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Thought-Action Fusion as Predictors of Obsessive-Compulsive Symptom Dimensions

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주제분류정신과학

초록

Objective There have been several studies investigating the relationships between dysfunctional beliefs and obsessive-compulsive (OC) symptoms in obsessive-compulsive disorder (OCD). However, studies about the relationships between dysfunctional beliefs, especially thought-action fusion (TAF), and OC symptom dimensions have been scarce. Therefore, this study examined to what extent and how TAF subcomponents account for unique variability in four OC symptom dimensions.Methods Sixty-five patients with OCD and 45 healthy controls aged between 18 and 30 years completed measures for OC symptom dimensions, OC symptoms, and dysfunctional beliefs such as TAF, trait-guilt, and inflated responsibility.Results Three facets of TAF were exclusively associated with two symptom domains, namely, responsibility for harm and unacceptable thoughts, and explained the additional but small amount of variance to predict these two domains. In particular, the likelihood-others TAF positively predicted the unacceptable thoughts domain, whereas the likelihood-self TAF negatively predicted the aforementioned domain. For OC symptoms measured by the OC Inventory, no TAF components predicted the corresponding obsessing and mental neutralizing symptoms.Conclusion This study provides supporting evidence that the three TAF subcomponents may be differently associated with certain OC symptom dimensions, and a dimensional approach may complement typical symptom-oriented OC measures.

Abstract

Objective There have been several studies investigating the relationships between dysfunctional beliefs and obsessive-compulsive (OC) symptoms in obsessive-compulsive disorder (OCD). However, studies about the relationships between dysfunctional beliefs, especially thought-action fusion (TAF), and OC symptom dimensions have been scarce. Therefore, this study examined to what extent and how TAF subcomponents account for unique variability in four OC symptom dimensions.Methods Sixty-five patients with OCD and 45 healthy controls aged between 18 and 30 years completed measures for OC symptom dimensions, OC symptoms, and dysfunctional beliefs such as TAF, trait-guilt, and inflated responsibility.Results Three facets of TAF were exclusively associated with two symptom domains, namely, responsibility for harm and unacceptable thoughts, and explained the additional but small amount of variance to predict these two domains. In particular, the likelihood-others TAF positively predicted the unacceptable thoughts domain, whereas the likelihood-self TAF negatively predicted the aforementioned domain. For OC symptoms measured by the OC Inventory, no TAF components predicted the corresponding obsessing and mental neutralizing symptoms.Conclusion This study provides supporting evidence that the three TAF subcomponents may be differently associated with certain OC symptom dimensions, and a dimensional approach may complement typical symptom-oriented OC measures.

참고문헌 (40)

