The characteristics of " not just right experiences" in patients with obsessive-compulsive disorder with different levels of obsessive beliefs and their relationship with obsessive-compulsive symptoms
10.3760/cma.j.cn371468-20240223-00086
- VernacularTitle:不同强迫信念水平的强迫障碍患者"不恰当感"特征及其与强迫症状的关系
- Author:
Lijuan YANG
1
;
Xiangyun YANG
;
Daning CHEN
;
Zhanjiang LI
Author Information
1. 首都医科大学附属北京安定医院，国家精神疾病医学中心，国家精神心理疾病临床医学研究中心，精神疾病诊断与治疗北京市重点实验室，北京 100088
- Keywords:
Not just right experiences;
Incompleteness;
Obsessive beliefs;
Obsessive-compulsive disorder;
Anxiety disorders
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2024;33(9):819-825
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the characteristics of not just right experiences (NJREs) with high and low obsessive-compulsive beliefs in obsessive-compulsive disorder (OCD) patients, and to analyze their relationship with OCD symptoms.Methods:A total of 142 patients with OCD and 51 patients with anxiety disorders were included in the outpatient department of Beijing Anding Hospital.The Yale-Brown obsessive-compulsive scale (Y-BOCS), obsessive belief questionnaire (OBQ-44), revised version of the not just right experience questionnaire (NJRE-Q-R), Beck depression inventory (BDI), and Beck anxiety inventory (BAI) were used to evaluate clinical symptoms in patients with OCD and anxiety disorders. Cluster analysis was used to divide OCD into high obsessive beliefs group (OCD-H, n=77) and low obsessive beliefs group (OCD-L, n=65).The SPSS 23.0 software was used for data analysis.Chi-square test and one-way analysis of variance were used to compare the demographic and clinical data of OCD-H, OCD-L, and anxiety groups. Multivariate Logistic regression analysis was used to analyze the risk factors for OCD, and multiple linear regression analysis was used to analyze the influencing factors of obsessive compulsive symptoms in the OCD-H and OCD-L groups, respectively. Results:There were significant differences in the scores of Y-BOCS((23.14±6.60), (17.77±6.48), (8.70±6.80)), OBQ-44((162.69±33.15), (86.54±19.09), (103.12±45.67)), NJRE-Q-R checklist scale((4.58±2.61), (2.92±2.15), (2.86±1.72)), NJRE-Q-R severity scale((32.86±8.97), (24.75±9.71), (18.86±8.51)) among OCD-H, OCD-L, and anxiety groups( F=68.87, 102.29, 11.06, 32.01, all P<0.001).Multivariate Logistic regression analysis showed the NJRE-Q-R severity score was a risk factor for OCD( B=0.124, OR=1.132, 95% CI=1.071-1.197, P<0.001).For the OCD-H group, Y-BOCS scores were influenced by disease duration, BDI scores, OBQ-44 factor 1 and factor 3 scores( B=0.020, 0.201, 0.133, 0.126, all P<0.05). For the OCD-L group, the Y-BOCS scores were influenced by the scores of BDI and the checklist and severity score of NJRE-Q-R( B=0.265, 0.852, 0.191, all P<0.05). Conclusions:NJREs are prevalent in OCD patients regardless of the level of OCD beliefs, with higher degrees than anxiety disorders. NJREs are a risk factor for OCD, especially for patients with low obsessive compulsive beliefs.NJREs may be a potential cause and intervention target for OCD patients especially with low OCD beliefs.
