Fistikçi Nurhan, Hacioğlu Münevver, Erek Şakire, Tabo Abdülkadir, Erten Evrim, Güler Ayşegül Selcen, Kalkan Murat, Saatçioğlu Ömer
Bakırköy Prof. Dr. Mazhar Osman Mental Health and Neurology education and Research Hospital, Clinic of 3 Psychiatry, İstanbul, Turkey.
Bakırköy Prof. Dr. Mazhar Osman Mental Health and Neurology education and Research Hospital, Clinic of Neurosis, İstanbul, Turkey.
Noro Psikiyatr Ars. 2013 Dec;50(4):337-343. doi: 10.4274/npa.y6464. Epub 2013 Dec 1.
In this study, probable differences in affective temperament among anxiety disorders were investigated via a comparison of panic disorder (PD) and obsessive-compulsive disorder (OCD).
44 patients with OCD and 42 patients with PD, who were admitted to Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology and Neurosurgery outpatient clinics with complaints of OCD and PD and were diagnosed according to DSM IV criteria, were consecutively included in the study after informed consent was taken. A sociodemographic form, the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I), Hamilton Depression Rating Scale (HAM-D), Beck Anxiety Inventory, Panic and Agoraphobia Scale, Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) and the temperament evaluation of the Memphis, Pisa, Paris, and San Diego Autoquestionnaire (TEMPS-A) were given to the patients. PD and OCD patients were compared in terms of affective temperament characteristics.
Mean age, educational status and gender distribution of OCD and PD patients were similar (p>0.05). Dominant depressive temperament was more prominent in OCD group than in PD group (p=0.021). Hyperthymic temperament scores were higher in PD group than in OCD group (p=0.002). Dominant hyperthymic temperament was not encountered in either group.
Dominant depressive temperament was more prominent in OCD group whereas hyperthymic temperament scores were higher in PD group. These findings should be evaluated in studies with larger sample sizes.
在本研究中,通过比较惊恐障碍(PD)和强迫症(OCD),调查了焦虑症之间情感气质的可能差异。
44例强迫症患者和42例惊恐障碍患者因强迫症和惊恐障碍的主诉入住巴基尔柯伊教授马扎尔·奥斯曼精神病学、神经病学和神经外科门诊研究与培训医院,并根据《精神疾病诊断与统计手册》第四版(DSM-IV)标准进行诊断,在获得知情同意后连续纳入本研究。向患者发放社会人口学表格、DSM-IV轴I障碍结构化临床访谈(SCID I)、汉密尔顿抑郁评定量表(HAM-D)、贝克焦虑量表、惊恐和广场恐怖量表、耶鲁-布朗强迫症量表(Y-BOCS)以及孟菲斯、比萨、巴黎和圣地亚哥自评问卷(TEMPS-A)的气质评估。比较PD和OCD患者的情感气质特征。
OCD和PD患者的平均年龄、教育程度和性别分布相似(p>0.05)。OCD组的主导抑郁气质比PD组更突出(p=0.021)。PD组的轻躁狂气质得分高于OCD组(p=0.002)。两组均未出现主导轻躁狂气质。
OCD组的主导抑郁气质更突出,而PD组的轻躁狂气质得分更高。这些发现应在更大样本量的研究中进行评估。