The moderating effect of age on the associations of cognitive and metacognitive beliefs with pediatric OCD symptoms.
The moderating effect of age on the associations of cognitive and metacognitive beliefs with pediatric OCD symptoms.
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DOI：
10.1080/16506073.2020.1819866
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发表时间：
2021-03
影响因子：
4.7
通讯作者：
Storch EA
中科院分区：
文献类型：
--
作者：
Rizvi M;Smilansky H;Porth R;Myers N;Geller D;Small BJ;McGuire JF;Wilhelm S;Storch EA
尽管相当多的研究强调了认知和元认知信念在成人强迫症（OCD）中的重要性，但对这些信念在儿科强迫症中的研究有限。本研究探讨了儿童强迫症的认知和元认知信念的临床相关性。既往研究发现儿童强迫症患者的这些信念与强迫症症状呈正相关，我们假设这些信念也与儿童强迫症症状严重程度呈正相关。考虑到先前的研究强调了症状表现和自我报告信念的年龄差异，我们还假设年龄会调节这些关系。我们还探讨了信仰认同的年龄差异。诊断为强迫症的7-17岁青少年（n = 142）完成了自我报告量表来测量认知和元认知信念。强迫症严重程度评估采用自我报告和临床评定的措施。使用Pearson相关性、适度分析和独立样本t检验来检验我们的假设和目标。认知和元认知信念与自我报告的强迫症严重程度之间存在显著的正相关关系，尽管年龄并没有调节这些关系。在信仰认同上也发现了年龄差异。总之，认知和元认知信念在临床上与儿童强迫症病例相关，我们建议临床医生评估这些信念，并将认知成分纳入相应的循证治疗。
Although considerable research has highlighted the importance of cognitive and metacognitive beliefs in adult obsessive-compulsive disorder (OCD), there has been limited investigation of these beliefs in pediatric OCD. The present study investigated the clinical correlates of cognitive and metacognitive beliefs in pediatric OCD. Previous studies found positive relations between OCD symptoms and these beliefs in pediatric patients, and we hypothesized these beliefs would also be positively related to pediatric OCD symptom severity. We additionally hypothesized age would moderate these relationships in consideration of previous studies highlighting age differences in symptom presentation and self-reported beliefs. We also explored age differences in belief endorsements. Youth aged 7–17 (n = 142) diagnosed with OCD completed self-report scales to measure cognitive and meta-cognitive beliefs. OCD severity was assessed using self-report and clinician-rated measures. Pearson correlations, moderation analyses, and independent-samples t-tests were used to test our hypotheses and aims. Significant positive relationships were observed between cognitive and metacognitive beliefs and self-reported OCD severity, although age did not moderate these relationships. Age differences were found in belief endorsements. In conclusion, cognitive and metacognitive beliefs appear clinically relevant to pediatric OCD cases, and we recommend clinicians assess these beliefs and incorporate cognitive components to corresponding evidence-based treatment.
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