  1. American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders(5th Ed)", American Psychiatric Association, ~ (2013)
  2. Clark DA, "Cognitive-Behavioral Therapy for OCD" (2004), The Guilford Press
  3. Frost R, "Cognitive Approaches to Obsessions and Compulsions: Theory, Assessment, and Treatment" (2002), Elsevier
  4. Salkovskis PM, "Obsessional-compulsive problems : a cognitive-behavioural analysis", Behav Res Ther, 23, pp.571~583 (1985)
  5. Leckman JF, "Symptom dimensions and subtypes of obsessive-compulsive disorder : a developmental perspective", Dialogues Clin Neurosci, 11, pp.21~33 (2009)
  6. Abramowitz JS, "Assessment of obsessive-compulsive symptom dimensions : development and evaluation of the Dimensional Obsessive-Compulsive Scale", Psychol Assess, 22, pp.180~198 (2010)
  7. Julien D, "The specificity of belief domains in obsessive–compulsive symptom subtypes", Pers Individ Differ, 41, pp.1205~1216 (2006)
  8. Tolin DF, "Obsessional beliefs and symptoms of obsessive-compulsive disorder in a clinical sample", J Psychopathol Behav Assess, 30, pp.31~42 (2008)
  9. Myers SG, "Belief domains of the Obsessive Beliefs Questionnaire-44(OBQ-44)and their specific relationship with obsessive-compulsive symptoms", J Anxiety Disord, 22, pp.475~484 (2008)
  10. Tolin DF, "Relationship between obsessive beliefs and obsessive-compulsive symptoms", Cognit Ther Res, 27, pp.657~669 (2003)
  11. Baer L, "Factor analysis of symptom subtypes of obsessive compulsive disorder and their relation to personality and tic disorders", J Clin Psychiatry, 55(Suppl), pp.18~23 (1994)
  12. Leckman JF, "Symptoms of obsessive-compulsive disorder", Am J Psychiatry, 154, pp.911~917 (1997)
  13. Rosario-Campos MC, "The Dimensional Yale-Brown Obsessive-Compulsive Scale(DY-BOCS) : an instrument for assessing obsessive-compulsive symptom dimensions", Mol Psychiatry, 11, pp.495~504 (2006)
  14. Deacon BJ, "The Yale-Brown Obsessive Compulsive Scale : factor analysis, construct validity, and suggestions for refinement", J Anxiety Disord, 19, pp.573~585 (2005)
  15. Wheaton MG, "The relationship between obsessive beliefs and symptom dimensions in obsessive-compulsive disorder", Behav Res Ther, 48, pp.949~954 (2010)
  16. Viar MA, "Obsessive beliefs and dimensions of obsessive-compulsive disorder : an examination of specific associations", Cognit Ther Res, 35, pp.108~117 (2011)
  17. Reuman L, "Obsessive beliefs, experiential avoidance, and cognitive fusion as predictors of obsessive-compulsive disorder symptom dimensions", J Contextual Behav Sci, 9, pp.15~20 (2018)
  18. Bailey BE, "Thought–action fusion : Structure and specificity to OCD", J Obsess-Complus Rel, 3, pp.39~45 (2014)
  19. Rachman S, "Obsessions, responsibility and guilt", Behav Res Ther, 31, pp.149~154 (1993)
  20. Shafran R, "Thought-action fusion in obsessive compulsive disorder", J Anxiety Disord, 10, pp.379~391 (1996)
  21. Rachman S, "Cognitive distortions : Thought-action fusion", Clin Psychol Psychother, 6, pp.80~85 (1999)
  22. 김혜원, "한글판 차원적 강박척도의 표준화 연구", 신경정신의학, 52(3), pp.130~142 (2013), 대한신경정신의학회
  23. Foa EB, "The Obsessive-Compulsive Inventory : development and validation of a short version", Psychol Assess, 14, pp.485~496 (2002)
  24. Woo CW, "The Obsessive-Compulsive Inventory-Revised(OCI-R) : psychometric properties of the Korean version and the order, gender, and cultural effects", J Behav Ther Exp Psychiatry, 41, pp.220~227 (2010)
  25. Lee S, "The Relationships of OC Symptoms with Moral and Causal Responsibility and with Omission" (2000), Department of psychology, Seoul National University
  26. Jones WH, "The Guilt Inventory", Psychol Rep, 87, pp.1039~1042 (2000)
  27. Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
  28. Lee YH, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", Kor J Clin Psychol, 10, pp.98~113 (1991)
  29. Berle D, "Thought-action fusion : review of the literature and future directions", Clin Psychol Rev, 25, pp.263~284 (2005)
  30. Abramowitz JS, "Is thought-action fusion specific to obsessive-compulsive disorder? : a mediating role of negative affect", Behav Res Ther, 41, pp.1069~1079 (2003)
  31. Reuman L, "Uncertain and fused : cognitive fusion and thought-action fusion in the context of obsessivecompulsive symptom dimensions", J Cogn Psychother, 31, pp.191~203 (2017)
  32. Shafran R, "Thought-action fusion : a review", J Behav Ther Exp Psychiatry, 35, pp.87~107 (2004)
  33. Abramowitz JS, "Obsessive-compulsive symptoms : the contribution of obsessional beliefs and experiential avoidance", J Anxiety Disord, 23, pp.160~166 (2009)
  34. Foa EB, "Inflated perception of responsibility for harm in obsessive-compulsive disorder", J Anxiety Disord, 15, pp.259~275 (2001)
  35. Foa EB, "Inflated perception of responsibility for harm in OCD patients with and without checking compulsions : a replication and extension", J Anxiety Disord, 16, pp.443~453 (2002)
  36. Salkovskis PM, "Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder", Behav Res Ther, 38, pp.347~372 (2000)
  37. D’Olimpio F, "Obsessive-compulsive disorder and propensity to guilt feelings and to disgust", Clin Neuropsychiatry, 10, pp.20~29 (2013)
  38. Muris P, "Thoughtaction fusion and anxiety disorders symptoms in normal adolescents", Behav Res Ther, 39, pp.843~852 (2001)
  39. Yorulmaz O, "Psychometric properties of the Thought-Action Fusion Scale in a Turkish sample", Behav Res Ther, 42, pp.1203~1214 (2004)
  40. Selvi Y, "The impact of obsessive beliefs on pharmacological treatment response in patients with obsessive-compulsive disorder", Int J Psychiatry Clin Pract, 15, pp.209~213 (2011)

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