Journal of Obsessive-Compulsive and Related Disorders最新文献

Examining the association between OCPD and OCD: Data from a specialized outpatient clinic 检视OCPD与强迫症之间的关系：来自一个专科门诊诊所的资料

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2026-01-01 DOI: 10.1016/j.jocrd.2025.100993

Jonathan A. Teller , Haley Ward , Ashley F. Jennings , Noelle Arcaro , John Christman , Michael G. Wheaton , Anthony Pinto

Obsessive compulsive disorder (OCD) and obsessive compulsive personality disorder (OCPD) frequently co-occur, yet the clinical implications of this comorbidity remain unclear. This study investigated the prevalence and association of OCPD in individuals with OCD in a specialized outpatient clinic. We evaluated the Pathological Obsessive-Compulsive Personality Scale (POPS) as a screening tool for OCPD in this population. A sample of 228 patients with a primary DSM-5 OCD diagnosis completed measures of OCD severity, OCPD traits/severity, quality of life, and mood. Results indicated that 25 % of the sample met full DSM-5 criteria for OCPD. POPS scores were positively correlated with OCD symptom severity, depression symptoms, and anhedonia and negatively with quality of life. Controlling for demographic differences, individuals with comorbid OCPD reported greater overall OCPD severity, higher levels of OCPD traits (except Emotional Overcontrol) as well as greater OCD severity but did not differ from those without OCPD on depression symptoms, anhedonia, and quality of life. Receiver Operating Characteristic (ROC) analysis revealed that a POPS Total cut score of 178 demonstrated 80 % sensitivity in detecting OCPD within this OCD sample. These results suggest that OCPD traits are common in individuals with OCD and may exacerbate OCD symptoms. The POPS demonstrates utility as a screening tool for OCPD in OCD populations and can aid clinicians in identifying patients who may benefit from further diagnostic evaluation and tailored treatment approaches addressing both OCD and OCPD symptoms.

强迫症（OCD）和强迫性人格障碍（OCPD）经常同时发生，但这种共病的临床意义尚不清楚。本研究调查了强迫症患者在专科门诊的患病率及其与强迫症的关系。我们评估了病理性强迫症人格量表（POPS）作为该人群OCPD的筛查工具。228例初步诊断为DSM-5强迫症的患者完成了强迫症严重程度、强迫症特征/严重程度、生活质量和情绪的测量。结果表明，25%的样本完全符合DSM-5的OCPD标准。POPS评分与强迫症症状严重程度、抑郁症状、快感缺乏呈正相关，与生活质量呈负相关。控制人口统计学差异，患有共病OCPD的个体报告了更高的总体OCPD严重程度，更高水平的OCPD特征（情绪过度控制除外）以及更大的OCD严重程度，但在抑郁症状，快感缺乏和生活质量方面与没有OCPD的个体没有差异。受试者工作特征（ROC）分析显示，在该OCD样本中，POPS Total cut评分为178，检测OCPD的灵敏度为80%。这些结果表明，OCPD特征在强迫症患者中很常见，并可能加剧强迫症症状。POPS作为OCD人群中OCPD筛查工具的实用性，可以帮助临床医生识别可能受益于进一步诊断评估和针对OCD和OCPD症状的量身定制治疗方法的患者。

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引用次数: 0

The association between dimensions of obsessive-compulsive disorder and eating disorders: A systematic review 强迫症维度与饮食失调之间的关联：一项系统综述

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2026-01-01 DOI: 10.1016/j.jocrd.2026.100995

Sukriye Acar , Emily Newman , Gemma Brown , Imogen Peebles

Obsessive-compulsive disorder (OCD) and eating disorders (ED) are highly co-occurrent. While the association between OCD and ED has long been studied, there is a lack of review on how OCD is related to ED at a symptom level. The current systematic review aimed to examine how OCD symptoms relate to ED. A protocol was registered on PROSPERO. PsycINFO, EMBASE, and MEDLINE databases were searched. Fifty-one studies, mostly cross-sectional, with 15 072 participants met the inclusion criteria. Studies focusing specifically on general obsessions and compulsions revealed that obsessions tend to be more prevalent among individuals with ED, and there was more evidence supporting their association with ED symptoms. OCD subtypes were categorized based on the assessment scale used. The symmetry/exactness and ordering/arranging dimensions of the Yale-Brown Obsessive-Compulsive Scale; the doubting and slowness dimensions of the Maudsley Obsessive-Compulsive Inventory; the obsessing and ordering dimension of the Obsessive-Compulsive Inventory; obsessional and the impulses dimensions of the Padua Inventory, and the cleaning/washing dimension of other scales showed more notable associations with ED symptoms compared to other dimensions. Also, obsessive beliefs were found to be related to ED symptoms. The included studies demonstrated that OCD symptoms are linked to eating disorders and behaviours through both cognitive and behavioural components. Particularly, the cognitive aspect of OCD, characterized by obsessions and obsessive beliefs, may play an important role in comorbidity with ED. This review emphasizes the importance of considering symptom-level association between OCD and ED to improve treatment outcomes.

