中国临床心理学杂志

强迫症患者生活质量及相关因素分析

作者：刘力秦晓霞刘盈毕波

关键词：强迫症 SF-36量表生活质量

分类号：R395.2

出版年,卷(期):页码：2007,15(6):654-655

摘要：

目的：了解强迫症患者生活质量的现状，探讨其相关影响因素。方法：采用自编一般情况调查表、健康状况问卷(SF-36)，Yale-Brown强迫量表(Y-BOCS)、汉密尔顿抑郁量表(HAMD)，对60例强迫症患者进行调查。结果：除外生理健康和疼痛，强迫症患者总体生活质量其它各维度均低于中国常模(P＜0.001)；强迫症患者汉密尔顿抑郁分、强迫症严重程度分、强迫思维分与SF-36各维度均相关(P＜0.05，或P＜0.01)；而强迫行为仅与SF-36中的社会功能、情感职能、精神健康和精力四个维度相关；就业状况与生理职能相关；合并躯体疾病的患者在一般健康、社会功能和精神健康维度得分更低，合并其它精神障碍的患者在疼痛、一般健康、社会功能和精神健康维度得分更低。结论：强迫症患者的生活质量明显低于正常人群，强迫的严重程度，尤其是强迫思维、同时是否合并其它躯体和精神障碍及就业状况对患者的生活质量有很大的影响。

Objective: To investigate the situation of Obsessive-Compulsive Disorder's quality of life, and explored therelated factors. Methods: 60 OCD patients were tested with the general question lists, Yale-Brown Obsessive CompulsiveScale (YBOCS), Hamilton Rating Scale for Depression (HAMD). Health related quality of life was measured by the Self administered global QOL scale (SF-36). Results: There were significant differences between OCD patients and the norm ofChina general population in all SF-36 subscales except those related to physical health and pain (P<0.001). The scores of HAMD, the severity of the OCD and the obsessions subscale were correlated to all SF-36 subscales (P<0.05, or P<0.01).The compulsions subscale was correlated only to social functioning, emotional role, mental health and vitality. Employment was related to the scores of physical role. Patients with medical comorbidity scored lower in the subscale of general health,social functioning and mental health. Patients with comorbid psychiatric disorders had lower scores in the subscales ofpain, general health, social functioning and mental health. Conclusion: OCD patients’quality of life descends severely and is related to severity of the disorder, physical and psychiatric comorbidity and employment status.

基金项目：

作者简介：

参考文献：

[1] Jayakumarc C,Jagadheesan K,Verma AN.Disability in obsessive-compulsive disorder:a comparison with schizophrenia.International Journal of Rehabilitation Research,2002,25:147-157
[2] Koran LM,Thienemann ML,Davenport R.Quality of life for patients with obsessive compulsive disorder.Am J psychiatry,1996,153:783-788
[3] Jane LE,Maria AM,Anthony P,et al.Impact of obsessivecompulsive disorder on quality of life.Comprehensive psychiatry,2006,47:270-275
[4] 中国行为医学科学编委会.行为医学量表手册.北京:中华医学会电子音像出版社,2005.54-59
[5] Moritz S,Rufer M,Fricke S,et al.Quality of life in obsessive-compulsive disorder before and after treatment.Compr Psychiatry,2005,46:453-459
[6] Lochner C,Hemmings SM,Kinnear CJ,et al.Gender in obsessive-compulsive disorder:clinical and genetic findings.Eur Neuropsychopharmacol,2004,14:105-113
[7] 周云飞,张亚林,胡纪泽,等.强迫症患者生活质量与病程的相关分析.中国临床康复,2005,9(32):28-29
[8] Massion AO,Warshaw MG,Keller MB.Quality of life and psychiatric morbidity in panic disorder and generalized anxiety disorder.Am J Psychiatry,1993,150:600-607

服务与反馈：

【文章下载】【加入收藏】