Hafner R J
Dibden Research Unit, Glenside Hospital, Eastwood, South Australia.
Int J Soc Psychiatry. 1988 Winter;34(4):310-5. doi: 10.1177/002076408803400409.
Ninety-three of 217 members of a self-help group for sufferers from obsessive-compulsive disorder (OCD) completed a detailed questionnaire concerning psychological symptoms, biographical data, and the family and social context of their disorder. Eighty-one respondents (49 women) met DSM-III-R criteria for OCD, and the data are based on these. The mean duration of OCD was 18 years, and 74% of respondents rated their symptoms as extremely, very, or fairly severe for at least 50% of the time since onset. Respondents had received a great deal of psychiatric and psychological treatment, and rated behaviour therapy and individual psychotherapy as the most effective. Women employed outside the home reported significantly less obsessional symptoms than those who were not. Significantly raised scores on a measure of perceived parental protection, and significant correlations between parental overprotection and the amount of psychiatric treatment, suggest avenues for new research in the area.
一个强迫症患者自助小组的217名成员中有93人完成了一份关于心理症状、个人经历以及其疾病的家庭和社会背景的详细问卷。81名受访者(49名女性)符合DSM-III-R的强迫症标准,数据基于这些受访者。强迫症的平均病程为18年,74%的受访者表示自发病以来至少50%的时间里,他们的症状为极其严重、非常严重或相当严重。受访者接受过大量的精神科和心理治疗,并认为行为疗法和个体心理治疗最为有效。外出工作的女性报告的强迫症状明显少于未外出工作的女性。在一项感知到的父母保护程度的测量中得分显著升高,以及父母过度保护与精神科治疗量之间存在显著相关性,这为该领域的新研究提供了方向。