The relationship between obsessive beliefs and symptom dimensions in obsessive-compulsive disorder
The relationship between obsessive beliefs and symptom dimensions in obsessive-compulsive disorder
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DOI：
10.1016/j.brat.2010.05.027
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发表时间：
2010-10-01
影响因子：
4.1
通讯作者：
Hale, Lisa R.
中科院分区：
文献类型：
--
作者：
Wheaton, Michael G.;Abramowitz, Jonathan S.;Hale, Lisa R.
关于信念和强迫症症状之间具体关系的研究结果一直不一致，但现有的研究在测量这种疾病的高度异质性症状的方法上各不相同。维度强迫量表（DOCS）是一种新的测量方法，它允许评估强迫症症状维度，而不是强迫症和强迫症本身的类型。本研究探讨了强迫症的症状尺寸和功能障碍（强迫症）的信念，相信这些症状尺寸使用一个大的临床样本寻求治疗的成人强迫症之间的关系。结果显示，某些强迫性信念预测某些强迫症症状维度的认知行为的概念模型一致的方式。具体而言，污染症状预测的责任/威胁估计信念，对称性症状预测的完美主义/确定性信念，不可接受的想法预测的重要性/控制的想法信念和症状负责的伤害预测的责任/威胁估计信念。强迫症症状维度的认知概念化的影响进行了讨论。(c)2010爱思唯尔有限公司版权所有。
Research findings on the specific relationships between beliefs and OCD symptoms have been inconsistent, yet the existing studies vary in their approach to measuring the highly heterogeneous symptoms of this disorder. The Dimensional Obsessive-Compulsive Scale (DOCS) is a new measure that allows for the assessment of OCD symptom dimensions, rather than types of obsessions and compulsions per se. The present study examined the relationship between OCD symptom dimensions and dysfunctional (obsessive) beliefs believed to underlie these symptom dimensions using a large clinical sample of treatment-seeking adults with OCD. Results revealed that certain obsessive beliefs predicted certain OCD symptom dimensions in a manner consistent with cognitive-behavioral conceptual models. Specifically, contamination symptoms were predicted by responsibility/threat estimation beliefs, symmetry symptoms were predicted by perfectionism/certainty beliefs, unacceptable thoughts were predicted by importance/control of thoughts beliefs and symptoms related to being responsible for harm were predicted by responsibility/threat estimation beliefs. Implications for cognitive conceptualizations of OCD symptom dimensions are discussed. (c) 2010 Elsevier Ltd. All rights reserved.