Obstetrics and Gynaecology Division, Selçuk University Medical Faculty of Meram, Turkey.
Int J Psychiatry Clin Pract. 2008;12(2):134-7. doi: 10.1080/13651500701777363.
Aim. To examine the effects of obsessive-compulsive disorder (OCD) on quality of life in pregnant women. Material and method. Twenty-five pregnant women diagnosed as OCD in two university outpatient clinics were included for the study. Twenty-five pregnant women with no mental disorders and the same sociodemographic properties were taken as the control group. The diagnosis of OCD was confirmed with the DSM-IV Axis-I Disorders Structured Clinic Interview Diagnosis/Clinic Version (SCID-I/CV). In order to measure the severity of OCD Yale-Brown Obsession and Compulsion Scale was performed. Quality of life was evaluated by WHO (World Health Organisation) Life Quality Scale - Short Form (WHOQOL-Brief). Results. The whole subgroup of points of WHOQOL-Brief was significantly lower in OCD patients compared to control group (in all subgroups P<0.01). There was a negative correlation between the Y-BOCS obsession and compulsion subpoints and total points with the physical health (P <0.05), psychological health (P <0.001) and social relationship (P <0.01) of WHOQOL-Brief. No significant association was found with enviromental areas. Besides, there was a negative correlation between the duration of OCD and WHOQOL-Brief psychological health subarea (P <0.05). Conclusion. OCD negatively effects the quality of life in pregnant women and is correlated with the severity of the disorder.
目的。研究强迫症 (OCD) 对孕妇生活质量的影响。
材料和方法。在两所大学门诊诊所中,将 25 名被诊断为 OCD 的孕妇纳入研究。选择 25 名无精神障碍且具有相同社会人口统计学特征的孕妇作为对照组。使用 DSM-IV 轴 I 障碍结构临床访谈诊断/临床版本 (SCID-I/CV) 确诊 OCD。为了评估 OCD 的严重程度,采用耶鲁-布朗强迫量表进行评估。使用世界卫生组织 (WHO) 生活质量量表 - 短表 (WHOQOL-Brief) 评估生活质量。
结果。与对照组相比,OCD 患者的 WHOQOL-Brief 总分在所有亚组中均显著降低 (P<0.01)。Y-BOCS 强迫和困扰子项与 WHOQOL-Brief 的身体健康 (P<0.05)、心理健康 (P<0.001) 和社会关系 (P<0.01) 呈负相关。与环境领域无显著相关性。此外,OCD 的持续时间与 WHOQOL-Brief 的心理健康亚领域呈负相关 (P<0.05)。
结论。OCD 对孕妇的生活质量有负面影响,并与疾病的严重程度相关。