反刍思维与强迫症的相关性

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强迫症(obsessive compulsive disorder,OCD)病因学研究一直受到关注,有关生物学及社会心理学的因素都表现出了对强迫症的影响,且强迫症的认知和元认知模型提示反刍思维可能是强迫症的认知风险因素,因此厘清反刍思维与强迫症之间的关系,对于挖掘强迫症的病因及治疗具有重要作用。众多研究显示,反刍思维和强迫症之间存在显著相关,反刍思维能够预测和维持强迫症状,强迫症患者倾向于使用反刍思维的策略来减少痛苦。此外,反刍思维和强迫症存在着完美主义、童年创伤等共同的危险因素,针对反刍思维的干预训练在强迫症的治疗中也表现出了可行性。提示反刍思维影响强迫症的现实可能性,但两者之间的因果关系有待进一步确认。未来可在较大样本中开展针对两者关系的纵向研究,以期丰富和补足强迫症的病因学研究。“,”Obsessive compulsive disorder (OCD) etiology has always been concerned. Some studies have found that biological and social psychological factors will affect the formation and development of OCD, and the cognitive and metacognitive model of OCD suggest that rumination may be a cognitive risk factor for OCD. Thus, clarifying the relationship between rumination and OCD will play an important role in exploring the etiology and treatment of OCD. Many literatures showed that there was a significant correlation between rumination and OCD, rumination could predict and maintain obsessive-compulsive symptoms, and OCD patients tended to use rumination strategies to reduce pain. In addition, there are common risk factors such as perfectionism and childhood trauma between rumination and OCD, and intervention training for rumination has also shown feasibility in the treatment of OCD. These findings suggest the possibility that rumination may influence OCD, but the causal relationship between the two needs to be further established. In the future, longitudinal studies on the relationship between rumination and OCD can be carried out in a larger sample to enrich and complement the etiology of OCD.
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