摘要
目的对强迫症患者的自我认同感和安全感进行研究。方法研究对象为符合诊断标准的强迫症患者（n=63），以及年龄和教育程度匹配的正常对照（n=61）。所有被试接受一般资料、自我认同感量表、安全感量表、Yale-Brown强迫量表等评定。结果强迫症患者的自我认同感量表总分[（50．81±7．52）分]低于对照组[（55．10±6．86）分]，差异具有显著性（P〈0．01）；女性强迫症患者的自我认同感量表总分[（48．31±7．68）分]低于男性强迫症患者[（52．57±6．98）分]，差异具有显著性（P〈0．05）；强迫症患者安全感量表总分[（50．09±11．65）分]低于对照组[（58．87±10．22）分]，差异具有显著性（P〈0．01）；强迫症患者的自我认同感总分、安全感分值与YBOCS分呈负相关（r=-0．404，-0．314），与患者病程呈负相关（r=-0．284，-0．259）；强迫症患者自我认同感总分与安全感总分及其分量分表呈正相关（r=0．698）。结论强迫症患者的自我认同感和安全感低，并且随强迫症状的加重而降低。可能是导致强迫症的因素之一。
Objective To study the self-identity and security of patients with obsessive-compulsive disorder （OCD） Methods According to the Chinese Classification of Mental Disorder, Third Edition,63 inpatients and outpatients with OCD and 61 healthy controls were recruited to investigate with self-identity scale（SIS） , security questionnaire （ SQ ） , Yale-brown obsessive compulsive scale （ Y-BOCS ） , and self- made questionnaire. Results Compared with controls, patients had lower self-identity（50.81 ± 7.52 vs 55.10 ± 6.86, P〈 0.01 ） and security（50.09 ± 11.65 vs 58.87 ± 10.22, P 〈 0.01 ） than healthy controls. Female patients had lower self-identity （48.31 ±7.68 vs 52.57 ±6.98 , P〈0.05） than male patients. There were correlation between self-identity and Y-BOCS （ r = - 0. 404, P 〈 0.01 ） , security and Y-BOCS （ r = - 0.314, P 〈 0.05 ） , self-identity and course of disease （ r = - 0. 284, P 〈 0.05 ）, security and course of disease （ r = - 0. 259, P 〈 0.05 ） self-identity and security（ r = 0. 698, P〈 0.01 ） Conclusion OCD patients have lower self-identity and security. The self-identity and security reduce with the symptoms getting worse. Low self-identity and security maybe characteristic of OCD patients.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2012年第12期1101-1103,共3页
Chinese Journal of Behavioral Medicine and Brain Science
关键词
强迫症
安全感
自我认同
Obsessive-compulsive disorder
Self-identity
Security
