SUJEET JAYDEOKAR, M.B.B.S., IIIrd Year, Department of Psychiatry, L.T.M.G.H. & L.T.M.M.C., Sion, Mumbai-22.
Indian J Psychiatry. 1997 Oct;39(4):324-8.
Obsessive-compulsive (OC) symptoms during the course of schizophrenia have been reported, yet the incidence and significance of this finding is still unclear. This study was undertaken to determine the prevalence of OC symptoms among chronic schizophrenic patients and to systematically identify them. 101 patients satisfying DSM-IV diagnosis of chronic schizophrenia were assessed for OC symptoms. All patients were also rated on the Yale-Brown Obsessive Compulsive Scale for the severity of their symptoms. The study revealed that 26.7% of the chronic schizophrenic patients had significant OC symptoms with a high prevalence in the age group below 35 years. OC symptoms were more severe in patients with duration of illness more than 5 years. The OC symptoms were more prevalent among paranoid schizophrenics with the frequent obsessions being that of contamination, sexual and aggressive thoughts and frequent compulsion was need to ask or confess.
研究报告称，精神分裂症患者在病程中会出现强迫症状，但该发现的发病率和意义仍不清楚。本研究旨在确定慢性精神分裂症患者出现强迫症状的患病率，并对其进行系统地识别。评估了 101 名符合 DSM-IV 慢性精神分裂症诊断标准的患者的强迫症状。所有患者还根据耶鲁-布朗强迫量表(Yale-Brown Obsessive Compulsive Scale)评估其症状严重程度。研究显示，26.7%的慢性精神分裂症患者存在明显的强迫症状，且在 35 岁以下年龄段的患病率较高。病程超过 5 年的患者，其强迫症状更严重。妄想型精神分裂症患者的强迫症状更为常见，其常见的强迫观念是被污染、性和攻击思想，经常需要询问或坦白。
