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孕期强迫症对生活质量的影响。

The impact of obsessive-compulsive disorder in pregnancy on quality of life.

机构信息

Obstetrics and Gynaecology Division, Selçuk University Medical Faculty of Meram, Turkey.

出版信息

Int J Psychiatry Clin Pract. 2008;12(2):134-7. doi: 10.1080/13651500701777363.

Abstract

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.

摘要

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。

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