Fite Robert E, Thompson-Hollands Johanna
National Center for PTSD at VA Boston Healthcare System, Boston, MA USA.
Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA.
J Ration Emot Cogn Behav Ther. 2025;43(3):39. doi: 10.1007/s10942-025-00597-y. Epub 2025 Jun 26.
Maladaptive beliefs have been a focus of research in both obsessive-compulsive disorder (OCD) and posttraumatic stress disorder (PTSD). In the OCD literature, beliefs that have typically been studied include inflated responsibility, overestimation of threat, perfectionism, intolerance of uncertainty, and importance and control of thoughts. Meanwhile, in the PTSD literature, negative beliefs about the self, the world, and others have been the focus. We propose that many beliefs commonly studied in the context of OCD research are also relevant to PTSD. Specifically, we propose that trauma may make individuals vulnerable to particular categories of beliefs, whereas other categories may represent pre-existing risk factors. Our theoretical paper highlights how these beliefs have been measured in prior OCD and PTSD research and identifies belief categories that may be clinically relevant but historically under-assessed among individuals with PTSD. Finally, we discuss potential clinical interventions for addressing obsessive beliefs in the context of PTSD treatment.
适应不良信念一直是强迫症(OCD)和创伤后应激障碍(PTSD)研究的重点。在强迫症文献中,通常研究的信念包括夸大责任感、高估威胁、完美主义、对不确定性的不容忍以及思想的重要性和可控性。与此同时,在创伤后应激障碍文献中,关于自我、世界和他人的消极信念一直是研究重点。我们认为,许多在强迫症研究背景下常见的信念也与创伤后应激障碍相关。具体而言,我们认为创伤可能使个体易受特定类型信念的影响,而其他类型的信念可能代表预先存在的风险因素。我们的理论论文强调了这些信念在先前的强迫症和创伤后应激障碍研究中是如何被测量的,并确定了那些可能具有临床相关性但在创伤后应激障碍患者中历史上评估不足的信念类别。最后,我们讨论了在创伤后应激障碍治疗背景下解决强迫观念的潜在临床干预措施。