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强迫症与强迫相关障碍症状维度的比较。

A comparison of symptom dimensions for obsessive compulsive disorder and obsessive compulsive-related disorders.

机构信息

Department of Psychiatry, Kecioren Training and Research Hospital, Ankara, Turkey.

Department of Psychiatry, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.

出版信息

PLoS One. 2019 Jul 5;14(7):e0218955. doi: 10.1371/journal.pone.0218955. eCollection 2019.

Abstract

OBJECTIVE

In this study, it is aimed to determine obsessive compulsive-related disorders (OCRDs) comorbidity among the patients with obsessive compulsive disorder (OCD) and compare patients with OCD with or without comorbid OCRDs in terms of the severity of their OCD symptoms, symptom dimensions, and comorbidity with other axis I disorders.

METHODS

The study included 90 patients diagnosed as having OCD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnostic criteria for OCRDs were used to determine the presence of OCRDs. In order to determine the symptom dimensions and severity of these individuals' OCD symptoms, we administered the Dimensional Obsessive Compulsive Scale (DOCS) and The Yale-Brown Obsessive Compulsive Scale (Y-BOCS).

RESULTS

In our study, 20% of the patients with OCD simultaneously met the criteria for at least one OCRD, we also found that a significantly greater proportion of this group were men. None of the mentioned disorders was associated with any symptom dimensions we evaluated using DOCS. In addition, no differences were found in the severity of OCD symptoms and comorbid axis I disorders between the group with comorbid OCRDs and the group without comorbid OCRDs.

DISCUSSION

There was no significant relationship between the symptom dimensions of OCD and OCRDs. It is found that OCRD comorbidity does not increase the severity of OCD symptoms and the prevalence of an axis I diagnosis.

摘要

目的

本研究旨在确定强迫症相关障碍(OCRD)在强迫症(OCD)患者中的共病情况,并比较 OCD 患者中是否存在 OCRD 共病与 OCD 症状严重程度、症状维度以及与其他轴 I 障碍共病的相关性。

方法

本研究纳入了 90 名根据《精神障碍诊断与统计手册》第 4 版修订版(DSM-IV-TR)诊断为 OCD 的患者。使用《精神障碍诊断与统计手册》第 5 版(DSM-5)的 OCRD 诊断标准来确定 OCRD 的存在。为了确定这些个体 OCD 症状的症状维度和严重程度,我们使用了多维强迫症量表(DOCS)和耶鲁-布朗强迫症量表(Y-BOCS)。

结果

在我们的研究中,20%的 OCD 患者同时符合至少一种 OCRD 的标准,我们还发现,这一组中男性的比例明显更高。在我们使用 DOCS 评估的任何症状维度中,这些疾病都没有与任何疾病相关。此外,在 OCD 症状严重程度和伴发轴 I 障碍方面,伴发 OCRD 与不伴发 OCRD 的两组之间没有差异。

讨论

OCD 的症状维度与 OCRD 之间没有显著关系。发现 OCRD 共病并不会增加 OCD 症状的严重程度和轴 I 诊断的发生率。

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