强迫症高危人群“特质-症状”筛查范式探究

An Exploration of"Traits-symptoms"Screening Paradigm for High-risk Population of Obsessive-compulsive Disorder

鉴于当前缺乏强迫症高危人群的有效识别工具,从特质和症状两个维度出发,对强迫症高危人群早期识别进行了探究。首先尝试提出了特质高危和症状性高危概念,进而建立了强迫症高危人群“特质-症状”筛查模型,接下来对模型中所纳入的筛查量表结构进行解析,最后通过双盲访谈法对筛查模型有效性进行初步验证,证实该筛查范式可切实有效地帮助临床医生以及社区卫生保健工作者识别强迫症高危个体。未来可考虑将此范式推广至焦虑、抑郁等其他精神障碍的早期识别中,以辅助诊断。

Given the unavailable tools to identify people with high risk of obsessive-compulsive disorder(OCD)currently,this paper explores the early identification of people at high risk of OCD from the perspectives of traits and symptoms.Firstly,the concepts of trait high risk and symptomatic high risk were tentatively proposed,and then the"traits-symptoms"screening framework for high-risk OCD population was established.Then,the theoretical structure of each scale included in the framework was analyzed.Finally,the effectiveness of the screening model was preliminarily validated by a double-blind interview.We concluded that the screening paradigm proves to be a substantial helper for clinicians and community health care workers effectively predict and identify individuals at greater risk of developing OCD.It is about to extend this paradigm to the early recognition of anxiety,depression and other mental disorders to assist diagnosis.