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Novel metaphor processing in high and low schizotypal individuals 高、低分裂型个体的新隐喻加工。
IF 2.2 4区 医学 Q3 PSYCHIATRY Pub Date : 2026-03-01 Epub Date: 2025-09-26 DOI: 10.1016/j.jbtep.2025.102070
Lara Fernandes , Giulia Olyff , Justine Bruxelmane , Loïc Le Nadan , Sandrine Detandt , Ariane Bazan
This study investigated whether non-clinical high-schizotypal adults exhibit pragmatic language impairments like those observed in schizophrenia patients. 664 participants completed a novel metaphor comprehension task designed to assess three types of interpretations: figurative, literal, and concrete, alongside the Schizotypal Personality Questionnaire (SPQ). Findings reveal that individuals with high SPQ scores show significant difficulties in understanding metaphors, aligning with patterns seen in schizophrenia. Errors predominantly favored literal and concrete interpretations. The study emphasizes the importance of utilizing novel metaphors to measure the ability to process figurative language, as lexicalized metaphors may only reflect associative thinking rather than true comprehension.
本研究调查了非临床高分裂型成人是否表现出与精神分裂症患者相似的语用性语言障碍。664名参与者完成了一项新的隐喻理解任务,该任务旨在评估三种类型的解释:比喻、字面和具体,以及分裂型人格问卷(SPQ)。研究结果显示,SPQ得分高的个体在理解隐喻方面表现出明显的困难,这与精神分裂症的模式一致。错误主要倾向于字面和具体的解释。本研究强调利用新颖的隐喻来衡量处理比喻语言的能力的重要性,因为词汇化的隐喻可能只反映联想思维,而不是真正的理解。
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引用次数: 0
Learning asymmetry as a predictor of mood and behavior dynamics: A network analysis 学习不对称作为情绪和行为动态的预测因子:一个网络分析。
IF 2.2 4区 医学 Q3 PSYCHIATRY Pub Date : 2026-03-01 Epub Date: 2025-10-01 DOI: 10.1016/j.jbtep.2025.102071
Laurens T. Kemp , Tom Smeets , Anita Jansen , Katrijn Houben
While studying appetitive and aversive conditioning is common in psychopathology research, studies that measure both types of learning simultaneously are rare. To gain insight into the role of appetitive and aversive learning in the complex interaction of positive mood, negative mood, worry, craving, avoidance and impulsive behavior, this study used a relative measure of the strength of appetitive versus aversive learning – the learning asymmetry – as a predictor of network dynamics of mood states and behavior. 100 healthy volunteers performed an appetitive and aversive conditioning task and completed an ecological momentary assessment study, where they were surveyed six times per day for 21 days. Groups were defined based on higher sensitivity to appetitive learning (positive learning asymmetry) or aversive learning (negative learning asymmetry). The positive asymmetry group was hypothesized to be more sensitive to positive mood changes, and the negative asymmetry group was hypothesized to be more sensitive to negative mood changes. Contrary to our hypothesis, results show that impulsive behavior was more likely to follow negative mood, specifically anger, in the positive but not the negative asymmetry group. These results demonstrate the potential for network analysis to elucidate complex interactions between mood and behavior associated with individual differences in learning.
虽然研究食欲和厌恶条件反射在精神病理学研究中很常见,但同时测量这两种学习类型的研究很少。为了深入了解食欲和厌恶学习在积极情绪、消极情绪、担忧、渴望、回避和冲动行为的复杂相互作用中的作用,本研究使用了一种相对衡量食欲和厌恶学习强度的方法——学习不对称——作为情绪状态和行为网络动态的预测因子。100名健康志愿者完成了一项食欲和厌恶条件反射任务,并完成了一项生态瞬时评估研究,在这项研究中,他们每天接受6次调查,持续21天。根据对食欲学习(积极学习不对称)或厌恶学习(消极学习不对称)的更高敏感性来定义组。假设正不对称组对积极情绪变化更敏感,假设负不对称组对消极情绪变化更敏感。与我们的假设相反,结果表明,在积极而非消极不对称组中,冲动行为更有可能伴随着消极情绪,特别是愤怒。这些结果表明,网络分析有潜力阐明与学习个体差异相关的情绪和行为之间复杂的相互作用。
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引用次数: 0
Obsessive-compulsive symptoms moderate the effect of contamination motion on disgust intensity 强迫症状调节污染运动对厌恶强度的影响
IF 2.2 4区 医学 Q3 PSYCHIATRY Pub Date : 2026-03-01 Epub Date: 2025-08-22 DOI: 10.1016/j.jbtep.2025.102068
M. Pelzer , C. Ouellet-Courtois , S. Krause , A. Coughtrey , J. Fink-Lamotte

