Exploring the link between thought-action fusion and symptom-based shame in obsessive-compulsive disorder

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-10-01 DOI:10.1016/j.jocrd.2023.100848

Jana Hansmeier , Cornelia Exner , R. Porrmann , K. Schumacher , Jakob Fink-Lamotte

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Abstract

The emotion of shame has been found to be closely related to obsessive-compulsive disorder (OCD). Thought-action fusion (TAF) might explain this relationship, but its causal role with regard to symptom-based shame is unclear. There is growing evidence showing that the metacognitive intervention of detached mindfulness (DM) helps to prevent the development of TAF and thereby shame. The current study investigates, (1) if a TAF induction condition with violent content increases shame compared to a control induction condition with neutral content in randomized nonclinical participants with heightened OCD symptoms (n = 88), and (2) if a subsequent brief DM intervention shows a preventive effect for developing shame compared to a control condition about mnemonic techniques. An ANOVA showed that shame in participants of the TAF induction significantly increased compared to the control condition. In a second ANOVA, the DM intervention failed to show a preventive effect on developing TAF and shame in a following TAF induction experiment compared to the control condition. The present findings suggest the importance of TAF beliefs for the development of shame. A more intense DM intervention or additional (meta-)cognitive interventions might be necessary to prevent the development of shame.

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探讨强迫症中思想-行动融合与基于症状的羞耻感之间的联系

羞耻情绪被发现与强迫症(OCD)密切相关。思想-行动融合(Thought-action fusion, TAF)或许可以解释这种关系，但它在基于症状的羞耻感方面的因果作用尚不清楚。越来越多的证据表明，超然正念(DM)的元认知干预有助于防止TAF的发展，从而防止羞耻。目前的研究调查了:(1)在随机的有强迫症症状的非临床参与者中，与中性内容的对照诱导条件相比，具有暴力内容的TAF诱导条件是否会增加羞耻感(n = 88);(2)与记忆技巧的对照条件相比，随后的短暂DM干预是否显示出对产生羞耻感的预防作用。方差分析显示，TAF诱导组的羞耻感明显高于对照组。在第二个方差分析中，与对照组相比，DM干预在随后的TAF诱导实验中未能显示出对TAF和羞耻感的预防作用。目前的研究结果表明，TAF信念对羞耻感的发展很重要。更强烈的糖尿病干预或额外的(元)认知干预可能是必要的，以防止羞耻的发展。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.