强迫症（OCD）和饮食失调（ED）是高度共存的。虽然强迫症和ED之间的关系已经被研究了很长时间，但在症状水平上强迫症与ED之间的关系却缺乏回顾。目前的系统评价旨在检查强迫症症状与ED的关系。在PROSPERO上注册了一个协议。检索PsycINFO、EMBASE和MEDLINE数据库。51项研究，主要是横断面研究，15072名参与者符合纳入标准。专门针对一般强迫和强迫的研究表明，强迫倾向于在ED患者中更为普遍，并且有更多证据支持它们与ED症状的关联。根据所使用的评估量表对强迫症亚型进行分类。耶鲁-布朗强迫症量表的对称/精确和有序/排列维度莫兹利强迫症量表的怀疑维度和缓慢维度；强迫量表的强迫与排序维度；帕多瓦量表的强迫和冲动维度以及其他量表的清洁/洗涤维度与ED症状的相关性较其他维度更显著。此外，强迫性信念被发现与ED症状有关。纳入的研究表明，强迫症症状通过认知和行为两方面与饮食失调和行为有关。特别是，强迫症的认知方面，以强迫和强迫信念为特征，可能在ED的合并症中起重要作用。本综述强调了考虑强迫症和ED之间症状水平关联的重要性，以改善治疗效果。

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引用次数: 0

Mental rotation of body- and non-body stimuli in body dysmorphic disorder 身体畸形障碍中身体和非身体刺激的心理旋转

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2026-01-01 DOI: 10.1016/j.jocrd.2026.100996

Anne Möllmann , Arvid Herwig , Andreas Johnen , Jakob Rösch , Christian Stierle , Ulrike Buhlmann

Individuals with body dysmorphic disorder (BDD) experience a discrepancy between their own and others’ perception of their physical appearance. This discrepancy indicates biased body representations. BDD is associated with distortions in cognitive-affective and perceptual body image, such as high body dissatisfaction or aberrant visual processing. Body representations are also used for movements and actions (e.g., symptom behavior). These aspects of action-oriented body representations have not been examined yet. The aim of the current study was to investigate general mental rotation and mental rotation of body versus non-body targets to capture such action-related representations. Sixty-three individuals (n = 35 BDD participants, and n = 28 mentally healthy controls [HC]) were included and performed two mental rotation tasks of non-body and body-stimuli. The results revealed higher mental rotation accuracy in the HC versus BDD group (t(60.57) = 2.61, p = .011, d = .64) in a paper-pencil task with non-body stimuli (i.e., digits) but no significant group (F(1, 61) = .21, p = .650, ω² = .000) or group x stimulus effects in a computerized reaction-time task with body- and non-body stimuli. Bayes Analyses were used to assess the strength of evidence for absence of hypothesized specific effects. Although the conclusion should be interpreted cautiously given methodological factors related to task and participant characteristics, the findings suggest that potential distortions in action-related body representations in BDD may not occur on a general body-related level. They may rather be body part-dependent and warrant further investigation, particularly in relation to disorder-relevant body regions.

