Review of source-monitoring processes in obsessive-compulsive disorder  

作　　者：Layla Lavalle Jerome Brunelin Remy Bation Marine Mondino 

机构地区：[1]French National Institute of Health and Medical Research U1028,Centre National de la Recherche Scientifique UMR5292,Lyon Neuroscience Research Center,Lyon 69000,France [2]Lyon University,69000,France [3]Centre Hospitalier le Vinatier,Batiment 416,Bron 69678,France [4]Psychiatric Unit,Wertheimer Neurologic Hospital,Bron 69500,France

出　　处：《World Journal of Psychiatry》2020年第2期12-20,共9页世界精神病学杂志

摘　　要：Obsessive-compulsive disorder(OCD)is a severe mental illness characterized by persistent,intrusive and distressing obsessions and/or compulsions.Such symptoms have been conceptualized as resulting from a failure in sourcemonitoring processes,suggesting that patients with OCD fail to distinguish actions they perform from those they just imagine doing.In this study,we aimed to provide an updated and exhaustive review of the literature examining the relationship between source-monitoring and OCD.A systematic search in the literature through January 2019 allowed us to identify 13 relevant publications investigating source-monitoring abilities in patients with OCD or participants with subclinical compulsive symptoms.Most of the retrieved studies did not report any source-monitoring deficits in clinical and subclinical subjects compared with healthy volunteers.However,most of the studies reported that patients with OCD and subclinical subjects displayed reduced confidence in source-monitoring judgments or global cognitive confidence compared to controls.The present review highlighted some methodological and statistical limitations.Consequently,further studies are needed to explore source monitoring with regard to the subcategories of OCD symptoms(i.e.,symmetryordering,contamination-washing,hoarding,aggressive obsession-checking,sexual-religious thoughts)and to clarify the relationship between sourcemonitoring subtypes(i.e.,reality or internal source-monitoring)and confidence in these populations.Obsessive-compulsive disorder(OCD) is a severe mental illness characterized by persistent, intrusive and distressing obsessions and/or compulsions. Such symptoms have been conceptualized as resulting from a failure in sourcemonitoring processes, suggesting that patients with OCD fail to distinguish actions they perform from those they just imagine doing. In this study, we aimed to provide an updated and exhaustive review of the literature examining the relationship between source-monitoring and OCD. A systematic search in the literature through January 2019 allowed us to identify 13 relevant publications investigating source-monitoring abilities in patients with OCD or participants with subclinical compulsive symptoms. Most of the retrieved studies did not report any source-monitoring deficits in clinical and subclinical subjects compared with healthy volunteers. However, most of the studies reported that patients with OCD and subclinical subjects displayed reduced confidence in source-monitoring judgments or global cognitive confidence compared to controls. The present review highlighted some methodological and statistical limitations. Consequently, further studies are needed to explore source monitoring with regard to the subcategories of OCD symptoms(i.e., symmetryordering, contamination-washing, hoarding, aggressive obsession-checking,sexual-religious thoughts) and to clarify the relationship between sourcemonitoring subtypes(i.e., reality or internal source-monitoring) and confidence in these populations.

关 键 词：Reality-monitoring Source-monitoring Obsessive-compulsive disorder Subclinical compulsive symptoms 

分 类 号：R74[医药卫生—神经病学与精神病学]