Background

Perceiving a threat as constantly evolving, coming closer and escalating quickly can result in looming vulnerability (LV). LV may be a distal factor in contamination-based OCD (C-OCD) influencing disorder-specific mechanisms such as disgust. The aim of this study was to gain knowledge about three components of LV: speed, proximity and acceleration, and their influence on the relationship between disgust and C-OCD symptoms.

Methods

119 participants with subclinical C-OCD symptoms imagined four out of seven versions of a disgusting bathroom scene, varying in speed (slow/fast), proximity (farther away/closer), and acceleration (constant/exponential). These six dynamic conditions were compared to a static description. T-tests and a Bayesian multilevel model were used to assess differences in perceived dynamics of threat, disgust responses, and to examine the moderating role of C-OCD symptoms on responses to the experimental conditions.

Results

Threats in the dynamic conditions were perceived as significantly faster, closer, and more accelerated than in the static version. A difference within dynamic dimensions only emerged between the farther away and closer conditions. The Bayesian model showed a moderating effect of C-OCD symptoms leading to higher levels of disgust in the dynamic conditions, but not within the static condition.

Limitations

Without baseline disgust and LV measures, the specific contributions to disgust and LV for each condition remain unclear.

Conclusion

By showing that imagining dynamic contamination only elicits stronger disgust in individuals with higher C-OCD symptoms, the results support the idea of LV as a distal factor influencing symptom-maintaining factors in C-OCD such as disgust.
将威胁视为不断演变、越来越近和迅速升级可能会导致隐现的脆弱性(LV)。左室可能是污染型强迫症(C-OCD)中影响疾病特异性机制(如厌恶)的一个远端因素。本研究的目的是了解LV的三个组成部分:速度、接近度和加速度,以及它们对厌恶与C-OCD症状之间关系的影响。方法119名有亚临床C-OCD症状的参与者想象7个版本中的4个恶心的浴室场景,不同的速度(慢/快)、距离(远/近)和加速度(恒定/指数)。将这六种动态条件与静态描述进行比较。使用t检验和贝叶斯多水平模型来评估威胁、厌恶反应的感知动态差异,并检验C-OCD症状对实验条件下反应的调节作用。结果动态条件下的威胁感知明显比静态条件下更快、更近、更快。动态维度上的差异只出现在较远和较近的条件之间。贝叶斯模型显示,C-OCD症状在动态条件下有调节作用,导致厌恶水平升高,而在静态条件下没有。局限性:没有基线厌恶和左室测量,每种情况下对厌恶和左室的具体贡献仍然不清楚。结论想象动态污染只会在C-OCD症状较高的个体中引起更强烈的厌恶,结果支持左室是影响C-OCD症状维持因素(如厌恶)的远端因素的观点。
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引用次数: 0
Semantic similarity among autobiographical memories is associated with rumination 自传体记忆的语义相似性与反刍有关
IF 2.2 4区 医学 Q3 PSYCHIATRY Pub Date : 2026-03-01 Epub Date: 2025-10-09 DOI: 10.1016/j.jbtep.2025.102072
Noboru Matsumoto , Yudai Iijima , Mingming Lin , Yuki Nishiguchi , Keisuke Takano , Filip Raes
Depressive rumination is characterized by repetitive dwelling on one or more self-relevant, past-oriented topics. However, little empirical evidence links depressive rumination to the perseveration of specific themes in autobiographical memory (AM) retrieval. This study examined whether ruminators are more likely to retrieve semantically overlapping AMs across different times and locations using the experience sampling method (ESM). Participants (N = 58 Japanese-speaking university students) generated AMs in response to negative and positive cues three times daily for seven days. In total, 3063 AMs were collected and analyzed. For each participant, we computed cosine similarity to quantify semantic overlap among the reported AMs. The results indicated that individuals with higher levels of rumination exhibited greater semantic overlap among negative AMs (r = 0.33), suggesting that ruminators’ AMs tended to revolve around similar topics and themes across different cues and assessment occasions. These findings suggest that semantic overlap serves as an underlying mechanism of depressive rumination (and vice versa), wherein different cues activate a specific network that encodes similar or identical negative memory representations.
