 4055 Basel, Switzerland.

Schoen Clinic Roseneck, Prien Am Chiemsee, Germany.

出版信息

Int J Cogn Ther. 2024;17(4):946-966. doi: 10.1007/s41811-024-00228-x. Epub 2024 Sep 3.

DOI:10.1007/s41811-024-00228-x
PMID:39430004
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11485119/
Abstract

We previously found that rumination maintains obsessive-compulsive (OC) symptoms. Our goal was to explore the moderating roles of three characteristics in the immediate and intermediate effects of rumination on OC symptoms: trait rumination, severity of comorbid depressive symptoms, and the tendency to misinterpret the occurrence of unwanted intrusive thoughts as meaningful. We reanalyzed our previous study's data and explored in a sample of 145 individuals diagnosed with obsessive-compulsive disorder (OCD) whether any of the three characteristics moderated the observed immediate and intermediate effects of rumination on OC symptoms. Only the tendency to misinterpret unwanted intrusive thoughts moderated the immediate and intermediate effects of rumination on OC symptoms. If this result is confirmed in future studies, individuals with OCD and a high tendency to misinterpret unwanted intrusive thoughts might benefit particularly from supplemental interventions targeting the reduction of excessive rumination.

摘要

我们之前发现，反刍思维会维持强迫症状。我们的目标是探究三种特质在反刍思维对强迫症状的即时和中期影响中所起的调节作用：特质反刍思维、共病抑郁症状的严重程度，以及将 unwanted intrusive thoughts 的出现误解为有意义的倾向。我们重新分析了之前研究的数据，并在一个由145名被诊断为强迫症（OCD）的个体组成的样本中进行探究，看这三种特质中的任何一种是否调节了所观察到的反刍思维对强迫症状的即时和中期影响。只有将 unwanted intrusive thoughts 误解的倾向调节了反刍思维对强迫症状的即时和中期影响。如果这一结果在未来研究中得到证实，那么具有OCD且将 unwanted intrusive thoughts 误解倾向较高的个体可能会特别受益于旨在减少过度反刍思维的补充干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0da6/11485119/c1075a4d99c6/41811_2024_228_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0da6/11485119/6fcd1b7dd9cb/41811_2024_228_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0da6/11485119/f63ecb7df342/41811_2024_228_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0da6/11485119/c1075a4d99c6/41811_2024_228_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0da6/11485119/6fcd1b7dd9cb/41811_2024_228_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0da6/11485119/f63ecb7df342/41811_2024_228_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0da6/11485119/c1075a4d99c6/41811_2024_228_Fig3_HTML.jpg

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本文引用的文献

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Rumination about obsessive symptoms and mood maintains obsessive-compulsive symptoms and depressed mood: An experimental study.沉思强迫症状和情绪会维持强迫症状和抑郁情绪：一项实验研究。
J Abnorm Psychol. 2021 Jul;130(5):435-442. doi: 10.1037/abn0000677.
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