强迫症患者症状与大五人格、儿童期创伤经历的相关研究

Correlation of clinical symptoms with Big Five Personality and childhood traumatic experiences in patients with obsessive compulsive disorder

目的探讨强迫症患者症状与大五人格、儿童期创伤经历的相关性。方法选取89例强迫症患者,使用耶鲁-布朗强迫量表(Y-BOCS)、大五人格量表、儿童期创伤经历问卷(CTQ-SF)进行测试。结果神经质因子分与Y-BOCS总分、强迫思维因子分呈正相关(P<0.05),外向性因子分与Y-BOCS总分呈负相关(P<0.05),严谨性因子分与Y-BOCS总分、强迫行为因子分呈负相关(P<0.05)。Y-BOCS总分与CTQ-SF总分、情感虐待、情感忽视、躯体忽视因子分均呈正相关(P<0.05)。结论强迫症患者的临床症状与其人格特征、儿童期创伤经历有关。

Objective To explore the relationship between clinical symptoms and Big Five Personality,childhood traumatic experiences in patients with obsessive compulsive disorder（ OCD）. Methods A total of 89 patients with OCD were recruited and assessed with Yale-Brown Obsessive Compulsive Scale（ Y-BOCS）,Five-factor Personality Inventory and Childhood Trauma Questionnaire-28 item Short Form（ CTQ-SF）. Results The factor score of neuroticism in Five-factor Personality Inventory was positively correlated with total score and factor score of obsessive thought in Y-BOCS（ P〈0. 05）. Factor score of extraversion was negatively correlated with total score of Y-BOCS（ P〈0. 05）,and factor score of conscientiousness was negatively correlated with total score and factor score of compulsive behavior in Y-BOCS（ P〈0. 05）. Total score of Y-BOCS was positively correlated with total score and factor scores of emotional abuse,emotional neglect and physical neglect in CTQ-SF（ P〈0. 05）. Conclusion Clinical symptoms in patients with obsessive compulsive disorder are correlated with their personality and childhood traumatic experiences.