摘要
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.
出处
《郑州大学学报(医学版)》
CAS
北大核心
2016年第3期353-355,共3页
Journal of Zhengzhou University(Medical Sciences)
基金
河南省科技重大攻关项目142102310512
关键词
强迫症
严重程度
性格特征
心理状况
obsessive-compulsive disorder
severity
personality characteristics
psychologic status