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首页> 外文期刊>International journal of cognitive therapy >Excessive Reassurance Seeking and Cognitive Confidence in Obsessive-Compulsive Disorder
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Excessive Reassurance Seeking and Cognitive Confidence in Obsessive-Compulsive Disorder

机译:对强迫症的过度保证寻求和认知信心

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摘要

Repeatedly questioning others about perceived threats, or excessive reassurance seeking (ERS), occurs across various psychiatric disorders, including obsessivecompulsive disorder (OCD; Parrish 2009). Three ERS domains have been consistently identified: ERS in response to general, decision-related, and social threats. We sought to examine whether (1) specific ERS domains are common in OCD, (2) ERS correlates with OCD symptom severity, (3) ERS levels impact the likelihood of having primary checking compulsions, and (4) ERS correlates with cognitive confidence. Participants were OCD patients (n = 35) and non-psychiatric controls (n = 34) who completed diagnostic and/or self-report measures. OCD patients reported significantly greater ERS than controls across all domains. ERS correlated positively with symptom severity. High decision-related ERS was found to increase the likelihood of checking as a primary symptom. Decision-related ERS correlated negatively with decision-making confidence and overall cognitive confidence. These findings greatly enhance our understanding of ERS in OCD. Implications for psychological interventions are discussed.
机译:反复质疑其他人关于感知威胁,或过度保证寻求(ERS),在各种精神疾病中发生,包括痴迷紊乱(OCD; Parrish 2009)。已经一致地确定了三个人域名:反应一般,决策与社会威胁的人。我们试图检查(1)特定的ERS域是否在OCD中常见,(2)ERS与OCD症状严重程度相关,(3)ERS级别影响初级检查强制的可能性,(4)ers与认知信心相关。参与者是OCD患者(n = 35)和非精神上的控制(n = 34),他完成了诊断和/或自我报告措施。 OCD患者报告的患者比所有领域的控制显着更大。患者与症状严重程度正相关。发现高决策相关者增加了检查作为主要症状的可能性。决策与决策相关者与决策信任和整体认知信心负相关。这些调查结果极大地提升了对OCD中的对策的理解。讨论了对心理干预的影响。

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