抑郁症的特点是反复思考一个或多个与自己相关的、以过去为导向的话题。然而,很少有经验证据将抑郁反刍与自传体记忆(AM)检索中特定主题的持久性联系起来。本研究采用经验抽样法(ESM)考察了反刍者是否更有可能在不同时间和地点检索到语义重叠的记忆。参与者(N = 58名说日语的大学生)在7天内每天三次对消极和积极的暗示做出反应。共收集和分析了3063个AMs。对于每个参与者,我们计算余弦相似度来量化报告的AMs之间的语义重叠。结果表明,反刍水平越高的个体在消极记忆中表现出更大的语义重叠(r = 0.33),这表明反刍者在不同线索和评估场合中倾向于围绕相似的主题和主题进行反刍。这些发现表明,语义重叠是抑郁反刍的潜在机制(反之亦然),其中不同的线索激活了一个特定的网络,该网络编码相似或相同的负面记忆表征。
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引用次数: 0
Exploring the links between dissociative experiences, schemas, modes, and coping 探索解离体验、图式、模式和应对之间的联系
IF 2.2 4区 医学 Q3 PSYCHIATRY Pub Date : 2026-03-01 Epub Date: 2025-08-31 DOI: 10.1016/j.jbtep.2025.102069
Robin.P.A. van der Linde , Nathan. Bachrach , Paul. Lodder , Marleen. Rijkeboer , Rafaële.J.C. Huntjens
This study explored the relationships between dissociative experiences, childhood trauma, maladaptive schemas, schema modes, and schema coping in a nonclinical sample. Three theoretical models were tested: (1) dissociative experiences resulting from schema mode activation, (2) dissociative experiences as an innate trait shaping schema coping, and (3) dissociative experiences arising from childhood trauma that influence coping strategies. Data from 401 Dutch psychology students were analyzed using path analyses to compare model fit. While all models showed good fit, Model 2 emerged as the best based on AIC and BIC values. This model linked dissociative experiences to avoidance and surrender coping styles and specific schema modes, such as the punitive parent and detached self-soother. Findings suggest dissociative experiences shape responses to schema-related stress through disengagement or immersion. Future research in clinical populations is recommended to further explore these dynamics and their therapeutic relevance.
本研究在非临床样本中探讨了分离经历、童年创伤、适应不良图式、图式模式和图式应对之间的关系。本研究检验了三种理论模型:(1)图式模式激活导致的解离体验,(2)作为塑造图式应对的先天特质的解离体验,以及(3)童年创伤引起的解离体验对应对策略的影响。研究人员对401名荷兰心理学专业学生的数据进行了路径分析,以比较模型的拟合程度。所有模型均表现出较好的拟合效果,其中AIC和BIC值的拟合效果最好的是模型2。该模型将分离体验与回避和投降应对方式以及特定的图式模式联系起来,如惩罚性父母和超然自我安抚。研究结果表明,解离体验通过脱离或沉浸来塑造对图式相关压力的反应。未来在临床人群中的研究建议进一步探索这些动态及其治疗相关性。
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引用次数: 0
Corrigendum to “Aversive conditioning is impaired in impulsive individuals: A study on learning asymmetries” [Journal of Behavior Therapy and Experimental Psychiatry 83 (2024) 101939] “冲动个体的厌恶条件反射受损:学习不对称的研究”[行为治疗与实验精神病学杂志83(2024)101939]。
IF 2.2 4区 医学 Q3 PSYCHIATRY Pub Date : 2026-03-01 Epub Date: 2025-10-26 DOI: 10.1016/j.jbtep.2025.102075
L.T. Kemp , T. Smeets , A. Jansen , K. Houben
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引用次数: 0
Schema modes as mechanisms of change in treating borderline personality disorder: A model replication study 图式模式作为治疗边缘型人格障碍的改变机制:一项模型复制研究。
IF 2.2 4区 医学 Q3 PSYCHIATRY Pub Date : 2026-03-01 Epub Date: 2025-11-01 DOI: 10.1016/j.jbtep.2025.102074
Duygu Yakın , Julia Uijttewaal , Puk Plooij , Gitta A. Jacob , Christopher W. Lee , Odette Manon Brand-de Wilde , Eva Fassbinder , R. Patrick Harper , Anna Lavender , George Lockwood , Ioannis A. Malogiannis , Florian A. Ruths , Ida A. Shaw , Gerhard Zarbock , Joan M. Farrell , Arnoud Arntz

