恐惧的可能自我在推理混乱与强迫症状之间的关系中的作用:在临床样本中的复制和扩展。

IF 3.8 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Mohammad Aminaee, Vahid Khosravani, Richard Moulding, Frederick Aardema, Shiu Fung Wong, Seyed Mehdi Samimi Ardestani
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引用次数: 0

摘要

目标:恐惧的可能自我是指一个人害怕成为或变成的自我想象版本。以往的证据表明,功能失调推理(即推理混乱)与强迫症(OCD)症状有关,而强迫症症状部分是由恐惧的自我中介的。然而,这些证据依赖于非临床样本和对恐惧自我的一般测量:本研究采用横断面设计,试图在临床诊断为强迫症的样本(n = 350)中复制和扩展这些文献,以评估当恐惧的自我被视为中介因素时,从推理混乱到强迫症症状的路径,特别是恐惧的自我的个体维度(即腐败的、有罪的和畸形的恐惧自我)。参与者完成了 DSM-5 的结构化临床访谈,以及推理混乱(功能失调推理过程任务)、强迫观念、恐惧的自我、强迫症症状和心理困扰的测量:即使在调整了强迫观念、心理困扰和合并症之后,推断混乱也会直接影响强迫症症状,并通过恐惧的堕落自我间接影响强迫症症状。然而,恐惧的罪责自我和畸形自我并没有在这一途径中发挥作用:这项研究强调,恐惧的 "畸形自我 "将推理混乱与强迫症症状联系在一起,因此在临床上治疗强迫症时需要同时考虑功能失调的推理过程和这种特定的恐惧自我。此外,该研究还为基于推理的强迫症治疗方法(IBA)提供了更多支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of feared possible selves in the relationship between inferential confusion and obsessive-compulsive symptoms: A replication and extension in a clinical sample

Objectives

The feared possible self refers to an imagined version of self that one is afraid of being or becoming. Previous evidence has shown that dysfunctional reasoning (i.e., inferential confusion) is associated with obsessive-compulsive disorder (OCD) symptoms, which is partially mediated by a feared self. However, the evidence is reliant on non-clinical samples and a general measure of the feared self.

Methods

Using a cross-sectional design, the current study attempted to replicate and extend this literature in a sample clinically diagnosed with OCD (n = 350) to assess the pathway from inferential confusion to OCD symptoms when feared self is accounted for as a mediator, particularly the individual dimensions of feared self (i.e., corrupted, culpable, and malformed feared selves). Participants completed a structured clinical interview for DSM-5, as well as measures of inferential confusion (Dysfunctional Reasoning Processes Task), obsessive beliefs, feared self, OCD symptoms, and psychological distress.

Results

Inferential confusion directly, and indirectly through the feared corrupted self, affected OCD symptoms, even after adjusting for obsessive beliefs, psychological distress, and comorbidity. However, the feared culpable and malformed selves did not play a role in this pathway.

Conclusions

The study underscores that the feared corrupted self links inferential confusion to OCD symptoms, translating to the need to consider both dysfunctional reasoning processes and this specific feared self in clinical settings when treating OCD. Furthermore, the study provides more support for the inference-based approach (IBA) to OCD.

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来源期刊
CiteScore
5.80
自引率
3.20%
发文量
57
期刊介绍: The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups
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