Original Research Article_The Role of Mental Imagery in Obsessive-Compulsive Disorder: An Explorative Study

Shrayasi Roy, Sreemoyee Tarafder, Rupam Banerjee
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Abstract

Background: The present study aimed to investigate how mental imagery affects the manifestation of symptoms among people with OCD, considering its impact on symptom severity. Methodology: For the said purpose, we compared people with OCD (n=30) with a clinical control group (people suffering from Schizophrenia; (n=30) and community control group (n=30). Yale Brown Obsessive Compulsive Scale (assess symptom severity of OCD), Spontaneous Use of Imagery Scale (spontaneity of imagery), Vividness of Visual Imagery Questionnaire (vividness of imagery) along with Mental Clock Task (ability to generate images), Change Detection Task (maintenance of imagery), Match to Sample Task (image inspection), Mental Rotation Task (image manipulation-transformation), Ambiguous Figure Task (image restructuring) and Image Combination Task (mental synthesis) were used in the study. Results: The result suggests that there is a difference in terms of the spontaneous use of mental imagery in daily life among the three groups. Regression analysis showed that the Image Generation and Image Manipulation-Transformation capacity plays a role in the manifestation or maintenance of Obsessive and Compulsive symptoms in OCD. Both the factors independently predict the symptom severity of Obsessive Compulsive disorder, but not in Schizophrenia.
心理意象在强迫症中的作用:一项探索性研究
背景:本研究旨在探讨心理意象如何影响强迫症患者的症状表现,并考虑其对症状严重程度的影响。方法学:为此,我们将强迫症患者(n=30)与临床对照组(精神分裂症患者;(n=30)和社区对照组(n=30)。耶鲁布朗强迫症量表(评估强迫症症状严重程度)、自发使用图像量表(自发图像)、视觉图像生动度问卷(图像生动度)以及心理时钟任务(生成图像的能力)、变化检测任务(维持图像)、匹配样本任务(图像检查)、心理旋转任务(图像操作-转换)、研究采用模糊图形任务(图像重构)和图像组合任务(心理合成)。结果:三组学生在日常生活中自发使用心理意象方面存在差异。回归分析表明,图像生成和图像处理-转换能力在强迫症强迫症状的表现或维持中起作用。这两个因素都能独立预测强迫症的症状严重程度,但不能预测精神分裂症。
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