Objective

Schema modes have been theorized and tested as mechanisms of change in the treatment of personality disorders. We investigated whether schema modes also function as mechanisms of change in borderline personality disorder (BPD) treatment.

Method

Data from 494 patients (N = 68 male, N = 426 female) with borderline PD who participated in an international randomized clinical trial on effectiveness of two group schema therapy formats vs treatment as usual were analyzed. Granger Causality was tested partially replicating the model predicting PD severity as derived in Yakın et al. (2020) with generalized linear mixed models, testing within-person relationships over time.

Results

The effect of the Healthy Adult, the Vulnerable Child and Detached Self-Soother as an Avoidant Coping mode on PD severity, and the reciprocal relationship between the Healthy Adult and the Vulnerable Child were replicated. Unlike previous findings, the Avoidant Coping mode is not predicted by the Healthy Adult. Moreover, the relationship between Impulsive Child and PD severity was unidirectional. The relationships between Healthy Adult, Self-Aggrandizer, and functioning over time were also replicated, but unlike earlier results, Self-Aggrandizer did not influence later scores of the Healthy Adult.

Conclusions

Central relationships in the model were replicated. The centrality of the Healthy Adult and the Vulnerable Child for the treatment of PDs was also applicable to BPD. It appears that these two modes should be primary treatment targets compared to the other modes, unless the avoidant modes block access to the more vulnerable parts of the personality.
目的:图式模式在人格障碍治疗中的作用机制已被理论化和检验。本研究探讨了图式模式在边缘型人格障碍(BPD)治疗中的作用机制。方法:对参加一项国际随机临床试验的494例边缘型PD患者(男68例,女426例)的数据进行分析,比较两种组图式治疗形式与常规治疗的有效性。格兰杰因果关系测试部分复制Yakın等人(2020)中推导的预测PD严重程度的模型,使用广义线性混合模型,测试随时间的人际关系。结果:健康成人、脆弱儿童和超然自我安抚作为回避应对方式对PD严重程度的影响,以及健康成人和脆弱儿童之间的互惠关系均具有重复性。与以往的研究结果不同,回避应对模式不是由健康成人预测的。此外,冲动性儿童与PD严重程度之间的关系是单向的。随着时间的推移,健康成人、自我夸大者和功能之间的关系也得到了重复,但与早期的结果不同,自我夸大者并不影响健康成人后来的得分。结论:模型中的中心关系是重复的。健康成人和弱势儿童对pd治疗的中心性也适用于BPD。与其他模式相比,这两种模式似乎应该是主要的治疗目标,除非回避模式阻碍了对人格中更脆弱部分的访问。
{"title":"Schema modes as mechanisms of change in treating borderline personality disorder: A model replication study","authors":"Duygu Yakın ,&nbsp;Julia Uijttewaal ,&nbsp;Puk Plooij ,&nbsp;Gitta A. Jacob ,&nbsp;Christopher W. Lee ,&nbsp;Odette Manon Brand-de Wilde ,&nbsp;Eva Fassbinder ,&nbsp;R. Patrick Harper ,&nbsp;Anna Lavender ,&nbsp;George Lockwood ,&nbsp;Ioannis A. Malogiannis ,&nbsp;Florian A. Ruths ,&nbsp;Ida A. Shaw ,&nbsp;Gerhard Zarbock ,&nbsp;Joan M. Farrell ,&nbsp;Arnoud Arntz","doi":"10.1016/j.jbtep.2025.102074","DOIUrl":"10.1016/j.jbtep.2025.102074","url":null,"abstract":"<div><h3>Objective</h3><div>Schema modes have been theorized and tested as mechanisms of change in the treatment of personality disorders. We investigated whether schema modes also function as mechanisms of change in borderline personality disorder (BPD) treatment.