걱정과 강박사고에 대한 인지적 평가와 통제방략 = Cognitive appraisals and control strategies on worry and obsession

다국어 초록 (Multilingual Abstract)

Generalized anxiety disorder(GAD) and obsessive-compulsive disorder(OCD) both share ‘excessive, uncontrolled intrusive thought’ as their main symptom. In order to clarify the relationship between GAD and OCD, the present study's aim is to investigate the cognitive appraisal and control strategies regarding three intrusive thoughts - worries, reactive obsessions, and autogenous obsessions. In this study, coping processes for the three subtypes of intrusive thoughts that has been experienced were tested by 174 college students. All three subtypes of intrusive thoughts were found to have importance of thought. But in two of the subtypes - worries and reactive obsessions, thoughts were important because they prevent negative events, reflect real events, and lead to actual behaviors. On the other hand, thoughts were of great importance in autogenous obsessions, because thoughts themselves were considered to be equal with actual behavior and morality. In addition, while both worries and reactive obsessions had high scores of probability and causal responsibility, autogenous obsessions had scored high on disapproval and moral responsibility. A significant difference between worries and reactive obsessions were also found, since worries were found to have higher disapproval scores and lower contingency and therefore higher control of thought. This is why confrontation strategies such as environment control has been used instead of avoidance strategies for reactive obsessions. In contrast, avoidance strategies and confrontation strategies such as social control or reappraisal had been used for worries. Emphasizing the importance of thoughts and a variety of control strategies led this study to seek out specific coping processes of worries, reactive obsessions, and autogenous obsessions.

참고문헌 (Reference)

1 "정서중심적 대처의 재개념화 기능적 유사성에 근거한 대처차원의 구분" 2000

2 "자생성 강박사고와 반응성 강박사고에 대한 평가와 통제방략의 차이" 1999

3 "성적인 침투사고에 대한 인지적 평가와 대처" 2002

4 "강박사고와 걱정 침투사고 대처과정 및 관련 성격특성에서의 유사점과 차이점" 2000

5 "강박사고 억제의 역설적 효과" 2000

6 "and origins of worry Perspectives on theory" 1994

7 "Worries and obsessions in individuals with obsessive- compulsive disorder with and without comorbid generalized anxiety disorder" 36 : 695-700, 1998

8 "What do patients do with their obsessive thoughts" 35 (35): 335-348, 1997

9 "Understanding and Treating obsessive-compulsive disorder" 37 : S29-S52, 1999

10 "Thought-action fusion in obsessive compulsive disorder Journal of Anxiety Disorders" 10 : 379-391, 1996

11 "Thought-action fusion and thought suppression in obsessive-compulsive disorder" 39 : 757-764, 2001

12 "Thought suppression in obsessive-compulsive disorder" 40 : 1255-1274, 2002

13 "Thought control strategies in obsessive-compulsive disorder: a replication and extension." 41 : 529-540, 2003

14 "The role of positive about worry in generalized anxiety disorder and its treatment" 6 : 126-138, 1999

15 "The relationship of thought- action fusion to pathological worry and generalized anxiety disorder." 40 : 1199-1204, 2002

16 "The relationship between obsessive-compulsive disorder and other anxiety-based disorders. In R. M. Rapee & D. H. Barlow (Eds.), Chronic anxiety: Generalized anxiety disorder, and mixed anxiety depression" New York: Guilford Press 29-51, 1998

17 "The nature of worry in generalized anxiety disorder A predominance of thought activity" 153-158, 1990

18 "The effects of worry on cardiovascular response to phobic imagery" 69-73, 1990

19 "Self-report of obsessions and worry" 29-36, 1994

20 "Relationships between thought-action fusion, thought suppression, and obsessive- compulsive symptoms: A structural equation modeling approach" 38 : 889-897, 2000

21 "Preliminary test of a cognitive model of generalized anxiety disorder" 37 : 585-594, 1999

22 "Perceived responsibility: structure and significance." 33 : 779-784, 1995

23 "Perceived functions of worry among generalized anxiety disorder subjects: Distraction from more emotionally distressing topics" 26 : 25-30, 1995

24 "Pathological worrying as exacerbated problem-solving Perspectives on theory" 1994

25 "Obsessive intrusive thoughts in nonclinical subjects Content and relation with depressive" 713-720, 1993

26 "Obsessive intrusive thoughts in nonclinical subjects" 403-410, 1994

27 "Obsessional-compulsive problems:A cognitive-behavioral analysis" 23 : 571-583, 1985

28 "Generalized anxiety disorder. In M. David & C. G. Fairburn (Eds.), Science and practice of cognitive behaviour therapy" New York: Oxford University Press 156-178, 1997

29 "Effects of priming and suppression of worry" 843-850, 1994

30 "Distinguishing obsessive factors and worries: the role of thought-action fusion" 39 : 947-959, 2001

31 "Differences and similarities between obsessive intrusive thoughts and worry in a non-clinical population: study 2" 38 : 175-189, 2000b

32 "Differences and similarities between obsessive intrusive thoughts and worry in a non-clinical population: study 1" 38 : 157-173, 2000a

33 "Cognitive intrusions in a non-clinical population Associations with depressive" 263-271, 1992

34 "Cognitive intrusions in a non-clinical population" 585-597, 1991

35 "Cognitive Assessment of OCD" 35 : 667-681, 1997

36 "A measure of individual differences in the control of unwanted thoughts" 871-878, 1994

37 "A cognitive theory of obsessions" 35 : 793-802, 1997

38 "A cognitive theory of obsessions" 36 : 385-401, 1998