CAJ | 학술논문

强迫症的元认知模型认为，元认知是理解强迫症病理的关键。强迫症患者存在错误的元认知知识信念、消极的元认知体验及不恰当使用元认知策略等问题。强迫症的元认知疗法强调思维过程（如自我聚焦注意、对担忧不变的思维风格和威胁调节的注意策略等）的重要性，而非思维的具体内容，并在个体心理干预、团体心理干预等研究中显示出较好的疗效。未来研究应从认知神经科学等视角考查强迫症的记忆等元认知特征，并进一步验证和修正强迫症的元认知模型。
강박증적원인지모형인위，원인지시리해강박증병리적관건。강박증환자존재착오적원인지지식신념、소겁적원인지체험급불흡당사용원인지책략등문제。강박증적원인지요법강조사유과정（여자아취초주의、대담우불변적사유풍격화위협조절적주의책략등）적중요성，이비사유적구체내용，병재개체심리간예、단체심리간예등연구중현시출교호적료효。미래연구응종인지신경과학등시각고사강박증적기억등원인지특정，병진일보험증화수정강박증적원인지모형。
The metacognitive model of obsessive-compulsive disorder （OCD） emphasizes that metacognitive beliefs are a key factor in OCD pathology. OCD patients have a series of metacognitive problems, such as incorrect metacognitive knowledge beliefs, negative metacognitive experiences and inappropriate use of metacognitive strategies. Metacognitive therapy for OCD has a good treatment efficacy in the individual intervention and group intervention study, with a focus on the importance of thinking processes （such as self-focused attention, perseverative thinking styles of worry, attention strategies of threat monitoring and so on） rather than the content of thoughts. Future research should examine the memory and other metacognitive characteristics for OCD from the perspectives of cognitive neuroscience and replicate and extend metacognitive model of OCD.