一项针对成人强迫症患者的研究发现，早期创伤和被拒绝的经历可能是导致部分人群发展出强迫症的重要因素1。该研究基于"被惧怕的自我"理论，认为强迫症患者的侵入性思想源于对自己可能成为坏人的深层恐惧，而这种恐惧往往根植于童年虐待、忽视、骚扰或被父母拒绝的经历1。
研究团队对16名澳大利亚成人进行了访谈，受访者大多为女性，均已确诊强迫症且症状从中度到极端不等1。调查结果显示，大多数患者在童年期经历过创伤，包括性虐待、身体虐待、情感虐待、骚扰、欺凌或忽视1。被拒绝感（包括未能达到父母期望、父母情感冷淡）是另一个主要主题1。
强迫症影响约五十分之一的人口，接受最佳心理治疗的患者中多达一半没有获得显著改善1。研究人员建议使用意象脚本编制技术来挑战"被惧怕的自我"信念1。
Research into the psychological roots of obsessive-compulsive disorder has identified early trauma and experiences of rejection as potential factors contributing to the development of the condition in some individuals.1 A qualitative study involving interviews with 16 Australian adults diagnosed with OCD—predominantly women experiencing symptoms ranging from moderate to severe—found that most had endured childhood trauma, including sexual abuse, physical abuse, emotional abuse, harassment, bullying, or neglect.1
The research, grounded in the theory of the "feared self," suggests that intrusive thoughts experienced by people with OCD may stem from a deep-seated fear of becoming a bad person, a fear often rooted in these adverse early experiences.1 Beyond trauma, a second major theme emerged: feelings of rejection, manifested through failure to meet parental expectations and emotional coldness from parents.1 The findings are particularly significant given that OCD affects approximately one in fifty people, yet up to half of those receiving optimal psychological treatment do not experience substantial improvement.1 Researchers propose using imagery rescripting techniques as a therapeutic approach to challenge the "feared self" belief system underlying the disorder.1
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