Review of source-monitoring processes in obsessive-compulsive disorder

• 作者: Jerome Brunelin Layla Lavalle Marine Mondino Remy Bation
• 来源期刊: 世界精神病学杂志
• 学科: 医学
• 关键词: Reality-monitoring Source-monitoring OBSESSIVE-COMPULSIVE disorder SUBCLINICAL COMPULSIVE SYMPTOMS
• 年，卷（期）: sjjsbxzz,（2）
• 页码范围: 12-20
• 页数: 9页
• 分类号: R74

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.