强迫障碍患者与其童年期创伤性经历的关系  

Relationship between Childhood Traumatic Experiences and Obsessive-compulsive Disorder Patients

作　　者：于宏华[1] 曹文胜[1] 傅文青[2] 焦志安[3] 

机构地区：[1]中国.北京回龙观医院,100096 [2]苏州大学医学部临床心理研究所 [3]山东省立医院临床心理科

出　　处：《中国健康心理学杂志》2012年第4期493-495,共3页China Journal of Health Psychology

摘　　要：目的研究强迫障碍(Obsessive-Com pu lsive D isorder,OCD)患者的发病与其童年期创伤性经历的关系。方法符合DSM-IV临床诊断标准的45例OCD患者为被试,用童年期创伤问卷(CTQ-SF)施测。另招募正常对照50例施测CTQ-SF。结果 OCD患者除情感虐待、性虐待外,情感忽视、躯体忽视、躯体虐待3因素进入Log istic回归方程。情感忽视(W ald卡方=13.473,P<0.001),躯体忽视(W ald卡方=4.602,P<0.05),躯体虐待(W ald卡方=9.977,P<0.05)。其中情感忽视(b=0.429,exp(b)=1.536)、躯体忽视(b=0.242,exp(b)=1.273)两因素的回归系数(b)均>0、比值比(OR)=exp(b)均>1,而躯体虐待(b=-0.559,exp(b)=0.572)的回归系数(b)<0、比值比(OR)=exp(b)<1。结论 OCD患者的童年期的情感忽视和躯体忽视是OCD发病的危险因素,而躯体虐待则不是OCD发病的危险因素。Objective To explore the relationship between childhood traumatic experiences and OCD patients. Methods DSM -IV was administrated to diagnose OCD patients. Childhood traumatic experiences of the sample were measured with Childhood Trauma Questionnaire （CTQ）, Results Logistic regression analysis showed that OCD could be accounted for by emotional neglect, （Wald X2= 13, 473,P〈0, 001）and physical neglect （Wald Z2=4. 602,P〈0. 05）and physical abuse（Wald Z2= 9. 977,P〈 0.05）, emotional neglect was（b= 0. 429,exp（b） = 1. 536） ,physical neglect was（b= 0. 242,exp（b） = 1. 273） Whereas physical abuse was （b=-0. 559,exp（b）=0. 572）. Conclusion Emotional neglect and physical neglect may be the risk factors for the development of OCD. However,physical abuse may not be the risk factor for the development of OCD.

关 键 词：强迫障碍 情感忽视 病历对照研究 童年期创伤性经历 

分 类 号：R749.8[医药卫生—神经病学与精神病学]