强迫症与焦虑的关系及临床类型的研究

The relationship of obsessive compulsive disorder with anxiety and the clinical subtype

目的调查强迫症状与焦虑的关系及其临床类型。方法将１００例强迫症患者按症状自评量表的焦虑因子分分为高、低、无焦虑３组，以Ｆｏａ的强迫症８种类型对其临床诸方面进行分类和比较。结果１００例患者中伴焦虑者为６５％，伴抑郁者为６７％。高焦虑组的病程长于低焦虑组（Ｐ＜０．０５）。在Ｆｏａ的分型中，高焦虑组以Ⅰ、Ⅱ、Ⅵ型较多。结论强迫症与焦虑的关系可有８种临床类型。强迫症患者伴焦虑的程度并不完全取决于病程，而是致焦虑性强迫想法的性质和强度与减焦虑性强迫反应相互作用的结果。

Objective The purpose of the study was to explore the relationship between obsession and anxiety, and investigate the method of psychotherapy. Methods All patients were diagnosed according to the CCMD 2 R criteria for obsessive compulsive disorder (OCD). SCL 90 was administered in 100 patients with OCD, who were divided into high anxiety, low anxiety and no anxiety subgroups according to cut off point of subscore. Results 65% of the OCD patients were found with anxiety and 67% with depressions. The OCD course in the high anxiety subgroup was significantly longer than that in the low anxiety group ( P <0.05). According to Foa′s OCD typology, the patients in high anxiety subgroup were more in the clinical type I, II, IV. Conclusion The results suggest that there are eight types of OCD with anxiety. The severity of anxiety in OCD is not only according to their OCD course. There is the compositive interaction of obsessions and compulsions to induce their anxiety symptoms.