强迫症患者非理性信念和社会支持状况及其与症状的关系

Study of the Characteristics of Irrational Beliefs,Social Support and Their Relationship with Symptoms in Obsessive Compulsive Disorder Patients

目的:通过分析强迫症患者非理性信念和社会支持状况及其与症状的关系,理解强迫症的病因学因素。方法:采用非理性信念问卷和社会支持评定量表分别对80例强迫症患者和40例正常被试进行测评,同时评估患者强迫等症状严重程度。结果:①强迫症患者非理性信念三个因子得分均显著高于正常对照(P<0.05),客观支持和主观支持因子得分显著低于正常对照(P<0.05);②绝对化要求是强迫症患病的危险因素(OR=1.149,P<0.05),强迫症状严重程度受低挫折耐受影响(β=0.404,P<0.01),抑郁焦虑情绪严重程度受低挫折耐受(β=0.558,P<0.01)和对支持的利用度(β=-0.363,P<0.01)影响。结论:强迫症患者存在非理性信念,且社会支持水平低;绝对化要求是强迫症患病的危险因素,低挫折耐受可预测强迫症状严重程度,抑郁情绪受低挫折耐受和对支持的利用度影响。

Objective： To explore the etiological factors of obsessive compulsive disorder（OCD） by investigating characteristics of irrational beliefs, social support and their relationship with symptoms of OCD. Methods： 80 OCD pa- tients and 40 normal participants were assessed with Irrational Beliefs Scale（IBS） and Social Support Rating Scale （SSRS）. Logistic regression analysis and multiple stepwise regression analysis were applied to examine the relationship between clinical symptoms and the irrational beliefs and social support. Results： （1）The scores of all the sub-scales in the irrational beliefs in the patient group were significantly higher（P〈O.05） than control group, the scores of objective support and subjective support in the patient group were also significantly lower than control group（P〈0.05）. （2）The de- mandingness is the risk factor for OCD（OR=1.149, P〈0.05）. The severity of obsessive compulsive symptoms was posi- tively correlated with the level of low frustration tolerance（β=0.404, P〈0.01）. The severity of depression and anxiety were positively correlated with the level of low frustration tolerance（β=0.558, P〈0.01） and utilization of support（β=- 0.363, P〈0.01）. Conclusion： OCD patients have more irrational beliefs and less social support, relative to the controls. The demandingness is the risk factor of OCD. The severity of obsessive c ompulsive symptoms can be predicted by low frustration tolerance, and the depression and anxiety symptoms were influenced by low frustration tolerance and utiliza- tion of support in the OCD patients.