</div></div><div><h3>Method</h3><div>Data from 494 patients (N = 68 male, N = 426 female) with borderline PD who participated in an international randomized clinical trial on effectiveness of two group schema therapy formats vs treatment as usual were analyzed. Granger Causality was tested partially replicating the model predicting PD severity as derived in Yakın et al. (2020) with generalized linear mixed models, testing within-person relationships over time.</div></div><div><h3>Results</h3><div>The effect of the Healthy Adult, the Vulnerable Child and Detached Self-Soother as an Avoidant Coping mode on PD severity, and the reciprocal relationship between the Healthy Adult and the Vulnerable Child were replicated. Unlike previous findings, the Avoidant Coping mode is not predicted by the Healthy Adult. Moreover, the relationship between Impulsive Child and PD severity was unidirectional. The relationships between Healthy Adult, Self-Aggrandizer, and functioning over time were also replicated, but unlike earlier results, Self-Aggrandizer did not influence later scores of the Healthy Adult.</div></div><div><h3>Conclusions</h3><div>Central relationships in the model were replicated. The centrality of the Healthy Adult and the Vulnerable Child for the treatment of PDs was also applicable to BPD. It appears that these two modes should be primary treatment targets compared to the other modes, unless the avoidant modes block access to the more vulnerable parts of the personality.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"90 ","pages":"Article 102074"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intolerance of uncertainty predicts paranoia over time: Evidence from a UK sample. 对不确定性的不容忍预示着长期的偏执:来自英国样本的证据。
IF 2.2 4区 医学 Q3 PSYCHIATRY Pub Date : 2025-12-01 Epub Date: 2025-07-24 DOI: 10.1016/j.jbtep.2025.102050
Yingyixue Lei, Anton Martinez, Vyv Huddy, Jayne Morriss, Lyn Ellett, Richard Bentall

Paranoia, often associated with schizophrenia spectrum disorders, also exists on a continuum with ordinary mistrust and is prevalent in non-clinical populations. Recent research suggests that Intolerance of Uncertainty (IU), a dispositional trait reflecting a negative response to uncertainty, may play a significant role in predicting paranoia. This study aimed to examine the longitudinal relationship between IU and paranoia, using data from the Covid-19 Psychological Research Consortium Study (C19PRC). 2025 participants representative of the UK population were recruited and assessed across three waves over nine months. Path analysis revealed that IU consistently predicted paranoia over time, even after controlling for negative affective traits such as neuroticism, and common co-occurring symptoms such as anxiety, and depression. Partial correlation analyses revealed stronger relationships between paranoia and Inhibitory IU than Prospective IU. These findings suggest that IU is a stable and independent predictor of paranoia. This study extends previous cross-sectional research by providing longitudinal evidence of associations between IU and paranoia and suggests that IU may represent a promising target for future research on intervention strategies.

