54例儿童与成人强迫症的比较  

Comparative study of 54 cases of obsessive-compulsive disorder in children and adolescents with adult

作　　者：贾军朴[1] 张世吉[1] 

机构地区：[1]首都医科大学附属北京安定医院儿科,100088

出　　处：《临床精神医学杂志》2006年第6期344-345,共2页Journal of Clinical Psychiatry

摘　　要：目的:探讨儿童少年强迫症的临床特征。方法:将符合国际疾病分类第10版(ICD-10)中强迫性神经症诊断标准,年龄≤17岁的患儿54例与随机抽取的同期住院的54例成人强迫症患者的临床特征进行比较。结果:儿少组首次发病住院时的病期少于成人组(P<0.001);疗效比较显示儿少组有效率明显高于成人组(P<0.05);在发病的心理因素中,儿少组多倾向于无明显诱因(P<0.05);临床症状分析发现:儿少组在强迫表象、强迫触摸、强迫询问、仪式动作、伴抽动、与家属共同完成强迫动作、自知力缺乏上显著高于成人组。结论:儿童期强迫症某些症状更多见,自知力不完整较多。Objective： To explore the clinical characteristics of obsessive-compulsive disorder in children and adolescents. Method： Fifty-four children and adolescents under the age of 17, who met the diagnosis of International Classification of Diseases-Tenth Revision （ICD-10） for obsessive-compulsive disorder, were analyzed and compared with adult inpatients with the same disorder at the same time. Results： Compared with the adults, the children with obsessive-compulsive disorder had shorter disease course and better curative effect. According to the analysis of clinical symptoms, children with obsessive-compulsive disorder were more easy to have compulsive image, compulsive touch, compulsive inquiry, ceremonial action, tic, completing compulsive actions with family-members together, absent insight. Conclusion： The children and adolescent patients with obsessive-compulsive disorder are more easy to have some symptoms and often have little insight.

关 键 词：强迫症 儿童 成人 

分 类 号：R749.7[医药卫生—神经病学与精神病学]