ISSN 1671-3710
CN 11-4766/R
主办:中国科学院心理研究所
出版:科学出版社

心理科学进展 ›› 2010, Vol. 18 ›› Issue (2): 306-313.

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强迫症病理的认知–行为研究述评

张众良; 张仲明 ; 李红   

  1. 西南大学心理学院, 重庆400715
  • 收稿日期:2009-07-03 修回日期:1900-01-01 出版日期:2010-02-15 发布日期:2010-02-15
  • 通讯作者: 张仲明

Cognitive-Behavioral Psychopathology of Obsessive-Compulsive Disorder

ZHANG Zhong-Liang; ZHANG Zhong-Ming; LI Hong   

  1. School of Psychology, Southwest University, Chongqing 400715, China
  • Received:2009-07-03 Revised:1900-01-01 Online:2010-02-15 Published:2010-02-15
  • Contact: ZHANG Zhong-Ming

摘要: 认知–行为领域对强迫症(OCD)的病理进行了深入的探索。强迫症的认知–行为理论认为功能失调性信念、应对策略及中和行为对强迫症的发生和维持有重要作用; 强迫症的安全动机模型把强迫行为归因于安全动机系统不能产生停止安全防卫行为的信号, 在此基础上有研究表明, 在做停止强迫行为的决策时, 强迫症患者依赖于主观停止标准, 导致决策困难, 延长了强迫行为持续的时间。通过整理近年来此领域的研究, 认为趋–避冲突存在于一些强迫症患者中, 且可能是导致强迫症的又一重要因素。

关键词: 强迫症, 病理, 认知–行为理论, 趋–避冲突

Abstract: In-depth researches on the psychopathology of Obsessive-compulsive disorder (OCD) have been made in the cognitive-behavioral domain. Cognitive behavioral theory of OCD suggests that dysfunctional beliefs, coping strategies and neutralization are key factors in the escalation and persistence of OCD. The security motivation model consider OCD to stem from an inability to generate a signal that would terminate the security-related behaviors. Based on this model, a recent research indicates that OCD patients use more subjective stopping criteria when making a decision to stop a compulsion. Such criteria causes difficulty in the decision making, therefore the compulsion is prolonged. This paper integrates recent researches in the cognitive-behavioral domain, and claims that approach–avoidance conflict, which is salient in some OCD patients, might be another important factor giving rise to OCD.

Key words: obsessive-compulsive sorder, psychopathology, cognitive-behavioraltheory, approach- avoidance conflict