成人与儿童强迫症的临床特征对照分析

The clinical characteristics contrast between adult and child with obsessive compulsive disorder

目的 为了解儿童强迫症与成人强迫症临床现象的差异 ,旨在探讨儿童强迫症的临床特征。方法 本组强迫症病人共 10 7例 ,按年龄分为儿童组和成人组 ,采用自行设计的调查表收集资料 ,并进行回顾性对照分析。结果 两组在强迫性穷思竭虑 ,强迫意向 ,强迫情绪 ,强迫性仪式动作及单纯强迫行为出现频率上有显著差异。儿童组伴随焦虑、抑郁症状者较成人组发生率低 ,而伴随一过性精神病性症状 ,抽动障碍者较成人组发生率高。儿童组自知力丧失 ,且缺乏反强迫意识者较多见。结论 儿童强迫症的强迫症状不典型 ,易误诊。

Objective To study the clinical characteristics of child with obsessive-compulsive disorder(OCD) by contrasting the difference of adult and child with OCD.Method The 107 in-patients with OCD were divided child group and adult group according to age.The looking back contrasting analysis was done via self-designed scal.Results Child group had lower frequency of obsessive rumination,obsessive intention,obsessive affection and ceremony acts than adult group.Anxiety and depression did not always come with child group but adult group,and the tic disorder appeared on the other way round.The child group had not the insight and the consciousness of the anti-obsession.Conclusion The clinical character of the child with OCD was not typical and its diagnose was not easy done.