迈向强迫症的新分类学。

Toward a new nosology of obsessive compulsive disorder.

作者信息

Tynes L L, White K, Steketee G S

机构信息

Department of Psychiatry, Harvard Medical School, Cambridge, MA.

出版信息

Compr Psychiatry. 1990 Sep-Oct;31(5):465-80. doi: 10.1016/0010-440x(90)90033-o.

DOI:10.1016/0010-440x(90)90033-o

PMID:2225807

Abstract

Obsessive compulsive disorder (OCD) is receiving increasing attention in the clinical research literature. This review briefly summarizes data concerning diagnosis, phenomenology, and epidemiology of OCD and examines other disorders that closely resemble OCD. In addition, the nosological and treatment implications of these data are discussed. We find that OCD is characterized by a focal anxiety point(s) reflected in obsessions and by behavioral or cognitive compulsions. The appearance of these characteristics in other disorders suggests some relation between them and, consequently, the treatment of these disorders may be enhanced by conceptualizing them as OCD "variants".

摘要

强迫症（OCD）在临床研究文献中受到越来越多的关注。本综述简要总结了有关强迫症诊断、现象学和流行病学的数据，并研究了其他与强迫症极为相似的疾病。此外，还讨论了这些数据在疾病分类学和治疗方面的意义。我们发现，强迫症的特征是存在于强迫观念中的一个或多个集中焦虑点，以及行为或认知强迫行为。这些特征在其他疾病中的出现表明它们之间存在某种关联，因此，将这些疾病视为强迫症的“变体”进行概念化处理，可能会提高对它们的治疗效果。