A comparison of ‘not just right experiences’ in obsessive–compulsive disorder, anxiety and depressive disorders and non-clinical controls in China

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2023-09-25 DOI:10.1002/cpp.2916

Lijuan Yang, Daning Chen, Xiaodong Zhang, Fangfang Huang, Zhanjiang Li, Xiangyun Yang

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Abstract

Objective

The aim of this study is to investigate the characteristics of ‘not just right experiences’ (NJREs) in patients with obsessive–compulsive disorder (OCD), anxiety disorders (ADs) or major depressive disorder (MDD), compared with those of healthy controls (HCs).

Method

One hundred adults with OCD, 86 adults with ADs, 57 adults with MDD and 60 HCs were enrolled in the study. The Not Just Right Experiences Questionnaire Revised (NJRE-QR), Yale–Brown Obsessive–Compulsive Scale (Y-BOCS), Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were used to evaluate clinical symptoms in patients with OCD, ADs or MDD. The Obsessive Belief Questionnaire-44 (OBQ-44) was used to evaluate OC beliefs in the OCD patients. The HCs only received assessment using the NJRE-QR. Analysis of variance (ANOVA) and covariance (ANCOVA) were performed to compare the NJREs scores across the groups, while Pearson correlation and partial correlation analyses were used to examine the association between NJREs and other clinical features. The contribution of NJREs to predict OC symptoms was determined by multiple stratified linear regression.

Results

Individuals with OCD had significantly higher scores for the number of NJREs than ADs, but not MDD. The severity of NJREs was also significantly higher in patients with OCD than those with MDD or ADs (F = 5.23 and F = 19.79, respectively, P < 0.01). All the clinical scores in the NJRE-QR were significantly higher than those in the HC group. The number and severity of NJREs correlated significantly with the Y-BOCS total score (r = 0.29 and r = 0.39, respectively, P < 0.01). NJREs showed an independent contribution to OC symptoms, which alone explained 8% of the variation (F = 16.49, ΔR² = 0.08; P < 0.01).

Conclusion

NJREs are related closely to OC symptoms, with their severity discriminating between OCD patients and those with ADs or MDD. NJREs were more specific for OCD in the Chinese population and are therefore worthy of further study in the future.

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中国强迫症、焦虑和抑郁障碍患者与非临床对照组“不仅仅是正确的经历”的比较。

目的：本研究旨在探讨强迫症（OCD）、焦虑症（AD）或重性抑郁障碍（MDD）患者与健康对照组（HC）患者的“不只是正确体验”（NJREs）特征。采用不只是正确的经历问卷修订版（NJE-QR）、Yale-Brown强迫症量表（Y-BOCS）、Beck抑郁量表（BDI）和Beck焦虑量表（BAI）评估强迫症、AD或MDD患者的临床症状。强迫症患者使用强迫症信念问卷44（OBQ-44）评估强迫症患者的强迫症信念。HC仅接受了使用NJRE-QR的评估。方差分析（ANOVA）和协方差分析（ANCOVA）用于比较各组的NJRE评分，而Pearson相关和偏相关分析用于检查NJRE与其他临床特征之间的相关性。NJRE对OC症状的预测作用通过多元分层线性回归确定。结果：强迫症患者的NJRE数量得分明显高于AD，但MDD得分不高。强迫症患者的NJRE严重程度也显著高于MDD或AD患者（F = 5.23和F = 分别为19.79，P 2. = 0.08；P 结论：NJREs与强迫症症状密切相关，其严重程度可区分强迫症患者和AD或MDD患者。NJRE在中国人群中对强迫症更具特异性，因此值得未来进一步研究。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.