97例强迫症患者SCL-90和EPQ评定结果分析

SCL-90 and EPQ Analysis of 97 Cases of Obsessive-compulsive Neurosis Patient

目的 探讨强迫症患者的精神心理状况 ,并对采用SCL - 90评定强迫症症状的作用与EPQ的相关结果进行评估。方法 采用SCL - 90和EPQ对符合CCMD - 2强迫症诊断标准的患者进行评定。结果 强迫症患者的SCL - 90总分、阳性项目均数以及各因子分均明显高于国内常模 (P <0 0 0 1) ,前 5位因子分依次是强迫、焦虑、抑郁、人际关系、睡眠障碍。男性患者的精神病性、偏执、躯体化 3项因子分高于女性患者有显著性意义。结论 强迫症患者的SCL - 90评定结果与其临床症状基本相符 ,并可反映病情的轻重程度。强迫症患者EPQ中的N量表和P量表与SCL - 90总分及多项因子分明显相关。在临床上可联合应用SCL -

Objective To discuss the psychological condition of obsessive-compulsive neurosis (OCN) patients and their SCL-90 and EPQ relative results were assessed. Methods OCN patient who fit for CCMS-2 standard was assessed with SCL-90 and EPQ. Results The SCL-90 total score, average of positive items and varied factor score of OCN patients were significantly higher than general person in domestic. The first 5 factors were compulsivity, anxiety, dumps, and relationship between people and insomnia. There were three higher factors of insane, crankiness and somopsychosis significantly in man than those in woman. Conclusion The assessment results of SCL-90 of OCN patients were similar with their clinical symptoms and signs and could reflect the degree of disease. The volumes of N and P in EPQ were obviously related with SCL-90 total score multiple factors. The combination of SCL-90 and EPQ could be a screen for OCN patients.