心理健康专业人员对强迫症症状的误判率很高。
High rates of OCD symptom misidentification by mental health professionals.
作者信息
Glazier Kimberly, Calixte Rachelle M, Rothschild Rachel, Pinto Anthony
机构信息
Ferkauf Graduate School of Psychology, Yeshiva University, 1165 Morris Park Ave., Bronx, NY 10461, USA.
出版信息
Ann Clin Psychiatry. 2013 Aug;25(3):201-9.
BACKGROUND
More than a decade may pass between the onset of obsessive-compulsive disorder (OCD) symptoms and initiation of treatment. One explanation may be health care professionals' limited awareness of OCD symptom presentations. We assessed mental health care providers' ability to identify taboo thoughts as manifestations of OCD.
METHODS
A random sample of 2,550 American Psychological Association members were asked to give diagnostic impressions based on 1 of 5 OCD vignettes: 4 about taboo thoughts and 1 about contamination obsessions.
RESULTS
Three-hundred sixty (14.1%) providers completed the survey. The overall misidentification rate across all vignettes was 38.9%. Rates of incorrect (non-OCD) responses were significantly higher for the taboo thoughts vignettes (obsessions about homosexuality, 77.0%; sexual obsessions about children, 42.9%; aggressive obsessions, 31.5%; and religious obsessions, 28.8%) vs the contamination obsessions vignette (15.8%).
CONCLUSIONS
Mental health professionals commonly misidentify OCD symptom presentations, particularly sexual obsessions, highlighting a need for education and training.
背景
强迫症（OCD）症状出现与开始治疗之间可能会间隔十多年。一种解释可能是医护人员对OCD症状表现的认识有限。我们评估了心理健康护理人员识别作为OCD表现的禁忌思维的能力。
方法
随机抽取2550名美国心理学会会员，要求他们根据5个OCD案例中的1个给出诊断印象：4个关于禁忌思维，1个关于污染强迫观念。
结果
360名（14.1%）提供者完成了调查。所有案例的总体错误识别率为38.9%。与污染强迫观念案例（15.8%）相比，禁忌思维案例（关于同性恋的强迫观念，77.0%；关于儿童的性强迫观念，42.9%；攻击性强迫观念，31.5%；宗教强迫观念，28.8%）的错误（非OCD）回答率显著更高。
结论
心理健康专业人员通常会错误识别OCD症状表现，尤其是性强迫观念，这凸显了教育和培训的必要性。
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