中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2011年
1期
7-9
,共3页
王雪梅%王振%徐海婷%肖泽萍
王雪梅%王振%徐海婷%肖澤萍
왕설매%왕진%서해정%초택평
强迫症%早年创伤%耶鲁-布朗强迫量表%早年创伤问卷简表
彊迫癥%早年創傷%耶魯-佈朗彊迫量錶%早年創傷問捲簡錶
강박증%조년창상%야로-포랑강박량표%조년창상문권간표
Obsessive-compulsive disorder%Early trauma%Yale-brown obsessive-compulsive severity scale(Y-BOCS )%Early trauma inventory self report-short form (ETISR-SF)
目的 探讨早年创伤经历与强迫症的相关性,并进一步探讨其与强迫症的起病年龄、病程及严重程度的相关性.方法 对符合DSM-Ⅳ诊断标准的185例强迫症患者以及132例健康对照进行早年创伤问卷简表(ETI-SF)评估,并对强迫症患者进行临床资料及Yale-Brown强迫量表的评定.结果 相对于对照组,强迫症组早年创伤量表总分更高[(3.55±3.29)分,(1.51±1.98)分,P＜0.01],而且4个维度得分也均高于对照组,其中普通创伤[(0.89±1.10)分,(0.43±0.77)分,P＜0.01],躯体创伤[(0.98±1.31)分,(0.65±1.04)分,P=0.016],情感虐待[(1.43±1.61)分,(0.38±0.89)分,P＜0.01],性创伤[(0.24±0.59)分,(0.06±0.30)分,P＜0.01],且女性强迫症患者性创伤多于男性患者[(0.33±0.69)分,(0.16±0.45)分,P=0.049].早年创伤总分及各维度分值(除外性创伤)与强迫症患者的起病年龄成负相关(P＜0.01).结论 强迫症患者有较多的早年创伤经历,且经历越多,其起病年龄越早,早年创伤经历可能是强迫症发生发展的重要环境因素之一.
目的 探討早年創傷經歷與彊迫癥的相關性,併進一步探討其與彊迫癥的起病年齡、病程及嚴重程度的相關性.方法 對符閤DSM-Ⅳ診斷標準的185例彊迫癥患者以及132例健康對照進行早年創傷問捲簡錶(ETI-SF)評估,併對彊迫癥患者進行臨床資料及Yale-Brown彊迫量錶的評定.結果 相對于對照組,彊迫癥組早年創傷量錶總分更高[(3.55±3.29)分,(1.51±1.98)分,P＜0.01],而且4箇維度得分也均高于對照組,其中普通創傷[(0.89±1.10)分,(0.43±0.77)分,P＜0.01],軀體創傷[(0.98±1.31)分,(0.65±1.04)分,P=0.016],情感虐待[(1.43±1.61)分,(0.38±0.89)分,P＜0.01],性創傷[(0.24±0.59)分,(0.06±0.30)分,P＜0.01],且女性彊迫癥患者性創傷多于男性患者[(0.33±0.69)分,(0.16±0.45)分,P=0.049].早年創傷總分及各維度分值(除外性創傷)與彊迫癥患者的起病年齡成負相關(P＜0.01).結論 彊迫癥患者有較多的早年創傷經歷,且經歷越多,其起病年齡越早,早年創傷經歷可能是彊迫癥髮生髮展的重要環境因素之一.
목적 탐토조년창상경력여강박증적상관성,병진일보탐토기여강박증적기병년령、병정급엄중정도적상관성.방법 대부합DSM-Ⅳ진단표준적185례강박증환자이급132례건강대조진행조년창상문권간표(ETI-SF)평고,병대강박증환자진행림상자료급Yale-Brown강박량표적평정.결과 상대우대조조,강박증조조년창상량표총분경고[(3.55±3.29)분,(1.51±1.98)분,P＜0.01],이차4개유도득분야균고우대조조,기중보통창상[(0.89±1.10)분,(0.43±0.77)분,P＜0.01],구체창상[(0.98±1.31)분,(0.65±1.04)분,P=0.016],정감학대[(1.43±1.61)분,(0.38±0.89)분,P＜0.01],성창상[(0.24±0.59)분,(0.06±0.30)분,P＜0.01],차녀성강박증환자성창상다우남성환자[(0.33±0.69)분,(0.16±0.45)분,P=0.049].조년창상총분급각유도분치(제외성창상)여강박증환자적기병년령성부상관(P＜0.01).결론 강박증환자유교다적조년창상경력,차경력월다,기기병년령월조,조년창상경력가능시강박증발생발전적중요배경인소지일.
Objective To investigate the association between early trauma experiences and obsessivecompulsive disorder (OCD). Methods One hundred and eighty-five patients who met with OCD diagnosis of DSM-Ⅳ and one hundred and thirty-two healthy controls were recruited. Early trauma experience of all participants was assessed with Early Trauma Inventory-Short Form (ETI-SF) ,and severity of symptoms of OCD patients was evaluated with Yale-Brown Obsessive-Compulsive Severity Scale (Y-BOCS). Results When compared with controls, OCD group showed significantly higher in ETI-SF total score (3.55 ± 3.29 vs 1.51 ± 1.98, P ＜ 0. 01 ) and had greater in general trauma (0.89 ± 1.10 vs 0. 43 ±0.77, P＜0.01 ) ,physical abuse (0.98 ± 1.31 vs 0.65 ±1.04, P=0. 016),emotional abuse(1.43 ±1.61 vs 0.38 ±0.89, P＜0. 01),and sexual abuse(0.24 ±0.59 vs 0.06 ±0.30, P＜0. 01 ). Female OCD patients reported more sexual abuse than male patients(0.33 ±0.69 vs0. 16 ± 0.45, P = 0.049) . There was a negative correlation between onset age of obsessive symptoms and early trauma experiences(P ＜ 0. 01 ), except sexual abuse experiences (P = 0. 10). Conclusion OCD patients have much more childhood traumas, and the more trauma experiences are,the earlier onset of OCD is, which may associated with the development of obsessive-compulsive disorder.
