【作者】 李妍； 李幼辉； 牛琪惠； 杨磊； 张力方； 周俊超；

【Author】 Li Yan;Li Youhui;Niu Qihui;Yang Lei;Zhang Lifang;Zhou Junchao;Department of Psychiatry, First Affiliated Hospital,Zhengzhou University;

【机构】 郑州大学医学院；

【摘要】 目的本研究旨在探讨不同严重程度的强迫症患者的性格特征、心理状况。方法选取符合DSM-Ⅳ强迫症诊断标准的82例患者,其中男53例,女29例,年龄为(23.44±8.64)岁;采用耶鲁一布朗强迫量表(Y-BOCS)进行强迫症患者临床严重程度评估,同时采用艾森克人格问卷(EPQ)、症状自评量表(SCL-90)分别评估强迫症患者性格特征、心理状况等。结果:重度患者EPQ问卷中神经质(N)维度的得分高于轻度和中度患者(P<0.01)。SCL-90中躯体化、强迫状态、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性9个因子得分均高于轻度和中度患者(P<0.05)。结论:强迫症患者存在不健全的性格基础,对其疾病的发生、发展及症状严重程度密切相关。更多还原

【Abstract】 Objective To explore the personality characteristics and psychologic status of patients with obsessive-compulsive disorder(OCD) on different clinical severity. Methods According to the DSM- Ⅳ obsessive-compulsive disorder diagnostic criteria, 82 patients were enrolled, 53 males and 29 females, and ages were(23.44 ± 8.64). Clinical severity of OCD patients was evaluated using Yale-Brown obsessive-compulsive scale(Y- BOCS). At the same time the personality characteristics and psychologic status of OCD patients were evaluated using Eysenck Personality Questionnaire(EPQ) and symptom self-assessment scale(SCL- 90). Results: The severe group’s score on Neuroticism(N) of EPQ was higher than the mild and moderate group(P<0.01). It was also higher than the mildand moderate group(P<0.05) on somatization, force status, interpersonal relationship, depression, anxiety, hostility, terror, paranoia, psychotic nine factors of SCL-90. Conclusion: OCD patients existed unsound character, which was closely related to the occurrence, development and symptom severity of obsessive-compulsive disorder.更多还原