Training interpretation biases among individuals with symptoms of obsessive compulsive disorder.

Training interpretation biases among individuals with symptoms of obsessive compulsive disorder.
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DOI:
10.1016/j.jbtep.2011.01.003
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发表时间:
2011-09
影响因子:
1.8
通讯作者:
Teachman, Bethany A.
Teachman, Bethany A.
中科院分区:
医学3区
文献类型:
--
作者:
Clerkin, Elise M.;Teachman, Bethany A.

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目前的研究测试了强迫症(OCD)认知模型的因果前提,即对侵入性思想的负面解释会导致与强迫症症状相关的痛苦和损害。具体来说,我们试图确定:a)是否有可能训练更健康(定义为更良性/更少威胁性)的解释关于侵入性思想的重要性;b)消极解释的修正与随后的情绪脆弱性之间是否存在联系。高OC症状学生的非临床样本完成了阳性(n=50)或中性(n=50)解释训练程序,旨在改变OC相关的解释和信念。正如预期的那样,积极(相对于中性)训练条件下的参与者在训练后认可了更健康的与oc相关的解释和信念。此外,当控制基线影响时,积极(相对于中性)训练条件下的参与者在OC压力源任务中报告的负面影响较少(在无显著趋势的水平上),并且报告的进行中和活动的愿望较少。总的来说,研究结果为强迫症的认知模型提供了一些支持,并表明对侵入性思想的消极解读可能与强迫症的症状有因果关系。
The current study tested the causal premise underlying cognitive models of obsessive compulsive disorder (OCD) that negative interpretations of intrusive thoughts lead to the distress and impairment associated with symptoms of OCD. Specifically, we sought to determine: a) whether it was possible to train healthier (defined as more benign/less threatening) interpretations regarding the significance of intrusive thoughts; and b) whether there was a link between modifying negative interpretations and subsequent emotional vulnerability to an OC stressor. A nonclinical sample of students high in OC symptoms completed either a Positive (n=50) or Neutral (n=50) interpretation training procedure designed to alter OC-relevant interpretations and beliefs. As expected, participants in the Positive (versus Neutral) training condition endorsed healthier OC-relevant interpretations and beliefs following training. Additionally, when controlling for baseline affect, participants in the Positive (versus Neutral) training condition reported less negative affect during the OC stressor task (at the level of a nonsignificant trend) and reported less desire to perform neutralizing activities. In general, results provide some support for cognitive models of obsessions and suggest that negative interpretations of intrusive thoughts may be causally related to symptoms of OCD.
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