Ký ức tự truyện và suy nghĩ về tương lai theo sự kiện trong lo âu sức khỏe nghiêm trọng: So sánh với rối loạn ám ảnh cưỡng chế

Cognitive Therapy and Research - Tập 44 - Trang 89-107 - 2019
Tine B. Gehrt1, Lisbeth Frostholm2, Marie-Louise Obermann3, Dorthe Berntsen1
1Center on Autobiographical Memory Research, Aarhus University, Aarhus, Denmark
2Research Clinic for Functional Disorders, Aarhus University Hospital, Aarhus, Denmark
3Clinic for OCD and Anxiety Disorders, Aarhus University Hospital, Aarhus, Denmark

Tóm tắt

Lo âu sức khỏe nghiêm trọng đặc trưng bởi những lo lắng xâm lấn về việc mắc phải một căn bệnh nghiêm trọng. Trong nghiên cứu này, 32 bệnh nhân với lo âu sức khỏe nghiêm trọng, 32 người tham gia đối chứng và một nhóm đối chứng lâm sàng gồm 33 bệnh nhân mắc rối loạn ám ảnh cưỡng chế (OCD) đã báo cáo những ký ức tự truyện và suy nghĩ về tương lai liên quan đến lo âu mà không cần gợi ý. So với những người tham gia đối chứng, các nhóm bệnh nhân thể hiện các mô hình tương tự về các đặc điểm của các sự kiện được báo cáo và về các chiến lược nhận thức và hành vi không thích hợp đã sử dụng khi các sự kiện xuất hiện trong tâm trí. Bệnh nhân có lo âu sức khỏe nghiêm trọng báo cáo nhiều sự kiện liên quan đến bệnh tật hoặc cái chết của họ hơn bất kỳ nhóm nào khác, và các phân tích khám phá cho thấy họ có khuynh hướng kiểm tra cơ thể của mình nhiều hơn so với bệnh nhân OCD khi các sự kiện liên quan đến lo âu xuất hiện trong tâm trí. Các ký ức tự truyện và suy nghĩ về tương lai theo sự kiện chưa từng được nghiên cứu ở bệnh nhân mắc lo âu sức khỏe nghiêm trọng, nhưng chúng có thể đóng một vai trò quan trọng trong rối loạn này.

Từ khóa

#lo âu sức khỏe #ký ức tự truyện #suy nghĩ về tương lai #rối loạn ám ảnh cưỡng chế #chiến lược nhận thức

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