失业难治性强迫症患者的心理特征研究

The psychological characteristics of patients with refractory obsessive-compulsive disorder in unemployment

目的对有无工作难治性强迫症患者的心理特征进行测查，并探讨患者职业困难与心理因素的关系。方法 选取2009年5月至2015年10月在我院强迫症专病门诊就诊的98名难治性强迫症患者为研究对象。将患者分为职业组和失业组，其中有职业组56人，失业组42人。给予父母教养方式问卷（EMBU）、防御方式问卷（DSQ）进行测评，并将两组测查结果进行比较。全部数据采用SPSS12．0统计学软件进行处理。结果 在父母教养方式问卷中，职业组父母情感温暖因子分高于失业组，二组比较差异有统计学意义（P〈0．05）。在防御方式问卷中，职业组难治性强迫症患者在回避低于失业组，具有统计学意义（p〈0．05）。结论失业会使难治性强迫症患者面临着更多的压力，对患者的康复产生不利的影响；但是患者一些心理特征也会对患者的职业产生危害。

Objective To investigate the psychological characteristics of patients with refractory obsessive-compulsive disorder in employment or unemployment. Methods Ninty eight patients with refractory obsessive-compulsive disorder from May 2009 to October 2015 were selected into the study. The patients were divided into the employed group （56 cases） and the unemployed group （42 cases）. The evaluation of egna minnen barndoms uppfostran （EMBU） and defense style questionnaire （DSQ） of the two groups were compared. All the data were analyzed by SPSS 12.0. Results In the way of parenting, the warmth factor of the employed group was higher than that of unemployed group, the two groups have significant differences （ P 〈 0.05 ）. In psychological defense mechanisms scale, the evading factor of the employed group was lower than that of unemployed group, the two groups have significant differences （ P 〈 0.05 ）. Conclusion Unemployment puts more pressure on patients, that will harm to rehabilitation, and the psychological characteristics also influence emplyment of the patients with refractory obsessive-compulsive disorder, hnprove the professional competence of patients with obsessive-compulsive disorder is an important aspect of the patients return to society.