强迫症与焦虑关系的临床研究  

Relationship of Obsessive-compulsive Disorder with Anxiety

作　　者：李佩宜[1] 徐俊冕[2] 

机构地区：[1]中国．广东省汕头市第四人民医院,515021 [2]复旦大学中山医院

出　　处：《国际中华神经精神医学杂志》2005年第3期186-188,共3页

摘　　要：目的探讨强迫与焦虑的关系，为探索心理治疗策略提供依据。方法采用Foa的八型分类，将100例强迫症患者按焦虑程度（SCL-90焦虑因子分）分三组追行比较研究。结果100例患者中伴焦虑者占79%，伴抑郁者占74％；高焦虑组病程长于低焦虑组（P〈0.05）；Foa分型中，高焦虑组以Ⅰ、Ⅱ和Ⅵ型多见；临床症状中以强迫恐惧的焦虑分高于污染／检查、强迫意象／表象、强迫思考、强迫性犹豫不决和强迫观念（P〈0.01）。结论强迫症与焦虑的关系确有Foa等人提出的八种临床类型；强迫症患者伴焦虑的程度并不完全取决于病程，而是致焦虑性强迫想法与减焦虑性强迫反应相互作用的结果。Objective The purpose of the study was to explore the relationship between obsession and anxiety, and investigate the method of psychotherapy. Methods All patients were diagnosed according to the CCMD-2-R criteria for obsessive- compulssive disorder （OCD）. SCL-90 was administered in 100 patients with OCD , who were divided into high anxiety, low anxiety and no anxiety subgroups according to cut-off point of subscore. Results 79% of OCD patients were found with anxiety and 74% with depressions. The OCD course in the high anxiety subgroup was significantly longer than that in the low anxiety group （P〈0.05）. According to Foa＇s OCD typology, the patients in high anxiety subgroup were more in the clinical type Ⅰ,Ⅱ, Ⅵ, Conclusion The results suggest that there are eight types of OCD with anxiety. The severity of anxiety in OCD is not only according to their OCD course. There is the compositive interation of obsessions and compulsions to induce their anxiety symptoms.

关 键 词：强迫症 焦虑 临床症状 临床类型 焦虑程度 临床研究 Foa 治疗策略 强迫观念 相互作用 

分 类 号：R749.72[医药卫生—神经病学与精神病学] R749.99[医药卫生—临床医学]