青少年强迫症患者个性特征、家庭环境对强迫症状的影响

Personality of young patients with obsessive-compulsive disorder,family environment on the impact of obsessive-compulsive symptoms

目的:研究青少年强迫症患者强迫症状与患者个性特征、父母教养方式的关系。方法:采用莱顿强迫量表,艾森克人格量表及父母教养方式量表对80名青少年强迫症患者及健康青少年进行评定,强迫症状与个性特征、父母教养方式之间的关系采用Pearson直线相关分析,以直线相关分析,并以强迫问卷总分为因变量,以青少年强迫症患者个性、父母教养方式各因子为自变量进行逐步多元回归分析。结果:青少年强迫症患者的神经质与整齐清洁、强迫思维两个因子显著相关(P<0.01),父亲的过度保护和母亲的拒绝否认与整齐清洁显著相关(P<0.01),而父母亲的拒绝否认与患者的重复检查相关(P<0.01)。结论:青少年强迫症的发生有不良的个性基础和父母教养方式,对强迫症状的产生有一定的预测作用。

Objective：To study the relationship between obsessive -compulsive symptoms and personality of OCD patients and parental - rearing style. Methods ： We adapt control case study to test 80 OCD children and 80 health control children with Leyton Obsessional Inventory（LOI; child version） ,Eysenek personality questionnaire（EPQ） ,EMBU（Own Memories of Parental Rearing Experiences in childhood）, Correlations between parental childrearing style, personality of OCD patients and obsessive -compulsive symptoms were also examined with Pearson Correlation Coefficients, Muhiple linear regression analyses （stepwise method） were conducted to assess whether certain parental child - rearing patterns, personality of OCD patients predicted the presence of obsessive - compulsive symptom dimensions. Results ： Neurotieism of OCD patients was significantly correlated with order/clean and general obsessions （ P 〈 0. 01 ）. father＇s overproteetion and mother＇s rejection were correlated with order/clean（ P 〈 0.01 ）, patents＇rejection was significantly correlated with cheeking/repeating（P 〈 0.01 ）. Conclusions： Adolescent obsessive -compulsive disorder occurs in a bad personality and parenting style, for obsessive - compulsive symptoms have certain forecast.