强迫症患者的自知力及其影响因素分析

Insight of Patients with Obsessive-compulsive Disorder and Its Influencing Factors

目的探讨强迫症患者的自知力及其影响因素。方法对门诊及住院的110例强迫症患者采用自知力评定表及耶鲁-布朗强迫量表(Y-BOCS)评定其自知力及强迫症状。结果①强迫症患者中自知力不良者占31.8%(35/110),其中绝大部分为轻度自知力不良(34/35);②自知力不良组患者Y-BOCS量表各项得分及总分均高于自知力完整组(t=-2.24～-4.93,P<0.05);③自知力不良组中强迫症状为重度者比率较高(χ2=9.011,P<0.05),强迫症状具有荒谬性的比率也较高(χ2=6.174,P<0.05)。结论部分强迫症患者中存在自知力不良,但基本为轻度;病情的严重程度及强迫思维的荒谬性对自知力的影响较明显。

Objective To explore the insight of patients with obsessive-compulsive disorder（OCD）and its influencing factors.Methods A total of 110 inpatients and outpatients with obsessive-compulsive disorder were administered by a rated insight scale and Yale-Brown Obsessive-Compulsive Scale（Y-BOCS）.Results ①There were 35 patients（35/110）with poor insight,and most of them were mild（34/35）.②The Y-BOCS＇ item scores and total scores of the poor insight group were higher（t=-2.24～-4.93,P0.05）.③ The severity of the poor insight group was heavier,the difference was significant（χ2=9.011,P0.05）,and the numbers of the patients with absurd obsessive thought was more（χ2=6.174,P0.05）.Conclusion There are some patients with poor insight among patients with obsessive-compulsive disorder,but most of them are slight;and at the same time the insight is affected by the severity of obsessive-compulsive symptoms,and the absurd obsessive thought.