中国临床心理学杂志

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

作者：曹文胜¹ 于宏华¹ 焦志安² 傅文青³

单位：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

分类号：R395.2

出版年,卷(期):页码：2010,18(4):469-471

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,P<0.05) and physical negelect(Wald χ²=4.608,P<0.05) and physical abuse(Wald χ²=5.031,P<0.05),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.

基金项目：

作者简介：

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