摘要
目的探讨强迫症患者元认知、负性思维内容和方式及其与心理健康的关系。方法对符合ICD-10强迫性障碍诊断标准的62例强迫症患者(研究组),以及年龄和教育程度匹配的正常对照136名(对照组)采用元认知问卷(MCQ-30)、自动思维问卷(ATQ)、习惯性负性自我思维(The Habit Index of Negative Thinking,HINT)问卷和SCL-90量表进行评定。结果强迫症患者在元认知(MCQ-30)的自我关注[(16.8+3.8)vs.(14.4+5.2)和担忧的消极信念[(15.8+4.9)vs.(9.8+3.8)]这两个因子、HINT[(32.6+11.3)vs.(20.6+8.2)]和SCL-90总分[(182.4+47.5)vs.(131.7+32.3)]上均显著高于大学生(P<0.05);强迫症患者的HINT、负性思维内容(Auto-matic thoughts Questionnaire,ATQ)和元认知(MCQ-30)的自我关注、思想控制、担忧的积极信念和消极信念四个因子与心理健康(SCL-90)的总分存在显著正相关(r=0.38～0.75,P<0.01);强迫症患者的ATQ得分越高,则心理健康(SCL-90)得分越高(β=0.58,P<0.01)。结论强迫症患者的元认知、负性思维内容、负性思维方式和心理健康密切相关,ATQ对其心理健康有显著预测作用,但是负性思维方式和元认知对其心理健康并未表现出预测作用。
Objective The study was performed to examine the relationship among meta-cognitive reflection, negative thinking, negative self-thlnking habit, and mental health of patients with obsessive-compulsive disorder. Method 62 patients with obsessive-compulsive disorder as diagnosized in accordance with the International Classification of Disease （ICD-10） were chosen to form an experiment group. 136 university students were chosen to form a control group. MCQ- 30, ATQ, HINT and SCL-90 were utilized for the assessment. Results The experiment group scored higher than the control group in cognitive self-consciousness [（16.8±3.8） vs. （14.4±5.2） ; P〈0.01 ]. Negative beliefs about worry of meta-cognitive（MCQ-30） [（15.8±4.9）vs.（9.8±3.8）; P〈0.05], negative thinking habit（HINT） [（32.6±11.3） vs. （20.6±8.2）; P〈0.05] and total SCL-90 score [（182.4±47.5）vs. （ 131.7±32.3）; P〈0.01]; positive beliefs about worry, negative beliefs about worry, need for control, cognitive self-consciousness of meta-cognitive（MCQ-30） was positively correlated with mental health of OCD（r=0.38-0.75, P〈0.01） ; hierarchical regression analysis confirmed that negative thinking content（ATQ） could positively predict mental health of OCD （β= 0.58, P〈0.01）. The score of OCD negative thinking content （ATQ） is higher. The level of mental health is worse. Conclusion Meta-cognitive reflection, negative thinking, negative self-thinking habit are significantly correlated with mental health. Negative thinking influenced mental health of OCD, but negative self-thingking habit and meta-cognitive reflection did not influence mental health of OCD.
出处
《健康研究》
CAS
2013年第2期150-153,157,共5页
Health Research
基金
教育部人文社会科学研究规划基金项目(09YJAXLX006)
关键词
强迫症
元认知
负性思维内容
习惯性负性自我思维
Obsessive-compulsive disorder
meta-cognitive reflection
negative thinking
negative self-thinking habit
