Greenberg David, Shefler Gaby
Herzog Hospital, Jerusalem, Israel.
Psychol Psychother. 2002 Jun;75(Pt 2):123-30. doi: 10.1348/147608302169599.
Of 28 ultra-orthodox Jewish psychiatric referrals with obsessive compulsive disorder, 26 had religious symptoms, while 18 had non-religious symptoms. On average, each patient had three times more religious symptoms than non-religious symptoms. In only nine cases did the patients view their non-religious symptoms as the main difficulty, and all of these nine cases were ultra-orthodox from birth. There was no significant difference between the distress, resistance, sense of irrationality and hours spent daily of religious and non-religious symptoms. Further, there was no significant difference between the age of onset, age when felt to be a disturbance, and duration until help was sought. They were more likely to turn for help initially to a religious authority for a religious symptom and a mental health worker for a non-religious symptom. It may be concluded that the religious and non-religious symptoms of obsessive compulsive disorder in ultra-orthodox Jews are not experienced in markedly different ways by the sufferers. Two limitations to the study are the sample size, and the selection bias in that all had sought professional help, of itself likely to reflect their attitude to obsessive compulsive disorder.
在28例被转诊至精神科的极端正统派犹太强迫症患者中，26例有宗教症状，18例有非宗教症状。平均而言，每位患者的宗教症状比非宗教症状多两倍。只有9例患者将其非宗教症状视为主要困难，且这9例患者均自幼即为极端正统派。宗教症状和非宗教症状在痛苦程度、抵抗情绪、不合理感以及每日持续时间方面均无显著差异。此外，在发病年龄、感觉症状构成困扰的年龄以及寻求帮助之前的持续时间方面也无显著差异。他们更倾向于在出现宗教症状时首先向宗教权威求助，出现非宗教症状时则向心理健康工作者求助。可以得出结论，极端正统派犹太强迫症患者的宗教症状和非宗教症状在患者体验上并无明显差异。本研究的两个局限性在于样本量以及选择偏倚，即所有患者均已寻求专业帮助，这本身可能反映了他们对强迫症的态度。
