Roh Daeyoung, Kim Woo-Jung, Kim Chan-Hyung
Department of Psychiatry, Yonsei University College of Medicine, Seoul, Korea.
J Nerv Ment Dis. 2011 Sep;199(9):690-5. doi: 10.1097/NMD.0b013e318229d209.
Previous studies have indicated that obsessive-compulsive disorder (OCD) is associated with alexithymic traits. The purpose of the current study was to evaluate the difference of alexithymia in OCD patients and healthy controls. This study was also designed to elucidate a specific link between certain OCD symptom dimensions and alexithymia. Forty-five patients with OCD and 45 healthy controls completed measures of the OCD symptom severity, alexithymia, anxiety, and depression. Patients with OCD had significantly higher scores of alexithymia than did the healthy controls. Multiple regression analysis revealed that age at onset and the level of anxiety were significantly associated with alexithymia. "Sexual/religious obsessions" was the only symptom dimension that showed a positive association with alexithymia in OCD patients. These findings suggest that OCD patients with a high level of anxiety and an early age of onset may have greater alexithymic tendency. We also found the first evidence for a specific link between sexual/religious obsessions and alexithymia in patients with OCD.
先前的研究表明，强迫症（OCD）与述情障碍特征相关。本研究的目的是评估强迫症患者与健康对照者在述情障碍方面的差异。本研究还旨在阐明某些强迫症症状维度与述情障碍之间的特定联系。45名强迫症患者和45名健康对照者完成了强迫症症状严重程度、述情障碍、焦虑和抑郁的测量。强迫症患者的述情障碍得分显著高于健康对照者。多元回归分析显示，发病年龄和焦虑水平与述情障碍显著相关。“性/宗教强迫观念”是唯一在强迫症患者中与述情障碍呈正相关的症状维度。这些发现表明，焦虑水平高且发病年龄早的强迫症患者可能有更强的述情障碍倾向。我们还首次发现了强迫症患者的性/宗教强迫观念与述情障碍之间存在特定联系的证据。
