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非转诊青少年强迫症的流行病学与现象学:波兰视角

Epidemiology and phenomenology of obsessive-compulsive disorder in non-referred young adolescents: a Polish perspective.

作者信息

Bryńska Anita, Wolańczyk Tomasz

机构信息

Dept. of Child Psychiatry, Medical University of Warsaw, Marszałkowska 24, 00-576, Warsaw, Poland.

出版信息

Eur Child Adolesc Psychiatry. 2005 Sep;14(6):319-27. doi: 10.1007/s00787-005-0478-3.

Abstract

OBJECTIVE

The aim of this study was to investigate the frequency and phenomenology of obsessive-compulsive disorder (OCD) and subclinical OCD in a non-referred population of young Polish adolescents.

METHOD

A two stage ascertainment procedure (school screening and diagnostic evaluation) was used to identify affected individuals. In the first stage, 3,100 pupils were asked to complete the Polish version of the 20-item Leyton Obsessional Inventory-Child Version (LOI-CV). In the diagnostic stage, the presence of obsessions and compulsions was assessed with the author's structured interview questionnaire based on DSM-IV and ICD-10 diagnostic criteria for OCD; the Polish version of the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) was used to rate the symptom severity.

RESULTS

A frequency of 0.38 % was found for OCD and 2.7 % for subclinical OCD. There was no significant difference in the phenomenology, demographic characteristic or socio-familial variables comparing the diagnosed OCD and subclinical OCD subjects.

CONCLUSIONS

The identified OCD cases had characteristics similar to those of previously described clinical and non-referred samples.

摘要

目的

本研究旨在调查波兰年轻青少年非转诊人群中强迫症(OCD)及亚临床强迫症的发生率和现象学特征。

方法

采用两阶段确诊程序(学校筛查和诊断评估)来识别受影响个体。在第一阶段,3100名学生被要求完成20项莱顿强迫观念量表儿童版(LOI-CV)的波兰语版本。在诊断阶段,根据DSM-IV和ICD-10中强迫症的诊断标准,使用作者编制的结构化访谈问卷评估强迫观念和强迫行为的存在情况;使用波兰语版儿童耶鲁-布朗强迫量表(CY-BOCS)对症状严重程度进行评分。

结果

强迫症的发生率为0.38%,亚临床强迫症的发生率为2.7%。在现象学、人口统计学特征或社会家庭变量方面,已确诊的强迫症患者和亚临床强迫症患者之间没有显著差异。

结论

所识别出的强迫症病例具有与先前描述的临床和非转诊样本相似的特征。

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