牛津偏执防御行为问卷 (O-PDQ):评估与偏执有关的安全寻求行为
Sinead Lambe1, Sophie Mulhall2, Jessica Bird3
1Department of Experimental Psychology, University of Oxford, Oxford, UK.
Behavioural and cognitive psychotherapy
|August 27, 2025
概括
防御行为通过阻止新学习来维持迫害妄想. 牛津偏执防御行为问卷 (OPDBQ) 是一种新的,可靠的工具,用于评估研究和临床实践中的行为.
科学领域:
- 精神病学
- 临床心理学
- 认知科学
背景情况:
- 防御行为,如逃避和微妙的处境行动,对于维持迫害妄想至关重要.
- 这些行为限制了新的学习机会,并通过防止不确定的经验来加强不准确的恐惧.
- 偏执症的认知治疗包括暴露和放弃防御行为以促进安全学习.
研究的目的:
- 开发一种自我报告措施来评估与偏执有关的防御行为.
- 该措施旨在用于研究和临床环境.
主要方法:
- 从患者采访中生成了一个64项的数据库.
- 使用探索性和确认性因素分析来完善该措施.
- 使用不同程度偏执症患者的数据严格评估了可靠性和有效性.
主要成果:
- 开发了两个等级:一个12项规避等级和一个20项处境防御等级.
- 避免范围包括三个因素:室内空间,室外空间和互动.
- 情况防范包括五个因素:在家里保持安全,减轻风险,保持警,准备逃跑,保持低调.
- 这两种尺度都表现出出色的心理测量特性,包括内部可靠性,测试可靠性和构造有效性.
结论:
- 牛津偏执防御行为调查问卷 (OPDBQ) 是一个心理测量有效的工具.
- OPDBQ有效评估防御行为,这是维持迫害妄想的关键因素.
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