Malatya Training and Research Hospital, Turkey.
İnonu University Psychiatry Department, Turkey.
Psychiatry Res. 2018 Mar;261:132-136. doi: 10.1016/j.psychres.2017.12.054. Epub 2017 Dec 27.
The aim of this study is to assess the relationship between childhood trauma with the probability of suicide in obsessive compulsive disorders. Sixty-seven patients who were diagnosed with OCD were included in the study out of the patients who were admitted to Malatya Training and Research Hospital psychiatry outpatient clinic. The research data were collected using Yale Brawn Obsessive Compulsive Scale (YBOCS), Beck Depression (BDS) and Beck Anxiety Scales (BAS), Childhood Trauma Questionnaire-28 (CTQ-28), and Suicide Probability Scale (SPS). CTQ was detected as ≥ 35 in 36 of 67 patients who were included in the study. Aggression (p = 0.003), sexual (p = 0.007) and religious (p = 0.023) obsessions and rituelistic (p = 0.000) compulsions were significantly higher in the group with CTQ ≥ 35. Mild correlation was detected between the SPS score and the scores of CTQ. Correlation remained even when the effect of BAS and BDS scores were excluded. At the end of our study, childhood traumas were found to be associated with obsessive symptoms. In the group with childhood trauma, increased suicide probability was detected independently from depression and anxiety.
本研究旨在评估儿童创伤与强迫症患者自杀概率之间的关系。从马拉蒂亚培训和研究医院精神病门诊收治的患者中,选择 67 名被诊断为强迫症的患者纳入本研究。研究数据通过耶鲁布朗强迫量表(YBOCS)、贝克抑郁量表(BDS)和贝克焦虑量表(BAS)、儿童创伤问卷-28 版(CTQ-28)和自杀概率量表(SPS)收集。在纳入研究的 67 名患者中,有 36 名患者的 CTQ 检测值≥35。在 CTQ≥35 的患者中,攻击性(p=0.003)、性(p=0.007)和宗教(p=0.023)强迫观念以及仪式性(p=0.000)强迫行为明显更高。SPS 评分与 CTQ 评分之间存在轻度相关性。即使排除 BAS 和 BDS 评分的影响,相关性仍然存在。在我们的研究结束时,发现儿童创伤与强迫症状有关。在有儿童创伤的患者中,自杀概率的增加是独立于抑郁和焦虑而被检测到的。