强迫障碍与人格障碍共病及其与童年期创伤性经历的关系  

Relation Between Childhood Traumatic Experiences and the Comorbidity of Obsessive-compulsive Disorder and Personality Disorders

作　　者：曹文胜[1] 于宏华[1] 焦志安[2] 傅文青[3] 

机构地区：[1]北京回龙观医院,北京100096 [2]山东省立医院临床心理科,山东济南250021 [3]苏州大学临床心理学研究所

出　　处：《中国临床心理学杂志》2010年第4期469-471,454,共4页Chinese Journal of Clinical Psychology

摘　　要：目的:研究强迫障碍(OCD)与人格障碍共病及其与童年期创伤性经历的关系。方法:符合DSM-IV临床诊断标准的44例OCD患者为被试,应用PDQ+4筛查,筛查阳性后再用PDI-IV做半定式查询确定其中的人格障碍患者。用童年期创伤问卷(CTQ-SF)测查OCD患者的童年期创伤性经历。结果:有32例OCD患者共病人格障碍。OCD与人格障碍共病除性虐待、情感忽视外,情感虐待(Waldχ2=6.428,P<0.05)、躯体忽视(Waldχ2=4.608,P<0.05)、躯体虐待(Waldχ2=5.031,P<0.05)三因子进入Logistic回归方程。其中情感虐待(b=1.021,exp(b)=2.776)和躯体忽视(b=0.617,exp(b)=1.853)两因子的回归系数(b)均>0、比值比(OR)=exp(b)均>1,而躯体虐待(b=-1.435,exp(b)=0.238)的回归系数(b)<0、比值比(OR)=exp(b)<1。结论:童年期的情感虐待和躯体忽视是OCD与人格障碍共病的危险因素,而躯体虐待则可能不是OCD与人格障碍共病的危险因素。Objective：To explore the relation between childhood traumatic experiences and the comorbidity of obsessive-compulsive disorder and personality disorders.Methods：DSM-IV was administrated to subjects to diagnose OCD patients.PDQ＋4 and PDI-IV were then administrated to 44 OCD subjects to determine whether they also suffered from personality disorders.Childhood traumatic experiences of the sample were measured with Childhood Trauma Questionnaire（CTQ）.Results：32 of 44 OCD patients also met DSM-IV criteria for Axis II personality disorders.Logistic regression analysis showed that comorbidity of OCD and personality disorders could be accounted for by emotional abuse（Wald χ2=6.428,P0.05） and physical negelect（Wald χ2=4.608,P0.05） and physical abuse（Wald χ2=5.031,P0.05）,emotional abuse（b=1.021,exp（b）=2.776） physical negelect（b=0.617,exp（b）=1.853） Whereas the regressive coefficient of physical abuse（b=-1.435,exp（b）=0.238） was 0.Conclusion：Emotional abuse and physical neglect are the risk factors for comorbidity of OCD and personality disorders.

关 键 词：强迫障碍 情感虐待 人格障碍 童年期创伤性经历 

分 类 号：R395.2[哲学宗教—心理学]