Anxiety and Shame as Risk Factors for Depression, Suicidality, and Functional Impairment in Body Dysmorphic Disorder and Obsessive Compulsive Disorder.
Anxiety and Shame as Risk Factors for Depression, Suicidality, and Functional Impairment in Body Dysmorphic Disorder and Obsessive Compulsive Disorder.
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DOI：
10.1097/nmd.0000000000000498
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发表时间：
2016-11
期刊：
影响因子：
--
通讯作者：
DiMauro J
中科院分区：
文献类型：
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作者：
Weingarden H;Renshaw KD;Wilhelm S;Tangney JP;DiMauro J
身体畸形恐惧症（BDD）和强迫症（OCD）与抑郁、自杀、功能障碍和居家时间增加有关，但很少有研究确定这些结果的危险因素。使用路径分析，本研究在互联网招募的自我报告组（BDD [n = 114]，OCD [n = 114]和健康对照[HC; n = 133]）中检查焦虑和羞耻作为这些结果的风险因素。从焦虑和羞耻到结果的路径在BDD和OCD中是相似的，并且大多数是显著的，而HC的路径不显著，只有一个例外：从羞耻到抑郁的路径在BDD组中是显著的（B = 0.32），但在OCD组中是不显著的（B = 0.07）。研究结果强调了BDD和OCD的相似性，支持将其重新分类为相同的强迫症相关疾病类别。结果强调了在BDD和OCD的治疗中，除了焦虑之外，针对羞耻的重要性。
Body dysmorphic disorder (BDD) and obsessive compulsive disorder (OCD) are associated with elevated depression, suicidality, functional impairment, and days housebound, yet little research has identified risk factors for these outcomes. Using path analysis, the present study examined anxiety and shame as risk factors for these outcomes across Internet-recruited self-report groups (BDD [n = 114], OCD [n = 114], and healthy control [HC; n = 133]. Paths from anxiety and shame to outcomes were similar and mostly significant across BDD and OCD, compared to non-significant paths for HCs, with one exception: the path from shame to depression was significant in the BDD group (b = .32) but non-significant in the OCD group (b = .07). Findings underscore similarities in BDD and OCD, supporting their reclassification into the same Obsessive Compulsive Related Disorders category. Results emphasize the importance of targeting shame, in addition to anxiety, in treatments for BDD and OCD.