患有身体畸形障碍（BDD）的人会经历自己和他人对自己外表的感知之间的差异。这种差异表明有偏见的身体表征。BDD与认知情感和感知身体形象的扭曲有关，如对身体的高度不满或异常的视觉处理。身体表征也用于运动和动作（例如，症状行为）。以行动为导向的身体表征的这些方面尚未得到研究。本研究的目的是调查一般心理旋转和身体与非身体目标的心理旋转，以捕获这些与动作相关的表征。本研究共纳入63名BDD参与者（n = 35）和28名心理健康对照组（n = 28），分别进行非身体刺激和身体刺激的心理旋转任务。结果显示，HC组与BDD组相比，在有非身体刺激（即数字）的纸笔任务中心理旋转精度更高（t(60.57) = 2.61, p = 0.011, d = 0.64），但在有身体和非身体刺激的计算机化反应时间任务中，没有显著组（F(1,61) = 0.21, p = 0.650, ω2 = 0.000）或x组的刺激效应。贝叶斯分析用于评估证据的强度，以证明没有假设的特定效应。尽管考虑到与任务和参与者特征相关的方法因素，结论应谨慎解释，但研究结果表明，BDD中与行动相关的身体表征的潜在扭曲可能不会在一般的身体相关水平上发生。它们可能与身体部位有关，值得进一步调查，特别是与疾病相关的身体部位。

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引用次数: 0

Sensory over-responsivity in obsessive-compulsive disorder: A systematic review and meta-analysis of case control studies 强迫症的感觉过度反应：病例对照研究的系统回顾和荟萃分析

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2026-01-01 DOI: 10.1016/j.jocrd.2026.100994

Braeden Hysuick-Weik, Blake A.E. Boehme, Holden J. Norrie, Eric D. Tessier, Gordon J.G. Asmundson

Background

Sensory over-responsivity (SOR) refers to distress experienced in response to ordinary sights, sounds, smells, and textures. This SOR has been found to be elevated in OCD. The current systematic review and meta-analysis assessed whether participants with OCD report higher SOR than healthy controls.

Method

Systematic searches were conducted in PsycINFO, PubMed, and Embase. The Newcastle-Ottawa Scale served as the tool for evaluating risk of bias. A random-effects meta-analysis was conducted using Hedges' g to estimate pooled effect sizes. Study heterogeneity was assessed using Cochran's Q and quantified with the I² statistic. To evaluate the potential influence of unpublished or missing studies, Egger's regression was applied.

Results

A total of k = 6 studies (N = 376 OCD; N = 713 controls) met inclusion criteria. Participants with OCD exhibited significantly higher SOR compared to healthy controls (Hedges’ g = 1.73; 95 % CI [1.22, 2.24], Z = 6.62, p < .001; I² = 76.2 %). An examination of the results for potential bias found no indication of missing or unpublished studies that might have influenced the findings. Risk of bias ratings showed the studies were of moderate to high quality.

Discussion

People with OCD show significantly higher SOR than healthy controls, suggesting that heightened sensitivity to external sensory stimuli may be relevant to OCD. Considerable heterogeneity, coupled with the small number of studies, raises some uncertainty about the generalizability of the results. Clinicians might consider SOR in case formulation. Further research is needed to gain a deeper understanding of SOR in other clinical populations.

Registration

CRD42024608769.

感官过度反应（SOR）是指对普通的视觉、声音、气味和纹理做出反应时所经历的痛苦。这种SOR在强迫症患者中已被发现升高。目前的系统回顾和荟萃分析评估了强迫症患者报告的SOR是否高于健康对照组。方法系统检索PsycINFO、PubMed、Embase。纽卡斯尔-渥太华量表是评估偏倚风险的工具。随机效应荟萃分析使用Hedges' g来估计合并效应大小。采用Cochran’s Q评价研究异质性，并采用I2统计量进行量化。为了评估未发表或缺失研究的潜在影响，应用了Egger回归。结果共有k = 6项研究（N = 376例强迫症患者，N = 713例对照组）符合纳入标准。与健康对照组相比，强迫症参与者表现出显著更高的SOR （Hedges ' g = 1.73; 95% CI [1.22, 2.24], Z = 6.62, p < .001; I2 = 76.2%）。对结果的潜在偏倚检查没有发现可能影响结果的缺失或未发表的研究的迹象。偏倚风险评级显示研究质量为中等至高。强迫症患者的SOR明显高于健康对照组，这表明对外部感官刺激的高度敏感性可能与强迫症有关。相当大的异质性，加上研究数量少，对结果的普遍性提出了一些不确定性。临床医生可能会在制定病例时考虑SOR。需要进一步的研究来更深入地了解SOR在其他临床人群中的作用。

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引用次数: 0

Family functioning impairment in pediatric obsessive-compulsive disorder and psychiatric outpatient controls 儿童强迫症的家庭功能障碍与精神科门诊对照

