通过聚类分析揭示强迫症仪式的运动动力

IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY
Journal of Nervous and Mental Disease Pub Date : 2024-11-01 Epub Date: 2024-10-17 DOI:10.1097/NMD.0000000000001804
Luca Gambolò, Rebecca Ottoni, Anna Di Donna, Carlo Marchesi, Matteo Tonna
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引用次数: 0

摘要

摘要:仪式是人类在日常生活、生命周期阶段和精神病理学等不同情况下的突出行为,例如强迫症(OCD)中的强迫行为。强迫症强迫症与习惯性行为和刻板印象的不同之处在于其形式特征:行为重复、增加非功能性行为以及将注意力集中在基本运动单元上。本研究旨在根据行为重复和加入非功能性行为的运动模式对强迫症进行分类。我们分析了 28 个强迫症强迫动作的视频录像,并采用聚类分析模型来识别数据中的独特模式并确定聚类特征。我们的研究结果表明,非功能性和重复性之间存在适度的负协方差,这表明随着非功能性的增加,重复性也会降低。根据运动模式,我们在强迫症仪式中发现了三个不同的群组:"特异性仪式 "的特点是大量包含非功能性行为;"迭代性仪式 "表现出较高的重复性;"例行性仪式 "的重复性最低,包含的非功能性行为有限。这些运动模式凸显了进化过程中保守的行为策略,旨在应对环境的不可预测性。这些发现可能有助于对仪式强迫症进行精细分辨,并帮助确定个性化干预措施的目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Uncovering the Motor Dynamics of Obsessive-Compulsive Rituals Through Cluster Analysis.

Abstract: Rituals represent a prominent human behavior in different contexts such as daily routines, life cycle stages, and psychopathology, for example, obsessive compulsive disorder (OCD) where they are referred to as compulsions. OCD compulsions differ from habitual behaviors and stereotypies regarding their formal features: acts repetition, the addition of nonfunctional acts, and attentional focus on basic motor units. This study aims to categorize OCD compulsions based on the motor patterns of acts repetition and inclusion of nonfunctional acts. We analyzed 28 video-recorded OCD compulsions; we adopted a cluster analytic model to identify distinct patterns within the data and determine cluster characteristics. Our findings revealed a moderate negative covariance between nonfunctionality and repetitiveness, indicating that as nonfunctionality increased, repetitiveness decreased. Three distinct clusters in OCD rituals were identified according to the motor pattern: "idiosyncratic rituals," characterized by strong incorporation of nonfunctional acts; "iterative rituals" showing high repetitiveness; and "routines," with minimal repetition and limited inclusion of nonfunctional acts. These motor patterns highlight evolutionarily conserved behavioral strategies aimed at coping with conditions of environmental unpredictability. The findings might allow fine-grained discrimination of ritual compulsions and help target personalized interventions.

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来源期刊
CiteScore
2.90
自引率
5.30%
发文量
233
审稿时长
3-8 weeks
期刊介绍: The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.
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