强迫症患者的生活质量评估

Evaluation of life quality in patients with obsessive-compulsive disorder

目的:探讨门诊强迫症患者的生活质量状况,为强迫症患者的康复提供理论依据。方法:对40例(强迫症组)符合ICD-10诊断标准的门诊强迫症患者进行一般资料,Maudsley强迫问卷(MOCI),耶鲁布郎强迫量表(Y-BOS),社会功能缺陷筛选量表(SDSS),主观幸福感(Subjectivewell-being,SWB)和自尊量表(Self-esteem)等评定工具进行评估,并与40例正常人(对照组)比较。结果:①强迫症组的生活质量明显低于正常对照组(主观幸福感4.33±2.31和6.94±1.67,t=-7.141,P=0.000;自尊23.30±5.14和17.31±2.57,t=8.101,P=0.000;强迫症组85%有社会功能缺陷)。②强迫症组的主观幸福感与自尊密切相关(r=-0.564,P=0.000)。③Y-BOS分、工作学习现状是影响强迫症社会功能的主要因素(Y-BOS分t=6.602,P=0.000;工作状况t=2.420,P=0.021)。结论:强迫症患者的生活质量低,主要的影响因素是较高的自尊水平和症状。

AIM:To study the l ife quality in outpatie nts with obsessive-compulsive dis-order and provide th emry evidence fo r patients' rehabilitation.METHODS:Forty patients with obsess ive compu lsive disorder were as-sessed by Maudsley obsessional-com pulsive in ventory(MOCI ),Yale-Brown obsessive-compulsive scale(Y-BOS),Social Disa bility Screening Sched ule(SDSS),Subjective well-being(SWB )and Self-este em scale.The results were compared with normal persons(control group,n=40 ).RESULTS:①The life quality of in obsessive-com pulsive disorder was worse than that of normal person(SWB:4.33±2.31vs 6.94±1.67;t=- 7.141,P=0.000;Self-esteem:23.30±5.14vs 17.31±2. 57;t=8.101,P=0.000;85%patients had impaired social fun ction ).②The SWB and self-esteem were related very much(r=-0.564,P=0. 000).③Y-BOS and working or studying were the rela ted factors of life qu ality(Y-BOS,t=6.602,P=0.000;working situation,t=2.420,P =0.021).CONCLUSION:Life quality of patients with obsessive-compulsive disorder is poor,the mainly related factors a re self-esteem and Y-BOS .