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-12-10 DOI: 10.1016/j.jocrd.2025.100992

Ariel Qi , John R. Best , Anna MacLellan , Gordan Andjelic , Boyee Lin , Cynthia Lu , Clara Westwell-Roper , S. Evelyn Stewart

Pediatric obsessive-compulsive disorder (OCD) imposes significant family functioning impairment (FFI) on household routines, socio-occupational activities, and caregiver emotional well-being. Low parental tolerance of one's child's distress (PTCD) predisposes to accommodation behaviors associated with poorer OCD outcomes. Knowledge is limited regarding whether family dysfunction is related to the burden of having a child with any mental illness, or whether it differs by psychiatric condition.

Methods

Our study compares FFI and PTCD outcomes between pediatric OCD and non-OCD disorders, and explores clinical correlates. Data were collected at tertiary outpatient child and adolescent psychiatry programs for OCD (n = 287) and five other specialty clinics (n = 1110). FFI and PTCD were measured by the Family Functioning Impairment Scale and Parental Tolerance of Child's Distress Scale, respectively.

Results

Multivariable linear regression modelling indicated greater FFI for youth with OCD in comparison to psychiatric controls (FFI difference = 3.5, p = .018), particularly regarding family routine disturbances (FFI difference = 2.4, p = .005). FFI was associated with traumatic incident history (FFI difference = 2.8, p = .012), financial struggles (FFI difference = 3.2, p = .002) and first-degree family history of developmental/psychiatric disorders (FFI difference = 4.6, p < .001). Results highlight the significant impacts of OCD on family functioning, with greater illness severity and household routine disruptions secondary to family symptom involvement as potential contributors. It also underscores the importance of family-inclusive OCD treatment strategies and tailored interdisciplinary supports to enhance family functioning.

儿童强迫症（OCD）对家庭日常生活、社会职业活动和照顾者的情感健康造成显著的家庭功能障碍（FFI）。父母对孩子痛苦的低容忍度（PTCD）倾向于与较差的强迫症结果相关的适应行为。关于家庭功能障碍是否与患有任何精神疾病的孩子的负担有关，或者是否因精神状况而异，我们所知有限。方法本研究比较儿童强迫症和非强迫症患者的FFI和PTCD结果，并探讨其临床相关性。数据收集于三级门诊儿童和青少年强迫症精神病学项目（n = 287）和其他5个专科诊所（n = 1110）。FFI和PTCD分别采用《家庭功能障碍量表》和《父母对儿童痛苦的容忍量表》进行测量。结果多变量线性回归模型显示，强迫症青少年的FFI高于精神病对照组（FFI差异= 3.5,p = 0.018），特别是在家庭常规干扰方面（FFI差异= 2.4,p = 0.005）。FFI与创伤性事件史（FFI差异= 2.8,p = 0.012）、经济困难（FFI差异= 3.2,p = 0.002）和发育/精神障碍一级家族史（FFI差异= 4.6,p < 0.001）相关。结果强调了强迫症对家庭功能的显著影响，更严重的疾病和家庭日常中断是继发于家庭症状的潜在因素。它还强调了家庭包容性强迫症治疗策略和量身定制的跨学科支持的重要性，以增强家庭功能。

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引用次数: 0

The impact of mindfulness-based haircuts on individuals affected by trichotillomania and related hair-focused repetitive behavior disorders and their hair-pulling behavior: A pilot study 正念理发对拔毛癖和相关毛发重复性行为障碍患者及其拔毛行为的影响：一项初步研究

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-11-25 DOI: 10.1016/j.jocrd.2025.100991

Linda Hollatz, Alexander L. Gerlach

Individuals with Trichotillomania (TTM) or related hair-focused repetitive behaviors engage in recurrent hair pulling that negatively impacts their quality of life. At the same time, hair care remains a central part of their hygiene and beauty routines. This study examined the effects of a mindfulness-based haircut appointment, delivered by trained hair professionals, on pathological hair-pulling behavior. In an open-label intervention study, 43 adult females with TTM completed measures of hair-pulling behavior and maintained hair-pulling diaries for 14 days before and after the appointment. Results showed significant reductions in hair-pulling urges and time spent pulling hair post-appointment, with sustained improvements at 14, 30, and 60 days, as documented in diaries and the Massachusetts General Hospital Hairpulling Scale.

