不恰如其分体验在强迫症中的研究进展  

Current progress of not just right experiences in obsessive-compulsive disorder

作　　者：陈达宁 杨祥云 李占江 Chen Daning;Yang Xiangyun;Li Zhanjiang(The National Clinical Research Center for Mental Disorders&Beijing Key Laboratory of Mental Disorders,Beijing Anding Hospital,Capital Medical University,Beijing 100088,China;the Clinical Psychology Department of the Second Peopled Hospital of Guizhou Province)

机构地区：[1]首都医科大学附属北京安定医院,国家精神心理疾病临床医学研究中心,精神疾病诊断与治疗北京市重点实验室,100088 [2]贵州省第二人民医院临床心理科

出　　处：《中华精神科杂志》2021年第6期428-433,共6页Chinese Journal of Psychiatry

基　　金：北京市医院管理中心“青苗”计划专项经费资助(QML20181903);北京市科学技术委员会首都临床特色应用研究项目(Z181100001718077);北京市医院管理局临床医学发展专项“扬帆”计划(ZYLX201815)。

摘　　要：强迫症(obsessive-compulsive disorder,OCD)具有高度异质性,研究者逐渐认识到其潜在的核心动机不仅限于“逃避伤害”,还包括不恰如其分体验(not just right experiences,NJREs)、不完整感(incompleteness,INC)等主观体验,并将主观体验纳入最新的强迫症诊断标准。本文着重回顾NJREs的概念、临床评估方法及机制,以及NJREs在强迫症治疗过程中的影响,并探讨未来可能的研究方向。Obsessive-compulsive disorder(OCD)is highly heterogeneous.Researchers increasingly recognize that the potential core motivation of OCD is not limited to“harm avoidance”.They have proposed that subjective experiences such as“not just right experiences”(NJREs)and incompleteness(INC)are also one of the core motivations of obsessive-compulsive disorder and have been included in the latest diagnostic criteria of OCD.This review focuses on the concept,clinical evaluation methods and mechanisms of NJREs and the impact of NJREs in the treatment of OCD.It discusses possible research directions in the future.

关 键 词：强迫性障碍 不恰如其分体验 动机 不完整感 

分 类 号：R749.7[医药卫生—神经病学与精神病学]