'Finally, I could breathe': the utility and impact of a diagnosis of obsessive compulsive disorder.

IF 2 4区心理学 Q3 PSYCHOLOGY, CLINICAL Behavioural and Cognitive Psychotherapy Pub Date : 2023-05-01 DOI:10.1017/S1352465822000637

Finn Hughes, Peter Kinderman

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Abstract

Background: The diagnosis of obsessive compulsive disorder (OCD) is characterised by intrusive thoughts leading to compulsions to alleviate anxiety. However, research is lacking on impact post-diagnosis. Some research suggests diagnosis may benefit treatment access, but potentially leads to higher levels of stigma and altered self-identity.

Aims: The present study assessed the utility (treatment access and problem identification) and impact (stigma, personal wellbeing or social identity) of receiving a diagnosis of OCD.

Method: Semi-structured interviews with 12 individuals who had received a diagnosis of OCD were conducted between February and April 2020, then transcribed and analysed using theoretical thematic analysis.

Results: Participants reported positive impacts of diagnosis on both 'utility' and 'impact'.

Conclusions: The diagnosis of OCD was helpful for participants in making their symptoms tangible, providing relief and hope for recovery. Non-diagnostic or alternative frameworks should aim to meet this need. Future research may wish to identify how this understanding of disorders vary between different diagnoses, especially in terms of stigma and personal wellbeing.

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“终于，我可以呼吸了”:强迫症诊断的效用和影响。

背景:强迫症(OCD)的诊断特点是侵入性思想导致强迫减轻焦虑。然而，对诊断后影响的研究尚缺乏。一些研究表明，诊断可能有利于获得治疗，但可能导致更高程度的耻辱和自我认同的改变。目的:本研究评估了接受强迫症诊断的效用(治疗机会和问题识别)和影响(耻辱，个人福祉或社会认同)。方法:于2020年2月至4月对12名被诊断为强迫症的个体进行半结构化访谈，并采用理论主题分析法进行转录和分析。结果:参与者报告了诊断对“效用”和“影响”的积极影响。结论:强迫症的诊断有助于参与者使他们的症状具体化，为康复提供缓解和希望。非诊断性框架或替代框架应旨在满足这一需求。未来的研究可能希望确定这种对疾病的理解在不同的诊断之间是如何变化的，特别是在耻辱和个人福祉方面。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behavioural and Cognitive Psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

3.50

自引率

5.60%

发文量

期刊介绍： An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.