Emotion Regulation, Coping, and Alexithymia in Adolescents With Obsessive–Compulsive Disorder: A Mediational Analysis

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2025-05-14 DOI:10.1002/cpp.70083

Ipek Suzer Gamli, Aysu Kacar, Nergis Eyupoglu, Oguz Bilal Karakus, Ibrahim Adak

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引用次数: 0

Abstract

Background

Obsessive–compulsive disorder (OCD) is a debilitating mental health condition that impacts daily functioning. In addition to classical symptoms, emotion regulation (ER), alexithymia and maladaptive coping are thought to be involved in the symptomology and maintenance of the disorder. This study aims to investigate the relationship between ER, alexithymia and coping in adolescents with a sole diagnosis of OCD.

Methods

The study comprised of 93 participants with OCD and 92 healthy controls. Patients with any psychiatric disorder other than OCD were set as exclusion criteria. A sociodemographic form, Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children, Children's Yale–Brown Obsessive–Compulsive Scale (CY-BOCS), Difficulties in Emotion Regulation Scale (DERS), Toronto Alexithymia Scale (TAS) and KidCOPE were applied.

Results

The TAS and DERS scores of participants with every subscale, except awareness in DERS, and the KIDCOPE-Avoidant Coping scores were significantly higher in the OCD group (p < 0.05). A positive and moderately significant relationship was identified between the CY-BOCS-Obsession, CY-BOCS-Compulsion and CY-BOCS-Total scores and the DERS-Total (p < 0.05). Linear regression analysis revealed that CY-BOCS-Total scores significantly predicted DERS-Total scores in a positive direction even when TAS-Total and KidCOPE scores were controlled (p = 0.001). Difficulties in ER mediated the relationship between OCD and the severity of negative coping (b = 0.064, 95% CI (0.036–0.097)).

Conclusions

There is limited evidence regarding the specific contribution of OCD with emotion dysregulation, alexithymia and avoidant coping. Our study suggests a possible relationship with OCD and these parameters, highlighting the need to develop effective intervention techniques tailored to this population.

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青少年强迫症患者的情绪调节、应对和述情障碍：一个中介分析

强迫症（OCD）是一种影响日常功能的使人衰弱的精神健康状况。除了经典症状外，情绪调节（ER）、述情障碍和适应不良应对被认为与该疾病的症状和维持有关。本研究旨在探讨单独诊断为强迫症的青少年ER、述情障碍和应对之间的关系。方法对93名强迫症患者和92名健康对照者进行研究。排除标准为除强迫症以外的任何精神障碍患者。采用社会人口学量表、学龄期儿童情感障碍和精神分裂症量表、儿童耶鲁-布朗强迫症量表（CY-BOCS）、情绪调节困难量表（DERS）、多伦多述情障碍量表（TAS）和KidCOPE。结果除意识外，强迫症组TAS和DERS各分量表得分及KIDCOPE-Avoidant应对得分均显著高于对照组（p < 0.05）。CY-BOCS-Obsession、cy - bocs - compulsive和CY-BOCS-Total得分与DERS-Total得分呈显著正相关（p < 0.05）。线性回归分析显示，在控制TAS-Total和KidCOPE评分的情况下，CY-BOCS-Total评分显著正向预测DERS-Total评分（p = 0.001）。应激障碍在强迫症与消极应对严重程度之间起中介作用（b = 0.064, 95% CI(0.036-0.097)）。结论关于情绪失调、述情障碍和回避性应对对强迫症的具体影响的证据有限。我们的研究表明了强迫症与这些参数之间的可能关系，强调了开发针对这一人群的有效干预技术的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.