Riskind J H, Abreu K, Strauss M, Holt R
Department of Psychology, George Mason University, Fairfax, VA 22030, USA.
Behav Res Ther. 1997 May;35(5):405-14. doi: 10.1016/s0005-7967(96)00113-1.
The present study examined the hypothesis, stimulated by the looming vulnerability model of anxiety (Riskind, in press, Behaviour Research and Therapy), that subclinical OCD is associated with a subjective sense of looming vulnerability. One-hundred and four undergraduates rated vignettes of common, everyday situations involving exposure to possible dirt, germs, or contamination. Participants in a subclinical obsessional group had a far higher sense of looming vulnerability to spreading contamination than did those in a control group. Results verified that the subjective sense of looming vulnerability still had separate, distinct and significant contributions to fear-of-contamination symptoms, with the effects of cognitive appraisals of other aspects of threat (such as probability of harm, or lack of control) removed. In contrast, these other cognitive appraisals had no significant associations with symptoms that proved to be independent of the subjective sense of looming vulnerability. A path analysis further explored the dependency of these other cognitive appraisals on looming vulnerability. This analysis found that part of the effects of the subjective sense of looming vulnerability on fears may be indirect and mediated via correlated effects of other cognitive appraisals.
本研究检验了一个假设,该假设受焦虑的迫近易感性模型(Riskind,即将发表于《行为研究与治疗》)启发,即亚临床强迫症与迫近易感性的主观感受相关。104名本科生对涉及接触可能的污垢、病菌或污染的常见日常情景的短文进行了评分。亚临床强迫观念组的参与者对传播污染的迫近易感性感觉远高于对照组。结果证实,在消除了对威胁其他方面(如伤害概率或缺乏控制)的认知评估影响后,迫近易感性的主观感受对污染恐惧症状仍有单独、独特且显著的影响。相比之下,这些其他认知评估与被证明独立于迫近易感性主观感受的症状没有显著关联。路径分析进一步探讨了这些其他认知评估对迫近易感性的依赖性。该分析发现,迫近易感性主观感受对恐惧的部分影响可能是间接的,且通过其他认知评估的相关影响介导。