Objective

Psychodynamic and cognitive theories postulate a prominent role of aggressiveness in patients with obsessive-compulsive disorder (OCD). Explicit assessment of aggressiveness in OCD has yielded diverging results. The present study aimed to investigate aggressiveness in OCD using the Implicit Relational Assessment Procedure (IRAP).

Method

Patients with OCD (n = 59) were compared to non-clinical controls (NCs; n = 31) on an IRAP using self-referential statements and the explicit State-Trait Anger Expression Inventory-II (STAXI-II). During the computer-based IRAP, participants were required to respond as quickly and accurately (“correct” or “incorrect”) to the relation of two presented stimuli (e.g., “I am” + “aggressive”).

Results

D_IRAP-Scores for the I am aggressive trial type were significantly higher in NCs compared to the OCD sample (d = 0.73). Patients with OCD scored significantly higher on the Trait Anger scales and the Anger Expression-Out scale of the STAXI-II. The I am aggressive D_IRAP-Score correlated with the overall Trait Anger scale (r = −.33, p = .001) and with the Anger Expression-In scale (r = −0.31, p = .003).

Conclusions

Patients with OCD were more ambivalent about their own aggressiveness than NCs. These findings were in line with patients’ explicit aggressiveness.

中文翻译：

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通过内隐关系评估程序评估的强迫症患者的攻击性

客观的

心理动力学和认知理论假设攻击性在强迫症 (OCD) 患者中扮演着重要角色。对强迫症侵略性的明确评估产生了不同的结果。本研究旨在使用隐式关系评估程序（IRAP）调查强迫症的攻击性。

方法

 使用自我参照陈述和明确的状态-特质愤怒表达量表-II (STAXI-II) 在 IRAP 上将强迫症患者 ( n  = 59) 与非临床对照 (NC; n = 31) 进行比较。在基于计算机的 IRAP 期间，参与者被要求对两个呈现的刺激（例如，“我是”+“攻击性”）的关系做出快速准确的反应（“正确”或“不正确”）。

结果

D _{IRAP -}与 OCD 样本相比，NC 中I 积极试验类型的分数显着更高 ( d  = 0.73)。强迫症患者在特质愤怒量表和STAXI-II的愤怒表达量表上得分明显更高。在我侵略性d _IRAP -Score与整体相关的特质愤怒规模（[R  = -.33，p  = 0.001），并与愤怒表达-在尺度（[R  = -0.31，p  = 0.003）。

结论

与 NC 相比，强迫症患者对自己的攻击性更加矛盾。这些发现与患者明确的攻击性一致。