不同严重程度强迫症患者的性格特征和心理状况

Personality characteristics and psychologic status of cases of obsessive-compulsive disorder with different clinical severity

目的:探讨不同严重程度的强迫症患者的性格特征、心理状况。方法:选取符合DSM-Ⅳ强迫症诊断标准的82例患者,其中轻度患者13例,男8例,女5例;中度患者43例,其中男29例,女14例;重度患者26例,其中男16例,女10例。采用Yale-Brown强迫症量表(Y-BOCS)进行临床严重程度评估,同时采用艾森克人格问卷(EPQ)、症状自评量表(SCL-90)分别评估患者的性格特征、心理状况等。结果:重度患者EPQ中神经质维度的得分高于轻度和中度患者(P<0.01)。SCL-90中躯体化、强迫状态、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性9个因子得分均高于轻度和中度患者(P<0.05)。结论:强迫症患者存在不健全的性格基础,与其疾病的发生、发展及症状严重程度密切相关。

Aim： To explore the personality characteristics and psychologic status of cases of obsessive-compulsive disorder（ OCD） with different clinical severity. Methods： According to the DSM-Ⅳ OCD diagnostic criteria,82 patients were enrolled. 13 cases were mild（ including 8 males and 5 females）,43 cases were moderate（ including 29 males and 14 females）,and 26 cases were severe（ 16 males and 10 females）. Clinical severity of OCD was evaluated using Yale-Brown obsessive-compulsive scale（ Y-BOCS）. At the same time the personality characteristics and psychologic status were evaluated using Eysenck personality questionnaire（ EPQ） and symptom self-assessment scale（ SCL-90）. Results： The severe group＇s score on neuroticism of EPQ was higher than the mild and moderate groups（ P〈0. 01）. The score on somatization,force status,interpersonal relationship,depression,anxiety,hostility,terror,paranoia,and psychotic factors of SCL-90 was also higher than the mild and moderate group（ P〈0. 05）. Conclusion： There existed unsound character in OCD patients,which is closely related to the occurrence,development and symptom severity of OCD.