偏执狂,通常与精神分裂症谱系障碍有关,也存在于普通不信任的连续体中,并普遍存在于非临床人群中。最近的研究表明,不确定性不耐受(IU),一种反映对不确定性的负面反应的性格特征,可能在预测偏执中发挥重要作用。本研究旨在利用Covid-19心理研究联盟研究(C19PRC)的数据,研究IU与偏执之间的纵向关系。研究人员招募了代表英国人口的2025名参与者,并在9个月内分三次对他们进行了评估。通径分析显示,即使在控制了负面情感特征(如神经质)和常见的共存症状(如焦虑和抑郁)之后,IU也能长期预测偏执。偏相关分析显示,偏执狂与抑制性IU的关系强于前瞻性IU。这些发现表明,IU是偏执狂的一个稳定和独立的预测指标。该研究通过提供IU与偏执之间关联的纵向证据,扩展了之前的横断面研究,并表明IU可能是未来干预策略研究的一个有希望的目标。
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引用次数: 0
On the multi-causal nature of jumping to conclusions in psychosis 论精神病患者妄下结论的多因性
IF 2.2 4区 医学 Q3 PSYCHIATRY Pub Date : 2025-12-01 Epub Date: 2025-08-23 DOI: 10.1016/j.jbtep.2025.102057
Steffen Moritz , Lara Wille , Anja S. Göritz , Tana Gabbert , Rose Doherty , Ryan Balzan , Jakob Scheunemann

Background and objectives

Jumping to conclusions (JTC) is the most widely researched cognitive bias in schizophrenia. Notwithstanding meta-analyses demonstrating a higher level of JTC across the psychosis spectrum, important research questions remain unanswered. First, whether JTC is a primary process or in part an epiphenomenon reflecting contributions of other variables is still unresolved, which may explain why interventions targeting cognitive biases are effective on positive symptoms but less so on reducing JTC. Secondly, the beads task, the traditional procedure to capture JTC, is a complex procedure prone to misunderstanding and vulnerable to inattentive and careless responding. In this study, we tested a video assessment of the beads task aiming to reduce errors due to misunderstanding and to gain more insight into the processes contributing to JTC.

Methods

A sample of 801 participants from the general population was divided into various levels of paranoid ideation, based on cut-off criteria. The newly developed video JTC task, which is available at no cost at https://clinical-neuropsychology.de/jtc/, was presented online, as were the Revised Green et al. Paranoid Thoughts Scale (R-GPTS) and other psychological scales that served to separate individuals scoring high versus low on paranoia.

Results

As hypothesized, participants scoring high on both the ideas of social reference and persecution subscales of the R-GPTS showed more JTC than those with lower scores. Yet, a large number of participants (24 %) made illogical responses or showed signs of careless performance. Important contributors to JTC were lack of motivation, skipping some of the instructions, and speeding through the trials. Yet, significant differences remained when these influences were accounted for with matched samples.

Conclusions

While the newly developed video task was able to confirm elevated JTC in individuals scoring higher on paranoid ideation, core problems seen in prior versions of the beads task remain. Researchers are advised to develop alternative tests, preferably ones that allow repeated measurement. Our results indicate that JTC is a multi-causal bias that is unlikely to be explained by a single cognitive or psychopathological process.
背景与目的跳跃性结论(JTC)是精神分裂症中研究最广泛的认知偏差。尽管荟萃分析表明,在精神病谱系中,JTC的水平更高,但重要的研究问题仍未得到解答。首先,JTC是主要过程还是部分反映其他变量贡献的副现象仍未解决,这可能解释了为什么针对认知偏见的干预措施对阳性症状有效,但对减少JTC效果较差。其次,传统的捕获JTC的程序——珠子任务是一个复杂的程序,容易产生误解,容易出现反应不专心和粗心的情况。在这项研究中,我们测试了一个珠子任务的视频评估,旨在减少由于误解而导致的错误,并对导致JTC的过程有更多的了解。方法从普通人群中抽取801名受试者,根据截止标准将其分为不同程度的偏执观念。新开发的视频JTC任务(可在https://clinical-neuropsychology.de/jtc/免费获得)与修订后的Green等人一起在网上展示。偏执思维量表(R-GPTS)和其他心理量表用来区分偏执得分高低的个体。结果与假设一致,在R-GPTS的社会参照和迫害分量表中得分较高的参与者比得分较低的参与者表现出更多的JTC。然而,大量参与者(24%)做出了不合逻辑的回答或表现出粗心大意的迹象。JTC的重要贡献者是缺乏动力,跳过一些说明,以及通过试验的速度过快。然而,当这些影响与匹配样本相匹配时,显著差异仍然存在。结论:虽然新开发的视频任务能够证实在偏执意念得分较高的个体中JTC升高,但在先前版本的珠子任务中看到的核心问题仍然存在。建议研究人员开发替代测试,最好是允许重复测量的测试。我们的研究结果表明,JTC是一种多原因的偏倚,不太可能由单一的认知或精神病理过程来解释。
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引用次数: 0
Repetitive negative thinking in OCD: Evaluation of novel scenarios for cognitive bias modification training 强迫症患者重复性消极思维:认知偏差修正训练新场景的评估
IF 1.7 4区 医学 Q3 PSYCHIATRY Pub Date : 2025-12-01 Epub Date: 2025-04-17 DOI: 10.1016/j.jbtep.2025.102037
Chloe Bowles , Rachel White , Colette R. Hirsch , Karina Wahl

