Psychiatry Department, Yeditepe University Hospital, Kozyatagi, Istanbul, Turkey.
Int J Psychiatry Clin Pract. 2008;12(4):268-79. doi: 10.1080/13651500802095004.
Aim. The aim of the present article is to investigate the activation patterns of early maladaptive schemas (EMSs) in patients with obsessive-compulsive disorder (OCD). Method. During the time between 1 January 2006 and 1 April 2006, 45 consecutive patients from an outpatient facility of a general hospital and 45 age- and gender-matched healthy control subjects from the hospital staff were included in the study. They were administered the Structured Clinical Interview for Diagnosis of DSM-IV Mental Disorders (SCID-1), the Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-2), the Young Schema Questionnaire-Short Form (YSQ-SF), the Young Parenting Inventory (YPI) and the Yale-Brown Obsessive Compulsive Scale (Y-BOCS). The results were assessed using GraphPad Prisma V.3 statistical program. Results. The YSQ total score of the OCD group was significantly higher than the control group (t=3.62, P<0.0001). The average scores of the patients with OCD on certain schemas were significantly higher than the average scores of the control group, although the others did not make any difference between the OCD and control groups. Conclusion. The study demonstrates that, in the patients with OCD, most of the early maladaptive schemas including social isolation, vulnerability and pessimism, are prominently activated.
目的。本文旨在探讨强迫症(OCD)患者早期适应不良模式(EMS)的激活模式。
方法。2006 年 1 月 1 日至 2006 年 4 月 1 日期间,从一家综合医院的门诊机构中纳入了 45 例连续的患者,以及从医院工作人员中纳入了 45 名年龄和性别匹配的健康对照者。他们接受了 DSM-IV 精神障碍的结构临床访谈(SCID-1)、DSM-III-R 人格障碍的结构临床访谈(SCID-2)、青年模式问卷-短版(YSQ-SF)、青年育儿量表(YPI)和耶鲁-布朗强迫症量表(Y-BOCS)。使用 GraphPad Prisma V.3 统计程序评估结果。
结果。OCD 组的 YSQ 总分明显高于对照组(t=3.62,P<0.0001)。尽管其他模式在 OCD 组和对照组之间没有差异,但 OCD 患者的某些模式的平均得分明显高于对照组。
结论。该研究表明,在 OCD 患者中,大多数早期适应不良模式(包括社交孤立、脆弱和悲观)明显被激活。