Nielsen Sara Kerstine Kaya, Stuart Anne Christine, Winding Clas, Pedersen Mette Øllgaard, Daniel Sarah Ingrid Franksdatter, Vangkilde Signe, Rosenberg Nicole, Hageman Ida, Petersen Anders, Jørgensen Martin Balslev
Department of Psychology, University of Copenhagen, Copenhagen, Denmark.
Mental Health Services, Capital Region of Denmark, Copenhagen, Denmark.
Clin Psychol Psychother. 2025 Jan-Feb;32(1):e70031. doi: 10.1002/cpp.70031.
There is evidence that emotion regulation plays a role in the aetiology and maintenance of OCD, but knowledge about what impacts emotion dysregulation is limited. Attachment style is related to both emotion regulation and OCD symptoms, but the link between them has not been thoroughly studied. Examining emotion dysregulation within the context of OCD through an attachment theory framework may lead to a better understanding of the aetiology and maintenance of OCD. In the present study, we combined theoretically and empirically derived knowledge to examine the mediating role of emotion regulation between attachment dimensions (avoidance and anxiety) and OCD symptoms. One-hundred seventy-nine individuals with OCD were assessed with Experiences in Close Relationships-Revised (ECR-R), Difficulties in Emotion Regulation Scale (DERS) and Yale-Brown Obsession Compulsion Scale (Y-BOCS), and mediation analyses were conducted. Our results indicate that the association between OCD and attachment anxiety/avoidance was mediated by emotion dysregulation. The primary limitation of our study is that data are cross-sectional and, therefore, we cannot infer anything about the causal direction of these relationships. A second limitation of the study is that two of the three measures were derived from self-reported questionnaires, which may be prone to biassed reporting. Our results suggest that insecure attachment is important in OCD when taking emotion regulation into account. Thus, clinical interventions for OCD may improve by targeting attachment and difficulties related to emotion regulation. However, our findings are based on cross-sectional data that preclude conclusions relating to causal influence.
有证据表明情绪调节在强迫症的病因学及维持过程中发挥作用，但关于影响情绪失调的因素的了解却很有限。依恋风格与情绪调节及强迫症症状均相关，但二者之间的联系尚未得到充分研究。通过依恋理论框架在强迫症背景下审视情绪失调，可能会有助于更好地理解强迫症的病因学及维持机制。在本研究中，我们结合了理论和实证得出的知识，以检验情绪调节在依恋维度（回避和焦虑）与强迫症症状之间的中介作用。对179名强迫症患者使用亲密关系经历量表修订版（ECR-R）、情绪调节困难量表（DERS）和耶鲁-布朗强迫症量表（Y-BOCS）进行评估，并进行中介分析。我们的结果表明，强迫症与依恋焦虑/回避之间的关联是由情绪失调介导的。我们研究的主要局限性在于数据是横断面的，因此，我们无法推断这些关系的因果方向。本研究的第二个局限性在于三项测量中的两项来自自我报告问卷，这可能易于出现报告偏差。我们的结果表明，考虑到情绪调节时，不安全依恋在强迫症中很重要。因此，针对强迫症的临床干预可能通过针对依恋及与情绪调节相关的困难而得到改善。然而，我们的发现基于横断面数据，这排除了与因果影响相关的结论。
