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治疗寻求的强迫症患者中同时存在行为成瘾的比率:初步报告。

The rates of co-occurring behavioural addictions in treatment-seeking individuals with obsessive-compulsive disorder: a preliminary report.

机构信息

Department of Psychiatry, Sydney Medical School - Nepean, The University of Sydney and Nepean Hospital, Sydney/Penrith, Australia.

School of Medicine, Blacktown Hospital, Western Sydney University, Sydney/Blacktown, Australia.

出版信息

Int J Psychiatry Clin Pract. 2020 Jun;24(2):173-175. doi: 10.1080/13651501.2019.1711424. Epub 2020 Jan 9.

Abstract

To assess the rates of co-occurring putative 'behavioural addictions' in patients with obsessive-compulsive disorder (OCD). Twenty-three international centres specialising in the treatment of OCD were invited to participate in a survey of the rates of behavioural addictions and other relevant comorbidity within their samples. Sixteen of 23 (69.6%) invited centres from 13 countries had sufficient data to participate in the survey. The use of validated diagnostic tools was discrepant, with most centres relying on a 'clinical diagnosis' to diagnose behavioural addictions. The final sample comprised of 6916 patients with a primary diagnosis of OCD. The reported rates of behavioural addictions were as follows: 8.7% for problematic internet use, 6.8% for compulsive sexual behaviour disorder, 6.4% for compulsive buying, 4.1% for gambling disorder and 3.4% for internet gaming disorder. Behavioural addictions should be better assessed for patients with OCD. The absence of diagnostic scales developed specifically for behavioural addictions and overlapping obsessive-compulsive phenomena such as compulsive checking of information on the internet may explain the relatively high rate of problematic internet use in this sample. The study encourages better efforts to assess and to conceptualise the relatedness of behavioural addictions to obsessive-compulsive 'spectrum' disorders.

摘要

评估强迫症(OCD)患者中同时存在疑似“行为成瘾”的比率。邀请了 23 家专门治疗 OCD 的国际中心参与一项调查,以了解其样本中行为成瘾和其他相关共病的发生率。来自 13 个国家的 23 家受邀中心中的 16 家(69.6%)有足够的数据参与了这项调查。使用的经过验证的诊断工具不一致,大多数中心依靠“临床诊断”来诊断行为成瘾。最终样本包括 6916 名原发性 OCD 患者。报告的行为成瘾发生率如下:有问题的网络使用 8.7%,强迫性性行为障碍 6.8%,强迫性购买 6.4%,赌博障碍 4.1%,网络游戏障碍 3.4%。对于 OCD 患者,应更好地评估行为成瘾。缺乏专门针对行为成瘾开发的诊断量表,以及与强迫性检查互联网上信息等强迫性现象重叠,可能解释了该样本中网络使用问题发生率较高的原因。这项研究鼓励更好地努力评估和概念化行为成瘾与强迫性“谱系”障碍的相关性。

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