强迫症的精神污染:文献综述和COVID-19大流行期间的研究和临床指南

Thales Vianna Coutinho, M. G. Dias
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摘要

有可能被思想污染吗?不是客观上,但主观上是的。被称为“精神污染”的结构仍然很少被研究,在葡萄牙语科学文献中很少被提及。因此,本文的目的是回顾过去5年来有关精神污染与强迫症(OCD)相关的研究。检索在PubMed、MEDLINE和PsycINFO数据库中进行;在应用纳入标准后,对6项研究进行了全面审查。通过对每项研究的样本、使用的仪器、发现的结果和作者报告的局限性的分析,我们得出结论:1)很少有研究同时检测了临床和非临床样本;2)《温哥华强迫症量表-心理污染》是衡量心理污染最常用的工具;3)心理污染与强迫症中同样存在的其他现象(如厌恶倾向)有关;4)研究通常有样本限制。在正文的最后,我们提出了鼓励巴西对精神污染进行科学研究的必要步骤,并建议精神卫生专业人员如何在大流行期间指导强迫症患者,以减少对精神污染的易感性。
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Contaminação mental no transtorno obsessivo-compulsivo: revisão da literatura e orientações para a pesquisa e a clínica durante a pandemia da COVID-19
Is it possible to become contaminated through thought? Not objectively, but subjectively yes. The construct referred to as “mental contamination” is still poorly investigated and rarely mentioned in Portuguese-language scientific literature. Therefore, the aim of this article was to review studies that correlated mental contamination to obsessive-compulsive disorder (OCD) over the past 5 years. The search was performed on the PubMed, MEDLINE and PsycINFO databases; after applying the inclusion criteria, six studies were fully reviewed. Based on the analysis of samples, instruments adopted, results found and limitations reported by the authors of each study, we conclude that: 1) few studies have examined both clinical and non-clinical samples; 2) the Vancouver Obsessional Compulsive Inventory-Mental Contamination was the instrument most commonly used to measure mental contamination; 3) mental contamination is related to other phenomena that are also present in OCD (e.g.,disgust propensity); and 4) the studies commonly have sample limitati ons. Towards the end of the text, we present the necessary steps to encourage Brazilian scienti fi cresearch on mental contaminati on and also suggest how mental health professionals can guide pati ents with OCD during the pandemic, to reduce suscepti bility to mental contaminati on.
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