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首页> 外文期刊>Psychiatry research >Affect and worry during a checking episode: A comparison of individuals with symptoms of obsessive-compulsive disorder, anorexia nervosa, bulimia nervosa, body dysmorphic disorder, illness anxiety disorder, and panic disorder
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Affect and worry during a checking episode: A comparison of individuals with symptoms of obsessive-compulsive disorder, anorexia nervosa, bulimia nervosa, body dysmorphic disorder, illness anxiety disorder, and panic disorder

机译：在检查集中的影响和担忧：对患有强迫性疾病的症状，厌食症神经症，贪食症，身体疑似疾病，疾病焦虑症和恐慌障碍的症状的比较

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摘要

Checking behavior (CB) occurs in a variety of disorders such as obsessive-compulsive (OCD), body dysmorphic (BDD), illness anxiety (IA), and panic disorder (PD), as well as anorexia (AN) and bulimia nervosa (BN). Etiological models of these disorders with the exception of those for PD postulate that CB mainly occurs in situations characterized by negative affect and serves to regulate it. We aimed to test these assumptions: N = 386 individuals with a self-reported diagnosis of one of the disorders rated their affect at baseline, directly before a remembered CB episode, during, immediately afterwards, and 15 and 60 minutes afterwards, and rated their endorsement of different functions of CB. The results show that transdiagnostically negative affect is significantly higher before CB compared to baseline, and is significantly reduced from before CB to all post-CB assessments. Reduction of negative affect and Attainment of certainty were the sole functions predicting the affective course during CB, and most prominently reported transdiagnostically. Assumptions of the etiological models were confirmed, suggesting that exposure and ritual prevention should be examined across disorders. As attainment of certainty seems to be predictive for the course of CB, this might be targeted in cognitive interventions.
机译：检查行为（CB）发生在痴呆症（OCD），身体烦躁（BDD），疾病焦虑（IA）和恐慌症（PD）以及厌食症（AN）和贪食症（ BN）。这些疾病的病因模型除了PD假设中，CB主要发生在以负面影响为特征的情况下，用于调节它。我们旨在测试这些假设：n = 386个具有自我报告的诊断的个人，其中一个疾病在基线上额定他们的影响，直接在记住的CB集，期间，之后，然后之后的15和60分钟，并评定了他们的CB的不同功能的认可。结果表明，与基线相比，CB在CB比较之前，转诊负面影响显着提高，并且从CB之前显着降低到所有CB后评估。减少负面影响和达到确定性的是在CB期间预测情感课程的唯一功能，并且最突出地报告的转型。确认了病因模型的假设，表明患有暴露和仪式预防应在障碍中进行检查。由于确定性似乎对CB的过程来说似乎是预测的，这可能是以认知干预措施为目标。

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