摘要
目的探讨囤积症患者心理特征及影响患病的相关因素。方法采用随机取样法选取2016年2月~2018年2月在我院就诊的165例神经症患者作为研究对象,并根据DSM-5囤积症的症状标准筛查并确诊其中的囤积症患者(n=27),建立档案,调查患者的年龄、性别比例,及囤积症家族史;通过亲密关系体验问卷修订版(ECR-R),来判定依恋类型;通过ICD-10判断患者是否有焦虑障碍、强迫障碍;分析其心理特征及影响患病的相关因素。结果发现囤积症患者心理特征主要是囤积行为能给患者带来快乐;96.30%患者的一旦囤积行为被阻止,就会感到心理悲痛或焦虑,85.19%的囤积症患者性格外向开朗;相关分析显示阳性家族史(χ2=4.903,P=0.027)、强迫障碍(χ2=18.222,P=0.001)、不安全依恋(χ2=8.501,P=0.004)、焦虑障碍(χ2=4.251,P=0.039)是囤积症患病的可能因素;Logistic二元回归显示强迫障碍、不安全依恋和焦虑障碍是罹患囤积症的独立危险因素,按影响大小依次是强迫障碍(OR=10.418,P=0.001)、不安全依恋类型(OR=5.666,P=0.001)和焦虑障碍(OR=3.844,P=0.020)。结论囤积症患者心理特征主要是囤积行为能给患者带来快乐,96.30%的患者一旦囤积行为被阻止,就会感到心理悲痛或焦虑;阳性家族史、强迫障碍、不安全依恋、焦虑障碍是囤积症患病的可能因素;而强迫障碍、不安全依恋、焦虑障碍是囤积症患病的独立危险因素。
Objective To explore the psychological characteristics of patients with hoarding and related factors affecting the disease.Methods 165 patients with neurosis who were treated in our hospital from February 2016 to February 2018 were selected as research objects according to the random sampling method.According to the symptom criteria of DSM-5 hoarding disease,the patients with hoarding disease were screened and diagnosed(n=27).Files were established to investigate the age,sex ratio and the family history of hoarding disease of the patients.The type of attachment was tested by Experiences in Close Relationships Inventory(ECR-R).ICD-10 was used to determine whether patients had anxiety disorder or obsessive-compulsive disorder.The psychological characteristics and related factors affecting the disease were analyzed.Results It was found that the psychological characteristics of hoarding patients were mainly that hoarding behavior could bring happiness to patients.Once the hoarding behavior was stopped,96.30%of the patients would feel psychological distress or anxiety,and 85.19%of the patients with hoarding disorder were outgoing and cheerful.Correlation analysis showed positive family history(χ2=4.903,P=0.027),obsessive-compulsive disorder(χ2=18.222,P=0.001),unsafe attachment(χ2=8.501,P=0.004)and anxiety disorder(χ2=4.251,P=0.039)were possible causes of hoarding disease.Logistic binary regression showed that obsessive-compulsive disorder,insecure attachment and anxiety disorder were independent risk factors for hoarding disease.According to the size of the influence,these independent risk factors were obsessive-compulsive disorder(OR=10.418,P=0.001),insecure attachment type(OR=5.666,P=0.001)and anxiety disorder(OR=3.844,P=0.020).Conclusion Psychological characteristics of hoarding patients are mainly that hoarding can bring happiness to the patients.96.30%of patients will feel psychological distress or anxiety once the hoarding behavior is stopped.Positive family history,obsessive-compulsive disorder,insecure attachment and anxiety disorder are possible factors for hoarding.Compulsive disorder,insecure attachment and anxiety disorder are independent risk factors for hoarding.
作者
钟远惠
刘峥荣
何晓华
周海平
谢穗峰
ZHONG Yuanhui;LIU Zhengrong;HE Xiaohua;ZHOU Haiping;XIE Suifeng(Guangzhou Civil Affairs Bureau Mental Hospital,Guangzhou 510430,China)
出处
《中国医药科学》
2019年第17期35-38,共4页
China Medicine And Pharmacy
关键词
囤积症
心理特征
影响患病
相关因素
独立危险因素
Hoarding
Psychological characteristics
Affecting the disease
Related factors
Independent risk factors
