Fontenelle Leonardo F, Domingues Aline M, Souza Wanderson F, Mendlowicz Mauro V, de Menezes Gabriela B, Figueira Ivan L, Versiani Marcio
Anxiety and Depression Research Program, Institute of Psychiatry of the Universidade Federal do Rio de Janeiro (IPUB/UFRJ), Rua Otávio Carneiro, 93 601 Rio de Janeiro, RJ, Brazil.
Psychiatr Q. 2007 Sep;78(3):241-50. doi: 10.1007/s11126-007-9043-1.
We aimed to compare the history of trauma and the profile and severity of dissociative symptoms of patients with obsessive-compulsive disorder (OCD) to those of patients with social anxiety disorder (SAD). Patients with OCD (n = 34) and patients with SAD (n = 30) were examined with the following instruments: Trauma History Questionnaire (THQ), Dissociative Experience Scale (DES), Obsessive-Compulsive Inventory (OCI), Liebowitz Social Anxiety Scale (LSAS), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). Patients with OCD reported significantly lower rates of exposure to traumatic events. Nevertheless, the severity of dissociative symptoms was not significantly different between the groups. Regression analyses showed that, while the OCI scores better predicted the variance on DES scores in the OCD sample, the LSAS and the BAI better predicted the variance on the DES among patients with SAD. Patients with OCD are probably less vulnerable to some types of traumatic experiences. Dissociative symptoms may cut across different anxiety disorders.
我们旨在比较强迫症（OCD）患者与社交焦虑障碍（SAD）患者的创伤史、分离症状的特征及严重程度。使用以下工具对34例强迫症患者和30例社交焦虑障碍患者进行检查：创伤史问卷（THQ）、分离体验量表（DES）、强迫观念与强迫行为量表（OCI）、利博维茨社交焦虑量表（LSAS）、贝克抑郁量表（BDI）和贝克焦虑量表（BAI）。强迫症患者报告的创伤事件暴露率显著较低。然而，两组之间分离症状的严重程度没有显著差异。回归分析表明，虽然在强迫症样本中OCI得分能更好地预测DES得分的方差，但在社交焦虑障碍患者中，LSAS和BAI能更好地预测DES得分的方差。强迫症患者可能对某些类型的创伤经历较不易感。分离症状可能在不同的焦虑障碍中都存在。
