[1]李 妍,李幼辉#,牛琪惠,等.不同严重程度强迫症患者的性格特征和心理状况*[J].郑州大学学报(医学版),2016,(03):353-355.
 LI Yan,LI Youhui,NIU Qihui,et al.Personality characteristics and psychologic status of cases of obsessive-compulsive disorder with different clinical severity[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2016,(03):353-355.
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不同严重程度强迫症患者的性格特征和心理状况*()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2016年03期
页码:
353-355
栏目:
应用研究
出版日期:
2016-05-20

文章信息/Info

Title:
Personality characteristics and psychologic status of cases of obsessive-compulsive disorder with different clinical severity
作者:
李 妍李幼辉#牛琪惠杨 磊张力方周俊超
郑州大学第一附属医院精神医学科 郑州 450052
Author(s):
LI YanLI YouhuiNIU QihuiYANG LeiZHANG LifangZHOU Junchao
Department of Psychiatry,the First Affiliated Hospital,Zhengzhou University, Zhengzhou 450052
关键词:
强迫症 严重程度 性格特征 心理状况
Keywords:
obsessive-compulsive disorder severity personality characteristics psychologic status
分类号:
R749.7
摘要:
目的:探讨不同严重程度的强迫症患者的性格特征、心理状况。方法:选取符合DSM-Ⅳ强迫症诊断标准的82例患者,其中轻度患者13例,男8例,女5例; 中度患者43例,其中男29例,女14例; 重度患者26例,其中男16例,女10例。采用Yale-Brown强迫症量表(Y-BOCS)进行临床严重程度评估,同时采用艾森克人格问卷(EPQ)、症状自评量表(SCL-90)分别评估患者的性格特征、心理状况等。结果:重度患者EPQ中神经质维度的得分高于轻度和中度患者(P<0.01)。SCL-90中躯体化、强迫状态、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性9个因子得分均高于轻度和中度患者(P<0.05)。结论:强迫症患者存在不健全的性格基础,与其疾病的发生、发展及症状严重程度密切相关。
Abstract:
Aim: To explore the personality characteristics and psychologic status of cases of obsessive-compulsive disorder(OCD)with different clinical severity.Methods: According to the DSM-Ⅳ OCD diagnostic criteria, 82 patients were enrolled. 13 cases were mild(including 8 males and 5 females),43 cases were moderate(including 29 males and 14 females),and 26 cases were severe(16 males and 10 females).Clinical severity of OCD was evaluated using Yale-Brown obsessive-compulsive scale(Y-BOCS). At the same time the personality characteristics and psychologic status were evaluated using Eysenck personality questionnaire(EPQ)and symptom self-assessment scale(SCL-90).Results: The severe group's score on neuroticism of EPQ was higher than the mild and moderate groups(P<0.01). The score on somatization, force status, interpersonal relationship, depression, anxiety, hostility, terror, paranoia, and psychotic factors of SCL-90 was also higher than the mild and moderate group(P<0.05).Conclusion: There existed unsound character in OCD patients, which is closely related to the occurrence, development and symptom severity of OCD.

参考文献/References:

[1] 刘肇瑞,黄悦勤,陈曦,等.北京市社区人群心境障碍、焦虑障碍及物质使用障碍的现况调查[J].中国心理卫生杂志,2013,27(2):102
[2] STEIN DJ,KOEN N,FINEBERG N,et al.A 2012 evidence-based algorithm for the pharmacotherapy for obsessive-compulsive disorder[J].Curr Psychiatry Rep,2012,14(3):211
[3] 沈渔邨,于欣,王祖沂,等.精神病学[M].5版.北京:人民卫生出版社,2009:602
[4] VEGA-DIENSTMAIER JM,SAL Y ROSAS HJ,MAZZOTTI SUÁREZ G,et al.Validation of a version in Spanish of the Yale-Brown Obsessive-Compulsive Scale[J].Actas Esp Psiquiatr,2002,30(1):30
[5] 何庆欢,彭子文,苗国栋.强迫症症状分类量表(修订版)中文版的信效度研究[J].临床精神医学杂志,2012,22(1):27
[6] 钱铭怡,武国城,朱荣春,等.艾森克人格问卷简式量表中国版(EPQ-RSC)的修订[J].心理学报,2000,32(3):317
[7] 赵守盈.艾森克人格问卷结构效度层面理论研究[J].山东师范大学学报(人文社会科学版),2012,57(4):146
[8] 王征宇.症状自评量表(SCL-90)[J].上海精神医学,1984(2):68
[9] GRANT JE.Clinical practice:obsessive-compulsive disorder[J].N Engl J Med, 2013,371(7):646
[10]牛琪惠,李幼辉,张华.青少年强迫症患者及其父母性格特征的研究[J].中国实用医刊,2011,38(6):58
[11]化振,陈强,陈良梅,等.强迫症的森田神经质性格与艾森克人格的研究[J].山西医科大学学报,2011(10):822
[12]汪春运.强迫症的疗效预报指标和共患疾病[J].国际精神病学杂志,2009,36(1):8
[13]SHAVITT RG,BELOTTO C,CURI M, et al.Clinical features associated with treatment response in obsessive-compulsive disorder[J].Compr Psychiatry,2006,47(4):276

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备注/Memo

备注/Memo:
*河南省科技重大攻关项目 142102310512
#通信作者,女,1953年12月生,本科,教授,主任医师,研究方向:神经症与心身疾病的基础与临床研究,E-mail:qiuliyouhui@126.com
更新日期/Last Update: 2016-05-20