A comparison of auto genous/reactive obsessions and worry in a nonclinical population: a test of the continuum hypothesis
A comparison of auto genous/reactive obsessions and worry in a nonclinical population: a test of the continuum hypothesis
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DOI：
10.1016/j.brat.2004.06.017
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发表时间：
2005-08-01
影响因子：
4.1
通讯作者：
Telch, MJ
中科院分区：
文献类型：
--
作者：
Lee, HJ;Lee, SH;Telch, MJ
本研究采用强迫症的自发反应模型（Behaviour Research and Therapy 41（2003）11-29），试图测试一个假设的连续体，其中反应性强迫症介于自发强迫症和担忧之间，涉及内容评价，感知形式和思维触发的几个思维特征。非临床本科学生（n = 435）进行了在线问卷调查，旨在检查三种不同类型的想法。主要数据分析仅包括那些表现出中度强迫症或担忧的患者（n = 252）。根据最痛苦的想法，分为三组并进行比较：自体强迫（n = 34），反应性强迫（n = 76）和担心（n = 142）。结果显示：（a）相对于担心，自体强迫观念被认为更奇怪，更不可接受，更不现实，更不可能发生;（B）自体强迫观念更可能采取冲动，冲动或图像的形式，而担心更可能采取怀疑，恐惧或想法的形式;以及（c）担忧的特征更多地表现为意识和可识别的思维触发，通过这些比较的反应性强迫症介于两者之间。此外，相对于自发性强迫观念，反应性强迫观念与担忧的严重程度以及将担忧用作思想控制策略的程度更密切相关。我们的数据表明，与自体亚型相比，反应亚型代表更多的担忧样强迫症。(c)2004年由Elsevier Ltd.出版。
Employing the autogenous-reactive model of obsessions (Behaviour Research and Therapy 41 (2003) 11-29), this study sought to test a hypothesized continuum where reactive obsessions fall in between autogenous obsessions and worry with respect to several thought characteristics concerning content appraisal, perceived form, and thought triggers. Nonclinical undergraduate students (n = 435) were administered an online packet of questionnaires designed to examine the three different types of thoughts. Main data analyses included only those displaying moderate levels of obsessions or worries (n = 252). According to the most distressing thought, three different groups were formed and compared: autogenous obsession (it = 34), reactive obsession (n = 76), and worry (n = 142). Results revealed that (a) relative to worry, autogenous obsessions were perceived as more bizarre, more unacceptable, more unrealistic, and less likely to occur; (b) autogenous obsessions were more likely to take the form of impulses, urges, or images, whereas worry was more likely to take the form of doubts, apprehensions, or thoughts; and (c) worry was more characterized by awareness and identifiability of thought triggers, with reactive obsessions through these comparisons falling in between. Moreover, reactive obsessions, relative to autogenous obsessions, were more strongly associated with both severity of worry and use of worrying as a thought control strategy. Our data suggest that the reactive subtype represents more worry-like obsessions compared to the autogenous subtype. (c) 2004 Published by Elsevier Ltd.