青少年强迫症患者的自知力与临床特征及生理功能的相关性分析

Analysis of correlation between self-awareness and clinical characteristics and physiological function in adolescent obsessive-compulsive disorder patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(5)
作者
作者单位

河南大学第一附属医院临床心理科 ;

摘要
目的:分析青少年强迫症患者的自知力与临床特征及生理功能的相关性。方法:随机选取2016年8月至2018年8月我院青少年强迫症患者60例,随机分为2组:一组自知力完整组(40例),一组自知力不良组(20例),统计分析两组患者的临床特征、Y-BOCS量表评分。结果:自知力完整组患者的症状严重程度轻度比例67.5%(27/40)显著高于自知力不良组50.0%(10/20)(P<0.05),重度比例5.0%(2/40)显著低于自知力不良组25.0%(5/20)(P<0.05);自知力完整组患者的症状表现荒谬比例7.5%(3/40)显著低于自知力不良组25.0%(5/20)(P<0.05),不荒谬比例92.5%(37/40)显著高于自知力不良组75.0%(15/20)(P<0.05)。自知力完整组患者的强迫思维、行为所花时间、妨碍生理功能、所致痛苦、主动抵抗、控制效果评分均显著低于自知力不良组(P<0.05)。结论:青少年强迫症患者的自知力与临床特征及生理功能均显著相关。
Abstract
Objective: To analyze the correlation between self-knowledge and clinical characteristics and physiological function of adolescent obsessive-compulsive disorder patients. Methods: 60 cases of adolescent obsessive-compulsive disorder in our hospital from August 2016 to August 2018 were randomly selected and randomly divided into two groups: one group with complete insight (40 cases) and the other group with poor insight (20 cases). The clinical characteristics and Y-BOCS scale scores of the two groups were statistically analyzed. Results: The proportion of mild symptoms of the group with complete insight 67.5% (27/40) was significantly higher than the group with poor insight 50.0% (10/20) (P < 0.05), the proportion of severe symptoms 5.0% (2/40) was significantly lower than the group with poor insight 25.0% (5/20) (P < 0.05); The absurd proportion of symptoms of the group with complete insight 7.5% (3/40) was significantly lower than the group with poor insight 25.0% (5/20) (P < 0.05), the absurd proportion 92.5% (37/40) was significantly higher than the group with poor insight 75.0% (15/20) (P < 0.05). The scores of compulsive thinking, time spent on behavior, obstruction of physiological function, pain, active resistance and control effect of the group with complete insight were significantly lower than the group with poor insight (P < 0.05). Conclusion: The insight of adolescents with obsessive-compulsive disorder is significantly correlated with clinical features and physiological functions.
关键词
青少年;强迫症;自知力;临床特征;生理功能;相关性
KeyWord
Adolescents; Obsessive-compulsive disorder; insight; Clinical characteristics; Physiological function; Correlation
基金项目
页码 831-833
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马宁*. 青少年强迫症患者的自知力与临床特征及生理功能的相关性分析 [J]. 国际精神病学杂志. 2019; 46; (5). 831 - 833.

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