强迫症患者认知灵活性的研究进展(综述)

Research progress of cognitive flexibility in patients with obsessive-compulsive disorder

强迫症是目前较为常见的精神障碍,强迫症患者存在广泛的认知功能损害,其中认知灵活性缺陷是目前研究热点,文献提示认知灵活性是执行功能等认知功能的核心成分,认知灵活性的缺陷可能是强迫症认知功能下降,甚至也可能是引发强迫症状的主要原因,而相关研究相对比较零散,未成体系。因此,该文梳理了强迫症认知灵活性的研究范式,以及不同范式下的研究结果。未来可以深入研究认知灵活性对执行功能的影响;认知灵活性会导致何种临床症状;如何建立认知灵活性的临床诊断标准等问题。

Obsessive-compulsive disorder(OCD)is a common mental disorder.OCD patients have a wide range of cognitive impairment,of which cognitive flexibility is a hot research topic.Literature suggests that cognitive flexibility is the core component of cognitive functions such as executive function,and cognitive flexibility may be the main cause of OCD cognitive decline,or even obsessive-compulsive symptoms.The relevant research is relatively scattered and not systematic.Therefore,this paper reviews the research paradigms of cognitive flexibility in obsessive-compulsive disorder,as well as the research results under different paradigms.In the future,we can further study the impact of cognitive flexibility on executive function,what clinical symptoms cognitive flexibility will lead to,and how to establish clinical diagnostic criteria for cognitive flexibility.