国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2011年
8期
1136-1138
,共3页
强迫症%述情障碍%自我和谐%强迫症状
彊迫癥%述情障礙%自我和諧%彊迫癥狀
강박증%술정장애%자아화해%강박증상
Obsessive-compulsive disorder%Alexithymia%Self-consistency%Obsessions-compulsions
目的 探讨强迫症患者的述情障碍、自我和谐以及与强迫症状的关系.方法 采用Yale-Brown强迫量表(YaleBrown Obsessive-Compulsive Scale,Y-BOCS)、多伦多述情障碍量表(Toronto Alexithymia Scale,TAS)及自我和谐量表(Self-Consistency and Congruence Scale,SCCS)对45例强迫症患者(强迫症组)和45例正常受试者(对照组)进行测评.结果 ①强迫症组自我与经验的不和谐及自我的刻板性评分和Y-BOCS评分均显著高于对照组(P＜0.01),而自我的灵活性评分则显著低于对照组(P＜0.05);②强迫症组TAS总分及因子Ⅰ、Ⅱ评分均显著高于对照组(P＜0.01),而因子Ⅲ、Ⅳ评分两组间比较,无显著性差别(P＞0.05);③强迫症患者的自我不和谐评分、TAS总分及因子I、Ⅱ评分均与Y-BOCS评分呈显著性正相关(P＜0.01).结论 强迫症患者存在着明显的述情障碍,自我和谐性差,并与强迫症状有关.
目的 探討彊迫癥患者的述情障礙、自我和諧以及與彊迫癥狀的關繫.方法 採用Yale-Brown彊迫量錶(YaleBrown Obsessive-Compulsive Scale,Y-BOCS)、多倫多述情障礙量錶(Toronto Alexithymia Scale,TAS)及自我和諧量錶(Self-Consistency and Congruence Scale,SCCS)對45例彊迫癥患者(彊迫癥組)和45例正常受試者(對照組)進行測評.結果 ①彊迫癥組自我與經驗的不和諧及自我的刻闆性評分和Y-BOCS評分均顯著高于對照組(P＜0.01),而自我的靈活性評分則顯著低于對照組(P＜0.05);②彊迫癥組TAS總分及因子Ⅰ、Ⅱ評分均顯著高于對照組(P＜0.01),而因子Ⅲ、Ⅳ評分兩組間比較,無顯著性差彆(P＞0.05);③彊迫癥患者的自我不和諧評分、TAS總分及因子I、Ⅱ評分均與Y-BOCS評分呈顯著性正相關(P＜0.01).結論 彊迫癥患者存在著明顯的述情障礙,自我和諧性差,併與彊迫癥狀有關.
목적 탐토강박증환자적술정장애、자아화해이급여강박증상적관계.방법 채용Yale-Brown강박량표(YaleBrown Obsessive-Compulsive Scale,Y-BOCS)、다륜다술정장애량표(Toronto Alexithymia Scale,TAS)급자아화해량표(Self-Consistency and Congruence Scale,SCCS)대45례강박증환자(강박증조)화45례정상수시자(대조조)진행측평.결과 ①강박증조자아여경험적불화해급자아적각판성평분화Y-BOCS평분균현저고우대조조(P＜0.01),이자아적령활성평분칙현저저우대조조(P＜0.05);②강박증조TAS총분급인자Ⅰ、Ⅱ평분균현저고우대조조(P＜0.01),이인자Ⅲ、Ⅳ평분량조간비교,무현저성차별(P＞0.05);③강박증환자적자아불화해평분、TAS총분급인자I、Ⅱ평분균여Y-BOCS평분정현저성정상관(P＜0.01).결론 강박증환자존재착명현적술정장애,자아화해성차,병여강박증상유관.
Objective To explore the relationship among self- inconsistency, alexithymia and obsessions-compulsions of patients with obsessive-compulsive disorder. Methods The Yale-Brown Obsessive-Compulsive Scale ( Y-BOCS), Toronto Alexithymia Scale (TAS) and Self- consistency and Congruence Scale (SCCS) were adopted to test 45 patients with obsessive -compulsive disorder (observation group) and 45 cases normal subjects ( control group). Results ①The scores of self- consistency, inflexibility and total score of Y- BOCS in observation group were higher than those of control group (P ＜ 0. 01 ), but the score of flexibility in observation group was lower than that in control group ( P ＜0. 01 ) . ②The total score of TAS and factor Ⅰ, Ⅱ scores in observation group were significantly higher than those in control group ( P ＜ 0. 01 ) . ③The score of self-consistency, the total score of TAS and factor Ⅰ, Ⅱ scores were significantly positively correlated with the total score of Y-BOCS (P ＜ 0. 01 ) . Conclusions The patients with obsessive-compulsive disorder have significantly alexithymia and low self-consistency. Alexithymia and self- consistency were significantly correlated with obsessions-compulsions.
