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儿童和青少年的强迫症症状。对61例丹麦病例的现象学分析。

Obsessive-compulsive symptoms in children and adolescents. A phenomenological analysis of 61 Danish cases.

作者信息

Thomsen P H

机构信息

Psychiatric Hospital in Aarhus, Department B, Risskov, Denmark.

出版信息

Psychopathology. 1991;24(1):12-8. doi: 10.1159/000284691.

DOI:10.1159/000284691
PMID:2023979
Abstract

The charts of 61 children and adolescents admitted to the Psychiatric Hospital for Children in Aarhus, Denmark, in the period 1970-1986 fulfilling the DSM-III criteria for obsessive-compulsive disorder were reviewed for obsessive/compulsive symptoms. The symptoms were divided into form and content. The most common form of compulsion was rituals seen in 39 of the patients, and the most common compulsive content was washing. The most frequent obsessive content was thoughts about dirt and contamination followed by concern about death, illness and harm. The phenomenological feature of boys and girls was very similar, and only a few significant differences between boys and girls were found. One quarter of the boys and 12.5% of the girls had only obsession, whereas 27.0% of the boys and 37.5% of the girls had only compulsion and no obsession. The number of obsessive/compulsive symptoms was not found to correlate with the time spent each day on the symptom. It is concluded that there do not seem to be any intercultural differences between Denmark, India, and Japan as to the content of obsessional thoughts and compulsive behaviour in children and adolescents.

摘要

对1970年至1986年期间入住丹麦奥胡斯儿童精神病院、符合《精神疾病诊断与统计手册》第三版强迫症标准的61名儿童和青少年的病历进行了回顾,以研究强迫观念/强迫行为症状。这些症状被分为形式和内容。最常见的强迫行为形式是仪式动作,39名患者出现了这种情况,最常见的强迫行为内容是清洗。最常见的强迫观念内容是对污垢和污染的想法,其次是对死亡、疾病和伤害的担忧。男孩和女孩的现象学特征非常相似,仅发现男孩和女孩之间有一些显著差异。四分之一的男孩和12.5%的女孩只有强迫观念,而27.0%的男孩和37.5%的女孩只有强迫行为而没有强迫观念。未发现强迫观念/强迫行为症状的数量与每天花在这些症状上的时间相关。研究得出结论,在儿童和青少年的强迫观念内容和强迫行为方面,丹麦、印度和日本之间似乎不存在任何文化差异。

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