摘要
目的:探讨人格障碍对强迫症临床表现、人际态度、社会功能的影响。方法:采用PDQC(CCMD-2-R人格障碍筛查问卷)、SCICP(CCMD-2-R人格障碍定式检测手册)对118例强迫症患者进行检测,据其是否符合人格障碍诊断而分为两个组别,即共病组(OCD+PD);非共病组(OCD)。对两组之间的临床表现、GAFS(功能大体评定量表)、STAI(焦虑状态-特质问卷)、SCL-90(症状自评量表)、SCCS(自我和谐量表)、LSRS(生活满意度量表)得分进行比较。结果:69例(58.5%)至少符合一个类别人格障碍诊断;共病组的在婚率、全日制工作比率、GAFS总均分、LSRS总均分较非共病组低。共病组发病年龄较小,病程更长,受教育年限更短。病前突发生活事件发生率、STAI焦虑特质分量表得分、SDS、SCL-90总均分以及人际关系敏感、抑郁、焦虑、敌意、偏执各分量表得分、自我和谐量表得分均高于非共病组,差异有统计学显著性。结论:人格障碍临床定式检测结果显示,强迫症与人格障碍的共病率高达50%以上;人格障碍对强迫症患者临床表现、心理健康状况、临床治疗和预后有着不可忽视的影响。
Objective: To investigate patterns of personality disorder (PD) comorbidity in patient with obsesseive - compulsive(OBC) and the influence of PD comorbidity on the patient with OCD. Methods: 118 patients with obsessive-compulsive were assessed by SCICP ( Structured Clinical Interview for CCMD-2-R personality disorder ) ,PDQ(Personality Disoder Questionnaire for CCMD-2-R personality disorder) , GAFS(Global Assessment of Functioning Scale), STAI(The State-Trait Anxiety Inventory) and SCl-90. Chi-square and t-test were used in data analysis. Results: 58.5% of patients with OCD meet the criteria for at least one PD. The patients with PD had a significantly higher SCL-90, SCCS, STAI- Trait Scores and lower GAFS, LSRS scores and lower proportions of these patients were married and employed full-time. The patients with PD also had lower level education and longer duration of illness ,earlier age at onset of OCD. Conclusion: The prevalence of PD is a considerably high(more than 50%) among the patients with OCD in the study. It shoudn't be neglected that PD is influential in clinical manifestation, mental health state and therapy effect and prognosis of OCD patients due to having PD psychopathology.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2005年第3期203-206,共4页
Chinese Mental Health Journal