Furthermore, participants were satisfied with the appointment, attributing this to the empathy and non-judgmental communication exhibited by the hair professionals. These findings suggest that haircut appointments administered with compassion and understanding may significantly reduce hair-pulling behaviors and improve overall well-being. The results underscore the importance of training hair professionals to provide informed, supportive services to individuals affected by TTM.

患有拔毛癖（TTM）或相关毛发重复性行为的人会反复拔毛，这会对他们的生活质量产生负面影响。与此同时，头发护理仍然是他们卫生和美容程序的核心部分。这项研究考察了由训练有素的专业理发人员进行的以正念为基础的理发预约对病理性拔头发行为的影响。在一项开放标签干预研究中，43名患有TTM的成年女性完成了拔毛行为的测量，并在预约前后14天内保持拔毛日记。结果显示，在预约后拔头发的冲动和拔头发的时间显著减少，在14、30和60天持续改善，记录在日记和马萨诸塞州总医院拔头发量表中。此外，参与者对这次约会感到满意，这归因于美发专家表现出的同理心和非评判性的沟通。这些发现表明，以同情和理解的态度进行理发预约可能会显著减少拔头发行为，提高整体幸福感。研究结果强调了培训头发专业人员为受TTM影响的个人提供知情、支持性服务的重要性。

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引用次数: 0

Associations among fear of self, family acceptance, and scrupulosity symptoms in the LGBTQ+ community LGBTQ+群体自我恐惧、家庭接纳和谨慎症状之间的关系

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-10-01 DOI: 10.1016/j.jocrd.2025.100981

Anna M. White, Fiona C. Ball, Jonathan A. Teller, Katie H. Mangen, Kevin D. Wu

Extant research suggests that LGBTQ+ individuals may be especially susceptible to experiencing obsessive-compulsive (OC) symptoms within the unacceptable thoughts symptom dimension. The current study sought to replicate and extend these findings by examining whether LGBTQ+ individuals report greater unacceptable thoughts and scrupulosity symptoms (religious- and/or moral-based symptoms) than do non-LGBTQ+ individuals. To further understand these experiences among LGBTQ+ individuals, we also examined the relations among OC symptoms and factors we hypothesized to be uniquely relevant: religiosity, fear of self, and family acceptance of LGBTQ+ identity. MTurk participants completed a battery of questionnaires. Results indicated that LGBTQ+ participants reported significantly higher scrupulosity and unacceptable thoughts symptoms than did non-LGBTQ+ participants. Notably, LGBTQ+ participants also reported significantly higher scores on other OC symptom dimensions than did non-LGBTQ+ participants. LGBTQ+ identity was significantly related to scrupulosity symptoms when controlling for religiosity and fear of self. In the LGBTQ+ sample, family acceptance of LGBTQ+ identity moderated an association between religiosity and scrupulosity symptoms. These results suggest that identity, family acceptance, and religiosity are meaningfully associated with OC symptoms in LGBTQ+ individuals. This line of research remains relatively nascent but should be a focus of efforts to better understand and eventually mitigate OC symptoms in the LGBTQ+ community.

现有的研究表明，LGBTQ+个体可能特别容易在不可接受的思想症状维度中经历强迫症（OC）症状。目前的研究试图通过检查LGBTQ+个体是否比非LGBTQ+个体报告更多的不可接受的想法和谨慎症状（基于宗教和/或道德的症状）来复制和扩展这些发现。为了进一步了解LGBTQ+个体的这些经历，我们还研究了OC症状与我们假设的唯一相关因素之间的关系：宗教信仰、自我恐惧和家庭对LGBTQ+身份的接受程度。土耳其的参与者完成了一系列问卷调查。结果表明，与非LGBTQ+参与者相比，LGBTQ+参与者报告了明显更高的谨慎和不可接受的想法症状。值得注意的是，LGBTQ+参与者在其他OC症状维度上的得分也明显高于非LGBTQ+参与者。在控制宗教虔诚和自我恐惧的情况下，LGBTQ+身份与审慎症状显著相关。在LGBTQ+样本中，家庭对LGBTQ+身份的接受程度调节了宗教虔诚度和谨慎症状之间的关联。这些结果表明，身份、家庭接受度和宗教信仰与LGBTQ+个体的OC症状有意义的关联。这方面的研究仍处于起步阶段，但应该成为更好地理解并最终减轻LGBTQ+社区中OC症状的重点。

