难治性强迫症患者人格特征与家庭环境的研究
Personality characteristics and family environment in patients with refractory obsessive-compulsive disorder
目的 探讨难治性强迫症患者的人格特征和家庭环境的特点及影响因素.方法 选择87例符合《精神疾病的诊断和统计手册》(DSM-Ⅳ)诊断标准的强迫症患者,其中难治性患者36例和非难治性患者51例,进行艾森克人格测验、家庭环境量表及Yale-Brown强迫症量表测试.结果 难治性强迫症组精神质评分、家庭矛盾性评分和控制性评分高于非难治性强迫症组(P<0.05或P<0.01);难治性强迫症组家庭亲密度评分低于非难治性强迫症组(P<0.01);Logistic回归分析显示:亲密度(OR=0.74)是强迫症治疗预后的保护因素,控制性(OR=1.38)是预后的危险因素.结论 难治性强迫症患者的家庭环境与预后密切相关.
更多Objective To investigate the personality characteristics, family environment and influencing factors in patients with refractory obsessive-compulsive disorder.Methods According to Diagnostic and Statistical Manual of Mental Disorders(DSM-Ⅳ) criteria of obsessive-compulsive disorder(OCD) , 87 patients were enrolled, including 36 patients with refractory OCD and 51 patients with non-refractory OCD, who were evaluated by Yale-Brown obsessive-compulsive scale, Eysenck personality questionnaire and Family Environment Scale-Chinese Version.Results The psychoticism scores, family conflict scores and controllability scores were higher in the refractory OCD group than those in the non-refractory OCD group(P<0.05 or P<0.01), but the family cohesion scores were lower in the refractory OCD group than those in the non-refractory OCD group (P<0.01).Logistic regression analysis showed that the family cohesion (OR=0.74) was a protective factor for the prognosis of OCD and controllability(OR=1.38) was a risk factor.Conclusions Refractory OCD patient's family environment is closely correlated with the prognosis.
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