Background and objectives

Evidence suggests that repetitive negative thinking (RNT) is underpinned by interpretation bias which is heightened among individuals with OCD. Cognitive bias modification for interpretation training (CBM-I) may reduce RNT by modifying interpretation bias which could reduce OCD symptoms. This study evaluated novel scenarios in terms of appropriateness and validity for use in a future CBM-I study targeting OCD-related RNT. This included analysis of the associations between interpretation bias and OCD symptoms, RNT, and OCD-specific rumination, respectively.

Methods

Forty-four novel CBM-I scenarios targeting RNT in OCD were developed based on clinical expertise and interviews of people with lived experience. A general population sample (N = 167) completed the missing word at the end of each scenario to resolve ambiguity. This provided a measure of interpretation bias, and item-level data on the materials’ ability to assess negative and benign interpretations. Participants also completed measures of OCD symptoms, general RNT and OCD-specific rumination.

Results

Most scenarios displayed strong item discrimination coefficients, and well-balanced valence of interpretation responses, with minimal improvements required for future use. Interpretation bias was moderately positively correlated with OCD symptoms, RNT, and OCD-specific rumination, indicating good criterion validity.

Limitations

The order of CBM-I scenarios was not randomised which may have led to order effects, and some participants failed to adhere to instructions causing missing data.

Conclusions

The evaluation of the CBM-I scenarios yielded encouraging results for their use in a future CBM-I single session study. This may lead the way for future interventions for OCD-related RNT.
背景和目的有证据表明,重复性消极思维(RNT)是由解释偏见所支撑的,这种偏见在强迫症患者中尤为突出。口译训练认知偏见修正(CBM-I)可能通过改变口译偏见来减少RNT,从而减轻强迫症症状。本研究评估了在未来针对强迫症相关RNT的CBM-I研究中使用的适当性和有效性。这包括分别分析解释偏差与强迫症症状、RNT和强迫症特异性反刍之间的关系。方法基于临床专业知识和对有生活经验的人的访谈,开发了44种针对强迫症患者RNT的新型CBM-I方案。在每个场景结束时,一般人口样本(N = 167)完成缺失的单词以解决歧义。这提供了解释偏差的测量,以及材料评估负面和良性解释能力的项目水平数据。参与者还完成了强迫症症状、一般RNT和强迫症特异性反刍的测量。结果大多数情景表现出较强的项目辨别系数,解释反应的效价平衡良好,对未来使用的改进要求最小。解释偏倚与强迫症症状、RNT和强迫症特异性反刍中度正相关,表明标准效度良好。限制:CBM-I场景的顺序不是随机的,这可能导致顺序效应,一些参与者没有遵守指令,导致数据丢失。结论:对CBM-I情景的评估产生了令人鼓舞的结果,可用于未来的CBM-I单期研究。这可能为未来强迫症相关RNT的干预开辟道路。
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引用次数: 0
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Journal of Behavior Therapy and Experimental Psychiatry
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