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引用次数: 0

Factors associated with delays in assessment and treatment of obsessive-compulsive disorder: A scoping review 与评估和治疗强迫症延迟相关的因素：范围审查

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-10-01 DOI: 10.1016/j.jocrd.2025.100982

Kaeo Wongbusarakum , Erica Schug , Tamerlane C. Visher , Kaitlyn Sulivan-Pascual , Megan Mirkis , Precia Rhee , Adam C. Frank

引用次数: 0

Unpacking inferential confusion: A critical review of the inference-based approach to obsessive-compulsive disorder 解开推理混乱：对强迫症的基于推理的方法的批判性回顾

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-10-01 DOI: 10.1016/j.jocrd.2025.100983

Nicholas S. Myers, Jonathan S. Abramowitz

引用次数: 0

Psychometric properties of the action and acceptance questionnaire for trichotillomania in a clinical sample of patients with trichotillomania and skin picking disorder 拔毛癖和抠皮障碍患者行为和接受问卷的心理测量学特征

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders

Pub Date : 2025-08-28 DOI: 10.1016/j.jocrd.2025.100972

Benjamin Hummelen , Filippa Brovold , Erna Moen , Karete Jacobsen Meland , Anniken Andersen , Diana Strand Johnsen , Toril Dammen , Douglas Woods , Torun Grøtte

Self-report questionnaires can be valuable for evaluating treatment processes and outcomes in Acceptance and Commitment Therapy enhanced Behavioral Therapy (ACT-enhanced BT) for trichotillomania (TTM) and skin picking disorder (SPD). The Action and Acceptance Questionnaire for TTM (AAQ-4TTM) assesses experiential avoidance in individuals with TTM and can be easily adapted for patients with SPD by replacing references to “hair pulling” with “skin picking.” This study aims to evaluate the psychometric properties of the AAQ-4TTM, including factor structure, factor loadings, internal consistency, and construct validity, in a treatment-seeking sample of individuals with TTM or SPD. We expected no differences in factor structure and other psychometric properties across the two diagnostic groups. The study sample comprised 244 patients with a primary diagnosis of TTM (n = 144) or SPD (n = 100), all of whom were evaluated for ACT-enhanced BT. Contrary to our prediction, the exploratory factor analyses revealed different factor structures for the SPD group compared to the TTM group. While a two-factor structure emerged in the TTM group, a unidimensional structure was found in the SPD group. In TTM, the two factors were labeled “Acceptance” and “Interference”. The Interference factor showed stronger associations with measures of psychopathology than the Acceptance factor. The SPD factor, labeled “Flexibility”, showed the strongest correlation with self-reported skin-picking severity. Although the psychometric properties of the AAQ-4TTM were not optimal, the two factors identified in the TTM group seem to represent meaningful constructs within the ACT framework. In the SPD group, the AAQ-4SPD appears to function as a unidimensional scale, reflecting Psychological flexibility.

自我报告问卷可用于评估接受与承诺强化行为疗法（ACT-enhanced BT）治疗拔毛癖（TTM）和抠皮障碍（SPD）的治疗过程和结果。TTM的行动和接受问卷（AAQ-4TTM）评估TTM患者的经验回避，可以很容易地适用于SPD患者，将“拔头发”改为“抠皮肤”。本研究旨在评估AAQ-4TTM的心理测量特性，包括因子结构、因子负荷、内部一致性和结构效度，在寻求治疗的TTM或SPD个体样本中。我们预计在两个诊断组的因素结构和其他心理测量特性上没有差异。研究样本包括244例原发性诊断为TTM （n = 144）或SPD （n = 100）的患者，所有患者均接受act增强BT评估。与我们的预测相反，探索性因素分析显示SPD组与TTM组的因素结构不同。TTM组出现双因素结构，SPD组出现一维结构。在TTM中，这两个因素被标记为“接受”和“干扰”。干扰因子比接受因子与精神病理指标的相关性更强。SPD因子，标记为“灵活性”，显示出与自我报告的抠皮严重程度最强的相关性。虽然AAQ-4TTM的心理测量特性不是最优的，但在TTM组中发现的两个因素似乎代表了ACT框架内有意义的构式。在SPD组中，AAQ-4SPD似乎是一个单向度的量表，反映了心理灵活性。

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引用次数: 0