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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 study the relationship between the onset of Obsessive-Com pu lsive Disorder (OCD) and its traumatic experience in childhood. Methods Forty-five patients with OCD who met DSM-IV clinical criteria were enrolled in the study. The patients were assessed by CTQ-SF. Another recruited 50 cases of normal control CTQ-SF test. Results OCD patients except emotional abuse, sexual abuse, emotional neglect, physical neglect, physical abuse 3 factors into the Log istic regression equation. Emotional neglect (W ald chi square = 13.473, P <0.001), body neglect (W ald chi square = 4.602, P <0.05), physical abuse (W ald chi square = 9.977, P <0.05). (B = 0.429, exp (b) = 1.536) and body neglect (b = 0.242, exp (b) = 1.273) (b) <1, whereas the coefficient of regression (b) <0 for ratio of body mass (b = -0.559, exp (b) = 0.572) Conclusion Childhood misconceptions and somatic neglect in OCD patients are risk factors for OCD, while physical abuse is not a risk factor for OCD.