强迫障碍患者的幼年不良生活事件与不安全感心理特点

Infancy Negative Life Events and Psychological Insecurity of the Patients with Obsessive-compulsive Disorder

目的讨论强迫障碍患者的幼年不良生活事件及其发生频率与不安全感心理特点的关系,提出治疗和预防意见。方法回顾性研究37例强迫障碍患者的个人成长史,归纳总结所涉及的具体生活事件、分析发生频率,并应用不安全感心理自评问卷(SRFIS)进行调查分析生活事件与不安全感的心理特点。结果①37例强迫障碍患者记述幼年不良生活事件总计291件次;②发生的频率是被当众侮辱(67.56%)、目击父母被羞辱(59.45%)、被歧视(51.35%)、手淫困惑(48.64%)、亲人患病或病故(43.24%)、目睹恐怖的场面(43.24%)等等;③事件发生的频率越高,不安全心理越重(P=0.00);④小学阶段不良生活事件的发生频率最高,为53.61%。结论强迫障碍患者的幼年不良生活事件发生率高,影响大,小学阶段不良事件的发生率最高,有必要加强小学阶段心理健康的教育,减少不良生活事件的发生及对儿童心理发育的影响,可参照此编制中国的儿童期生活事件量表,预防心理和行为问题的发生。

Objective To study the infancy negative life events and its occurrence frequency,and their connection with the psychological character of the insecurity feeling in the Patients with obsessive-compulsive disorder,thus to give some suggestion for the prevention and cure of obsessive disorders.Methods The retrospective study was conducted to the personal history of 37 patients with obsessive-compulsive disorders.The specific involved life events were summarized,the occurrence frequency was analyzed,and the life events and the psychological character of the insecurity feeling were survyed and analyzed with the Self-Rating Feeling of Insecurity Scale（SRFIS）.Results ①It turned out that there were 291 negative life events in the 37 individuals.② In order of occurrence frequency from high to low,the facts were： being publicly humiliated（67.56%）,witnessing the parents being humiliated（59.45%）,discrimination（51.35%）,masturbation confusion（48.64%）,family illness or death（43.24%）,witnessing horror scenes（43.24%）,etc.③The higher the occurrence frequency of the events was,the deeper insecurity feeling（P=0.00）.④The frequency of negative life events was highest in primary school（53.61%）.Conclusion The occurrence frequency of infancy negative life events in OCD patients is high and it have an important influence.The frequency of infancy negative life events in primary school is highest,so it is essential to strengthen psychological health education,reduce the frequency of negative life events and influence to children＇ psychological development.We can refer it to edit the scale of children life events and reduce psychological disorders.