Cognitive self-consciousness, implicit learning and obsessive-compulsive disorder
Cognitive self-consciousness, implicit learning and obsessive-compulsive disorder
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DOI：
10.1016/j.janxdis.2005.03.003
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发表时间：
2006-01-01
影响因子：
10.3
通讯作者：
Riemann, Bradley C.
中科院分区：
文献类型：
--
作者：
Marker, Craig D.;Calamari, John E.;Riemann, Bradley C.
对通常经历的侵入性想法的负面评价被认为在强迫症（OCD）中起着重要作用，尽管为什么有些人专注于思想体验并难以消除侵入性尚不清楚。为了阐明侵入性思维如何可能成为强迫性问题，在强迫症患者（n = 43）和非临床对照组（n=41）中评估了思维集中注意力（认知自我意识; CSC），内隐序列学习和强迫症之间的关系。基于假设的无意识处理差异，预测强迫症组在系列反应时间测试中的表现受损，但对嵌入式刺激模式的识别增强。预测的差异被发现和CSC分数预测反应时间和模式识别。CSC可能是有意识处理门控问题的结果，这些问题增加了思想的显著性和对侵入性思想的负面评价的可能性。理论和治疗的影响进行了讨论。(c)2005年爱思唯尔公司All rights reserved.
The negative appraisal of commonly experienced intrusive thoughts is posited to play an important role in obsessive-compulsive disorder (OCD), although why some people focus on thought experiences and have difficulties dismissing intrusions is not well understood. To elucidate how intrusive thoughts might become obsessional problems, relations between thought-focused attention (cognitive self-consciousness; CSC), implicit sequence learning and OCD were evaluated in individuals with OCD (n = 43) and in a nonclinical comparison group (n=41). Impaired performance on a serial reaction time test, but enhanced recognition of the embedded stimulus pattern, was predicted for the OCD group based on hypothesized nonconscious processing differences. Predicted differences were found and CSC score predicted reaction time and pattern recognition. CSC might be a consequence of conscious processing gating problems that increase thought salience and the likelihood of the negative appraisal of intrusive thoughts. Implications for theory and treatment are discussed. (c) 2005 Elsevier Inc. All rights reserved.