【摘要】 调查伴与不伴双相障碍强迫症患者病前行为特征的差异。方法 将80例强迫症患者根据是否伴有双相障碍分为共病组38例与强迫症组42例。采用自编量表调查强迫症患者的基本情况,采用Achenbach儿童行为量表回顾性评估患者12岁—16岁的行为特征。结果 共病组病程及治疗时间均显著长于强迫症组(P<0. 05或0.01)。社会能力方面,共病组学校情况因子分显著低于强迫症组(P<0. 05);行为问题方面,共病组行为问题总分、抑郁、分裂强迫、违纪及攻击因子分均显著高于强迫症组(P<0. 05或0. 01)。结论 伴双相障碍强迫症患者较单纯强迫症患者,病前存在更多的行为问题,病程更迁延,治疗时间更长。更多还原

【Abstract】 Objective To investigate behavior characteristics between obsessive-compulsive disorder patients without or without bipolar disorder. Methods 80 patients with obsessive-compulsive disorder were divided into comorbidity group(38 cases) and OCD group(42 cases) according to whether they were accompanied by bipolar disorder. The self-made scale was used to investigate the basic conditions of patients with obsessive-compulsive disorder. The Achenbach Child Behavior Scale was used to retrospectively evaluate the behavioral characteristics of patients aged 12-16 years. Results The course of disease and treatment time in the comorbid group were significantly longer than those in the OCD group(P<0. 05 or 0. 01). In terms of social ability, the school condition factor of the comorbid group was significantly lower than that of the OCD group(P<0. 05); in terms of behavioral problems, the total scores of behavior problem and depression, disintegration, disciplinary, aggression factors scores in the comorbidity group were significantly higher than those in the OCD group(P<0. 05 or 0. 01). Conclusion OCD Patients with bipolar disorder have more behavioral problems before the disease compared with simple OCD Patients,with more prolonged course of disease and treatment time.更多还原