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抑郁症中强迫症状的发生率:一项基于医院的横断面研究。

Frequency of obsessive compulsive symptoms in depression: A hospital-based cross-sectional study.

作者信息

Shamsher Khan Rana Mozammil, Muneer Ather, Nawaz Kalsoom, Shehzadi Iffat, Zahid Mariam, Iqbal Aaruj, Jabeen Sadia

机构信息

Psychiatry and Behavioural Sciences, Khawaja Muhammad Safdar Medical College, Sialkot.

Psychiatry, Islamic International Medical College, Riphah International University, Islamabad.

出版信息

J Pak Med Assoc. 2018 Feb;68(2):231-234.

Abstract

OBJECTIVE

To determine the frequency of obsessive compulsive symptoms in patients suffering from depression.

METHODS

This cross-sectional study was conducted at the Allama Iqbal Memorial Teaching, Sialkot, Pakistan, from February 2014 to March 2017, and comprised patients suffering from depression. Every patient was examined by a consultant psychiatrist or a senior medical officer in psychiatry, and a psychologist to establish clinical diagnosis of depression according to the tenth revision of the International Statistical Classification of Diseases and Related Health Problems. Adult patients suffering from depression were included. Patients with severe physical illnesses, other psychiatric illnesses, current, past or family history of obsessive compulsive disorder and drug abuse were excluded. Beck Depression Inventory and Yale Brown Obsessive Compulsive Scale were also administered. Data was analysed using SPSS 21.

RESULTS

Of the 5,127 patients, 2,318(45.21%) were males and 2,809(54.79%) females. The mean age of the male and female patients was 35.17±12.39 years (range: 18-73 years) and 33.67±13.27 years (range: 18-70 years), respectively. Besides, 1,991(38.83%) patients had moderate depression, 1,647(32.13%) had mild depression and 1,489(29.04%) had severe depression. Moreover, 1,673(32.63%) patients had obsessive compulsive symptoms, including 497(29.70%) patients with mild depression, 599(35.80%) with moderate depression and 577(34.49%) with severe depression.

CONCLUSIONS

Around one-third participants had obsessive compulsive symptoms.

摘要

目的

确定抑郁症患者中强迫症状的发生率。

方法

这项横断面研究于2014年2月至2017年3月在巴基斯坦锡亚尔科特的阿利亚·伊克巴尔纪念教学医院进行,研究对象为抑郁症患者。每位患者均由精神科顾问医生或高级精神科医生以及一名心理学家进行检查,以根据《国际疾病和相关健康问题统计分类》第十次修订版确定抑郁症的临床诊断。纳入成年抑郁症患者。排除患有严重躯体疾病、其他精神疾病、有强迫症的现患、既往或家族史以及药物滥用的患者。同时使用贝克抑郁量表和耶鲁布朗强迫量表。数据采用SPSS 21进行分析。

结果

5127例患者中,男性2318例(45.21%),女性2809例(54.79%)。男性和女性患者的平均年龄分别为35.17±12.39岁(范围:18 - 73岁)和33.67±13.27岁(范围:18 - 70岁)。此外,1991例(38.83%)患者患有中度抑郁症,1647例(32.13%)患有轻度抑郁症,1489例(29.04%)患有重度抑郁症。而且,1673例(32.63%)患者有强迫症状,其中轻度抑郁症患者497例(29.70%),中度抑郁症患者599例(35.80%),重度抑郁症患者577例(34.49%)。

结论

约三分之一的参与者有强迫症状。

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