Modell J G, Glaser F B, Mountz J M, Schmaltz S, Cyr L
Department of Psychiatry, University of Alabama, Birmingham 35294-0018.
Alcohol Clin Exp Res. 1992 Apr;16(2):266-71. doi: 10.1111/j.1530-0277.1992.tb01374.x.
The purpose of the this study was to develop an instrument for measuring the obsessive and compulsive characteristics of drinking-related thought and behavior in subjects who abuse or are dependent on alcohol, and to quantify the extent to which drinking-related thought and behavior in these subjects resemble the obsessions and compulsions seen in obsessive-compulsive disorder (OCD). To achieve these goals, the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was modified to reflect obsessionality and compulsivity specifically related to heavy drinking rather than to obsessions and compulsions generally. The modified Y-BOCS (Y-BOCS-hd) was administered to 62 subjects satisfying DSM-III-R criteria for alcohol abuse or alcohol dependence and 62 matched normal controls. The data showed that the Y-BOCS-hd is a sensitive and specific instrument for measuring the obsessive and compulsive characteristics of drinking-related thought and behavior in alcohol-abusing and alcohol-dependent populations, and that there are specific and quantifiable similarities between these characteristics and the obsessions and compulsions of OCD. The data also indicated that the Y-BOCS-hd may be a useful screening instrument for the presence of alcohol abuse and dependence.
本研究的目的是开发一种工具，用于测量滥用酒精或对酒精依赖的受试者中与饮酒相关的思维和行为的强迫和强迫特征，并量化这些受试者中与饮酒相关的思维和行为与强迫症（OCD）中所见的强迫观念和强迫行为的相似程度。为实现这些目标，对耶鲁-布朗强迫量表（Y-BOCS）进行了修改，以专门反映与重度饮酒相关的强迫观念和强迫行为，而非一般的强迫观念和强迫行为。修改后的Y-BOCS（Y-BOCS-hd）应用于62名符合DSM-III-R酒精滥用或酒精依赖标准的受试者以及62名匹配的正常对照者。数据表明，Y-BOCS-hd是一种敏感且特异的工具，可用于测量酒精滥用和酒精依赖人群中与饮酒相关的思维和行为的强迫和强迫特征，并且这些特征与OCD的强迫观念和强迫行为之间存在特定且可量化的相似性。数据还表明，Y-BOCS-hd可能是一种用于筛查酒精滥用和依赖情况的有用工具。
