超越表面:了解强迫症状和身体感知,从关注体形到害怕脸红

IF 4.3 2区 医学 Q1 PSYCHIATRY Comprehensive psychiatry Pub Date : 2024-03-27 DOI:10.1016/j.comppsych.2024.152481
S. Tempia Valenta , G. Campanile , U. Albert , F. Marcolini , G. Faedi , D. De Ronchi , A.R. Atti
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引用次数: 0

摘要

导言:最近的重新分类扩大了人们对强迫症(OCD)的认识,现在强迫症已被纳入一个更广泛的类别,即强迫症及相关障碍(OCRD)。本研究旨在评估因进食障碍(ED)而寻求治疗的门诊患者的强迫症状和身体不适感。此外,我们还旨在探索强迫症状与身体不安之间的关联和潜在的中介效应。这项调查不仅涉及对身体形状和体重的担忧,还包括对特定身体部位(如面部特征、腹部区域和四肢)或功能(包括出汗、脸红、发出声音和释放气味)的恐惧。统计分析包括双变量相关分析、线性回归分析和中介分析,以探讨强迫症状与身体不适的不同表现之间的关联和潜在中介效应。结果样本(N = 210)表现出严重的强迫症状和明显的身体不适。OCI-R 评分与身体不满意的各种表现呈正相关,包括体形、体重和身体的特定组成部分或功能。线性回归显示,OCI-R 分数与总体身体不适感(BUT-A)以及对身体组成部分或功能的担忧(BUTB)之间存在明显关联。中介分析表明,BUT-A 对强迫症状和 BUTB 之间的关系起中介作用。它特别强调了强迫症状与身体不适之间的关联,不仅包括对身体形状和体重的担忧,还扩展到对身体组成部分和功能的担忧。
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Beyond the surface: Understanding obsessive symptoms and body perceptions, from shape concerns to fear of blushing

Introduction

Recent reclassifications have expanded the understanding of Obsessive-Compulsive Disorders (OCDs), now incorporated into a broader category known as Obsessive-Compulsive Disorder and Related Disorders (OCRDs). This study sought to assess obsessive-compulsive symptoms and body uneasiness among outpatients seeking treatment for Eating Disorders (ED). Additionally, we aimed to explore associations and potential mediation effects between obsessive-compulsive symptoms and body uneasiness. This investigation extended beyond concerns related solely to body shape and weight, encompassing fears associated with specific body components (such as facial features, abdominal region, and limbs) or functions (including sweating, blushing, emitting noises, and releasing odors).

Methods

Psychometric assessments included the Obsessive-Compulsive Inventory-Revised (OCI-R) and the Body Uneasiness Test (BUT). Statistical analyses involved bivariate correlations, linear regression, and mediation analysis to explore the associations and potential mediation effects between obsessive-compulsive symptoms and different manifestations of body uneasiness.

Results

The sample (N = 210) demonstrated substantial obsessive-compulsive symptoms and notable body discomfort. OCI-R scores positively correlated with various dimensions of body dissatisfaction, including shape, weight, and specific body components or functions. Linear regression revealed significant associations between OCI-R scores and overall body uneasiness (BUT-A) as well as concerns about body components or functions (BUTB). Mediation analysis indicated that BUT-A mediated the relationship between obsessive-compulsive symptoms and BUTB.

Conclusion

This study offers new insights into the comprehensive landscape of OCRDs. It specifically emphasizes the association between obsessive-compulsive symptoms and body uneasiness, embracing not only concerns about body shape and weight but also extending to body components and functions.

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来源期刊
Comprehensive psychiatry
Comprehensive psychiatry 医学-精神病学
CiteScore
12.50
自引率
1.40%
发文量
64
审稿时长
29 days
期刊介绍: "Comprehensive Psychiatry" is an open access, peer-reviewed journal dedicated to the field of psychiatry and mental health. Its primary mission is to share the latest advancements in knowledge to enhance patient care and deepen the understanding of mental illnesses. The journal is supported by a diverse team of international editors and peer reviewers, ensuring the publication of high-quality research with a strong focus on clinical relevance and the implications for psychopathology. "Comprehensive Psychiatry" encourages authors to present their research in an accessible manner, facilitating engagement with clinicians, policymakers, and the broader public. By embracing an open access policy, the journal aims to maximize the global impact of its content, making it readily available to a wide audience and fostering scientific collaboration and public awareness beyond the traditional academic community. This approach is designed to promote a more inclusive and informed dialogue on mental health, contributing to the overall progress in the field.
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