【摘要】 目的:比较洗涤组、检查组、反刍思维组强迫症患者的人格特质、安全感与厌恶感。方法:采用帕多瓦量表-华盛顿州立大学修订版(中文版)、瑞典大学人格量表、安全感量表和中文厌恶感量表对80例符合ICD-10精神与行为障碍分类中强迫障碍诊断标准的住院和门诊病人,以及80例健康志愿者进行测查。根据帕多瓦量表-华盛顿州立大学修订版(中文版)评分将全部病例分为洗涤、检查和反刍思维三组,对测查结果进行方差分析、K ruskal-W allis H检验和相关分析等统计分析。结果:①洗涤组病例29例,检查组32例,反刍思维组19例;②反刍思维组躯体焦虑和精神焦虑得分[(70.3±11.0)vs.(72.8±9.7)]大于洗涤组[(56.6±11.9)vs.(66.5±8.9)]和检查组[(61.4±10.7)vs.(66.2±7.9)],三组均大于健康对照组[(50.5±8.9)vs.(50.8±9.7),Ps<0.05];③反刍思维组安全感得分(37.9±7.1)小于洗涤组(47.0±9.5)和检查组(48.5±8.9),三组均小于健康对照组(62.8±11.3)(Ps<0.05);④洗涤组厌恶感得分依次大于检查组、反刍思维组和健康对照组[(103.0±9.5)vs.(89.7±11.0),(85.3±10.8),(86.2±13.5),Ps<0.01];⑤污染/洗涤强迫得分与缺乏自信和社交愿望得分呈负相关(r=-0.23,-0.38),与冷漠得分、厌恶感总分呈正相关(r=0.36,0.68);检查强迫得分与躯体焦虑、应激敏感性、冒险探索、社交愿望、怨恨、言语攻击呈正相关(r=0.22~0.42);伤害他人/自己的强迫想法得分与躯体焦虑、精神焦虑、应激敏感性、缺乏自信、冲动性、冒险探索、怨恨、兴奋性、不信任、言语攻击、身体攻击得分呈正相关(r=0.32~0.66),与安全感总分呈负相关(r=-0.57)。结论:洗涤组强迫症患者的厌恶感高于检查组和反刍思维组;反刍思维组强迫症患者的安全感低于洗涤组和检查组,而且神经质人格特质更加突出。更多还原

【Abstract】 Objective:To compare the psychological profile of patients with obsessive-compulsive disorder(OCD)that belong to 3 subgroups named washing,checking and rumination.Methods:According to the ICD-10 Classification of Mental and Behavioral Disorders,80 inpatients and outpatients with OCD and 80 healthy controls were recruited to investigate with the Padua Inventory-Washington State University Revised(PI-WSUR),Swedish Universities Scales of Personality(SSP),Security Questionnaire and Chinese Disgust Scale.Based on the scores of PI-WSUR all the patients were divided into 3 subgroups namely washing,checking and rumination.The data were analyzed through analysis of variance,Kruskal-Wallis H test and correlation analysis.Results:(1)There were 29 washers,32 checkers and 19 ruminators.(2)The SSP scores of somatic trait anxiety and psychic trait anxiety in ruminators [(70.3±11.0),(72.8±9.7)] were higher than in washers[(56.6±11.9),(66.5 ±8.9)]and checkers[(61.4±10.7),(66.2±7.9)],which were higher than in health controls[(50.5±8.9),(50.8±9.7)](Ps<0.05).(3)The scores of the Security Questionnaire in ruminators(37.9±7.1)were lower than in washers(47.0±9.5)and checkers(48.5 ±8.9),which were lower than in health controls(62.8±11.3)(Ps<0.05).(4)The scores of the Chinese Disgust Scale in washers were higher than in checkers,ruminators and healthy controls[(103.0±9.5)vs.(89.7±11.0),(85.3±10.8),(86.2±13.5),Ps<0.01].(5)The scores of contamination obsessions and washing compulsion were negatively correlated with the SSP scores of lack of assertiveness and social desirability(r=-0.23,-0.38),positively correlated with the SSP scores of detachment and the scores of Chinese Disgust Scale(r=0.36,0.68)respectively.The scores of checking compulsions were positively correlated with the SSP scores of somatic trait anxiety,stress susceptibility,adventure seeking,social desirability,embitterment and verbal trait aggression respectively(r=0.22~0.42).The scores of obsessional thoughts of harm to self/others were positively correlated with the SSP scores of somatic trait anxiety,psychic trait anxiety,stress susceptibility,lack of assertiveness,impulsiveness,adventure seeking,embitterment,trait irritability,mistrust,verbal trait aggression and physical trait aggression(r=0.32~0.66),negatively correlated with the scores of the Security Questionnaire(r=-0.57)respectively.Conclusion:The disgust of washers are higher than the of checkers and ruminators.The security of ruminators who have the neurotic features of personality are lower than that of washers and checkers.更多还原