摘要
目的:观察强迫症和伴强迫症状精神分裂症患者的自知力情况,以及应用耶鲁-布朗强迫症量表(Y-BOCS)和简明精神病量表(BPRS)比较两组不同自知力患者临床症状。方法:对30例强迫症患者和32例伴强迫症状精神分裂症患者采用Y-BOCS和BPRs评估。根据Y-BOCS项目11评估自知力得分。结果:强迫症组与伴强迫症状精神分裂症组患者不同自知力得分患者构成比显著不同(P<0.05),其中自知力较差(≥3分)患者分别为7例(23.3%)和20例(62.5%)。强迫症组自知力较差患者的Y-BOCS量表强迫思维、强迫行为和总体严重程度得分以及BPRS量表焦虑抑郁、思维障碍和总分均显著高于强迫症组自知力较好患者及伴强迫症状精神分裂症组自知力较好和较差患者(P<0.05)。结论:强迫症患者总体自知力强于伴强迫症状精神分裂症患者,但强迫症患者中自知力较差者的强迫体验、焦虑和抑郁等临床症状较伴强迫症状精神分裂症患者中自知力较差者更明显。
Objective：To investigate the insight in obsessive-compulsive disorder（OCD） and schizophrenia with obsessive-compulsive symptoms patients and compare Y-BOCS and BPRS measures for assessing he relationships between insight and clinical variables.Methods：The OCD（30 cases） and schizophrenia with obsessive-cornpulsive symptoms（32 cases） were assessed by Y-BOCS and BPRS.Insight score was evaluated by the score of Y-BOCS item 11.Results：Patients in obsessive-compulsive disorder（OCD） and schizophrenia with obsessive-compulsive symptoms group with different proportions of insight scores were significantly different（P〈0.05）.Poor insight cases（≥3） were separately 7（23.3 %） and 20 cases（62.5 %） in OCD and schizophrenia with obsessive-compulsive symptoms groups.The obsessions,compulsive behavior and overall severity item scores assessed by Y-BOCS as well as anxiety and depression,thought disorder and overall item scores assessed by BPRS were all significantly higher in poor insight OCD patients than good insight OCD patients and good or poor insight schizophrenia with obsessive-compulsive symptoms patients（P〈0.05）.Conclusion：The insight in OCD patients are better than that in schizophrenia with obsessive-compulsive symptoms patients.However,OCD patients with poor insight exhibit more severer clinical symptoms such as forced experience,anxiety and depression compared to schizophrenia with obsessive-compulsive symptoms patients with poor insight.
出处
《中国民康医学》
2011年第16期1972-1973,2034,共3页
Medical Journal of Chinese People’s Health
关键词
强迫症
精神分裂症
自知力
Obsessive - compulsive disorder
Schizophrenia
Insight
