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强迫症患者延迟治疗寻求的风险因素。

Risk factors for delaying treatment seeking in obsessive-compulsive disorder.

机构信息

Department of Psychiatry, School of Medicine, Celal Bayar University, Manisa, Turkey.

出版信息

Compr Psychiatry. 2010 Sep-Oct;51(5):480-5. doi: 10.1016/j.comppsych.2010.02.008. Epub 2010 Mar 29.

DOI:10.1016/j.comppsych.2010.02.008
PMID:20728004
Abstract

BACKGROUND

Despite the multiple alternatives of treatment, it is well known that patients with obsessive-compulsive disorder (OCD) delay seeking treatment. In this study, the aim was to determine the risk factors for delaying treatment seeking in OCD patients.

METHODS

The sample consisted of 132 OCD who completed the Yale-Brown Obsessive-Compulsive Scale, Yale-Brown Obsessive-Compulsive Scale Symptom Checklist, and Beck Depression Inventory.

RESULTS

In univariate analyses with risk evaluation, income level, being single or divorced, having a history of psychiatric treatment, poor insight for the symptoms, and obsessions of hoarding were the variables that were found to be significant. In the regression model, history of psychiatric treatment and duration of OCD were the 2 variables that remained statistically significant.

CONCLUSION

This was the first study wherein the sample included patients who were recruited from a nonpsychiatric department: the dermatology clinic. Application to dermatology has not been determined as a risk factor for delaying treatment seeking in OCD patients.

摘要

背景

尽管有多种治疗选择,但众所周知,强迫症(OCD)患者会延迟寻求治疗。本研究旨在确定 OCD 患者延迟治疗的风险因素。

方法

该样本由 132 名完成耶鲁-布朗强迫量表、耶鲁-布朗强迫量表症状清单和贝克抑郁量表的 OCD 患者组成。

结果

在单变量风险评估分析中,收入水平、单身或离异、有精神科治疗史、对症状缺乏洞察力以及囤积的强迫观念是显著的变量。在回归模型中,精神科治疗史和 OCD 持续时间是仍然具有统计学意义的 2 个变量。

结论

这是第一项样本来自非精神科科室的研究:皮肤科诊所。在 OCD 患者中,将皮肤科就诊视为延迟治疗的一个风险因素尚未得到确定。

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