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Information processing differences in persons with autogenousreactive obsessions

서울대학교 대학원
Publication Date
  • 자생성 강박사고
  • 반응성 강박사고
  • 강박장애
  • 주의 편향
  • Autogenous Obsessions
  • Reactive Obsessions
  • Obsessive-Compulsive Disorder
  • Attentional Bias


Lee and Kwon (2003) have recently proposed the autogenous-reactive model of obsessions which differentiates obsessions into two subtypes in terms of cognitive appraisal and control strategies. The autogenous obsessions such as aggressive, sexual, and blasphemous concerns are perceived as highly unacceptable and elicit more avoidant thought-control strategies, while the reactive obsessions including doubts or thoughts about contamination, mistakes or accidents are relatively realistic and tend to evoke overt compulsions. The purpose of this study was to confirm the autogenous-reactive model of obsessions with self-report measures and to examine the differences in attentional bias between the autogenous obsession group and the reactive obsession group. In Study 1, the autogenous-reactive model was tested with self-report measures. College students with high autogenous or reactive obsessions were given questionnaires including the PI- WSUR, K-ROII-S, STAI-T, and BDI. The results showed that the autogenous and reactive obsession groups had different cognitive appraisals and control strategies. The autogenous obsession group experienced their primary obsessions as more important, had more urge to control them and used more avoidant control strategies. The reactive obsession group used confrontational strategies more frequently than the autogenous obsession group did. Study 2 explored attentional biases in the autogenous obsession (N=14) and the reactive obsession (N=18) compared to the control group (N=16). Differences in attentional bias were measured in a modified dot-probe task which presented autogenous (e.g., aggression and sexuality), reactive (e.g., checking and washing), and neutral stimuli as prime stimuli while eye movements were continuously monitored. Some measures of overt attention showed marked difference between the autogenous obsession and the reactive obsession group. The reactive obsession group shif

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