Relationship between cognitive fusion, empirical avoidance and obsessive-compulsive symptoms in patients with obsessive-compulsive disorder
10.3760/cma.j.issn.1674-6554.2019.11.008
- VernacularTitle: 强迫症患者强迫症状与认知融合、经验性回避的关系
- Author:
Lifang QIU
1
;
Jian LIU
1
,
2
;
Wenxin TANG
3
;
Cuiru YANG
1
;
Cheng ZHU
3
;
Xia ZHAO
1
;
Wenjing ZHU
3
Author Information
1. Anhui Psychiatric Center, Anhui Medical University, Hefei 230032, China
2. Department of Science and Education, Hangzhou Seventh People’s Hospital, Hangzhou 310013, China
3. Department of Psychiatry, Hangzhou Seventh People’s Hospital, Hangzhou 310013, China
- Publication Type:Clinical Trail
- Keywords:
Obsessive-compulsive disorder;
Cognitive fusion;
Empirical avoidance;
Acceptance and commitment therapy
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2019;28(11):999-1004
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the difference of cognitive fusion, empirical avoidance between patients with obsessive-compulsive disorder and healthy control group, and to explore the relationship between obsessive-compulsive score and cognitive fusion, empirical avoidance.
Methods:The cognitive fusion questionnaire(CFQ), acceptance and action questionnaire-2nd edition(AAQ-II) and Yale-Brown scale for obsessive-compulsive symptoms (Y-BOCS) were used to investigate 100 subjects with obsessive-compulsive disorder (OCD) and 166 healthy controls.And the differences in cognitive fusion and empirical avoidance scores were compared between the two groups.The relationship of obsessive-compulsive symptoms and cognitive fusion, empirical avoidance was analyzed using multiple linear regression analysis.
Results:The scores of cognitive fusion ((49.89±10.62) vs (33.88±11.44), t=-11.345, P<0.01)and empirical avoidance ((29.75±9.53) vs (21.59±7.03), t=-7.995, P<0.01) in obsessive-compulsive disorder group were significantly higher than those in healthy control group.There were significant differences in cognitive fusion and empirical avoidance in age variables (F=8.63, P<0.01). In AAQ-Ⅱ, item 2 (r=0.246, P<0.05), item 6 (r=0.223, P<0.05) and total score (r=0.240, P<0.05) were positively correlated with the total score of Y-BOCS.Item 2 (r=0.311, P<0.01), item 3 (r=0.286, P<0.05), item 6 (r=0.248, P<0.05) and total score (r=0.229, P<0.05) were positively correlated with the scores of obsessive-thinking.In CFQ, item 2 (r=0.231, P<0.0) 5), item 4 (r=0.242, P<0.05), item 7 (r=0.308, P<0.05), item 8 (r=0.277, P<0.05) and item 9 (r=0.249, P<0.05) were positively correlated with the total score of Y-BOCS.Item 8 (r=0.261, P<0.05) was positively correlated with the scores of obsessive-thinking, item 7 (r=0.237, P<0.05) and item 9 (r=0.238, P<0.05) were positively correlated with scores of obsessive-compulsive behavior.When predicting total obsessive-compulsive scores, only CF item 7 of Q (B=1.827, P<0.01), item 3 (B=0.956, P<0.05), and item 6 of AAQ-Ⅱ (B=0.584, P<0.05) entered the equation with a joint explanatory variation of 19%.When predicting the score of obsessive-thinking, only item 2 of AAQ-Ⅱ (B=0.446, P<0.01) entered the equation, explaining the variance was 9.7%.In the prediction of obsessive-compulsive behavior, only item 9 (B=0.815, P<0.05) of CFQ entered the equation, and the explanatory variation was 5.6%.
Conclusion:Cognitive fusion in the patients with obsessive-compulsive disorder and the high level of empirical avoidance may be an important factor for the maintenance of the symptoms.
