동기적 차원의 강박증상에 따른 자기양가감과 사고-실재 융합의 차이: 비임상 집단을 중심으로

Abstract

This study was to categorize obsessive-compulsive symptom into two subtypes based on motivational dimension. One of the two subtypes is 'incompleteness' group which is characterized by sense of incompleteness, not just right thinking and sens. The other subtype is 'harm avoidance' group. The most prominent motivation of this group is harm avoidance. Among 311 20's, 15 subjects were selected from the top 5% of the each dimension of OC-TCDQ and 30 control group subjects were selected from the bottom 10% of the two dimension of OC-TCDQ. This study focused on the differences of self-ambivalence and thought-reality fusion according to obsessive-compulsive symptom subtype on motivational dimension. The degree of Self-ambivalence and thought-reality fusion were compared between in completeness group and harm avoidance group. Results showed that incompleteness group scored significantly higher than both harm avoidance and control group on the self-ambivalence score. And harm avoidance group scored significantly higher than control group on the self-ambivalence score. In addition, thought-reality fusion was compared across three groups. Harm avoidance group showed higher scores on thought-reality fusion measures compared to both completeness group and control group. Moreover, sub factors of thought-reality fusion were also compared across three groups. In this analysis, harm avoidance group showed higher scores only on thought-event fusion measures compared to both incompleteness group and control group. But there were no differences on the scores of thought-event fusion. In summary, incompleteness group and harm avoidance group showed different pattern on the measures of self-ambivalence and thought-reality fusion. The results of this study support the two-dimensional model of OCD and suggested that more valid classifying criterion of OCD could be based on motivational dimensions. Therefore, Implications of this study for treatment is that in treating OCD patients clinicians should consider the motivational trait and be included in cognitive therapy. Finally, the significance and limitations of this study were discussed.