Gulin Susanne, Ellbin Susanne, Jonsdottir Ingibjörg H, Lindqvist Bagge Ann-Sophie
The Institute of Stress Medicine, Region Västra Götaland, Gothenburg, Sweden.
School of Public Health and Community Medicine, Institute of Medicine, Gothenburg University, Gothenburg, Sweden.
Brain Behav. 2021 Jun;11(6):e02171. doi: 10.1002/brb3.2171. Epub 2021 May 10.
Recovery from stress-related diagnoses can, in some cases, be long-lasting, and several different factors could be related to such a lengthy recovery. One plausible aspect is obsessive-compulsive personality disorder (OCPD), which has previously been seen to be related to stress-related mental health. Thus, the aim of this study was to investigate whether recovery from exhaustion disorder (ED) is associated with OCPD.
This study includes data from 147 patients (78% women, mean age 52.4 ± 9.8 years) who have been treated for ED. Clinical assessment was performed 7-10 years after first seeking care identifying patients with residual exhaustion. Symptoms of OCPD were concomitantly measured and several aspects of work- and private-related stress exposure.
The main result of this study is that patients with residual clinical ED report OCPD to a greater extent, compared with patients who no longer fulfill the clinical criteria for ED, 7-10 years after seeking care. Patients with OCPD that have not recovered report "excessive devotion to work" to a higher degree than patients with OCPD that have recovered.
The results indicate that factors related to OCPD may be of clinical importance for the patient's recovery from ED. However, prospective studies should be conducted and studies elucidating whether symptoms of exhaustion among patients with OCPD can be affected by therapeutic interventions.
在某些情况下，从与压力相关的诊断中恢复可能是长期的，并且几个不同因素可能与如此漫长的恢复过程有关。一个合理的因素是强迫型人格障碍（OCPD），此前已发现它与与压力相关的心理健康有关。因此，本研究的目的是调查从精疲力竭症（ED）中恢复是否与OCPD相关。
本研究纳入了147例接受过ED治疗的患者的数据（78%为女性，平均年龄52.4±9.8岁）。在首次寻求治疗7至10年后进行临床评估，以确定有残余疲惫的患者。同时测量OCPD的症状以及工作和私人相关压力暴露的几个方面。
本研究的主要结果是，在寻求治疗7至10年后，与不再符合ED临床标准的患者相比，有残余临床ED的患者报告OCPD的程度更高。未康复的OCPD患者比已康复的OCPD患者报告“过度投入工作”的程度更高。
结果表明，与OCPD相关的因素可能对患者从ED中恢复具有临床重要性。然而，应进行前瞻性研究，并开展研究以阐明OCPD患者的疲惫症状是否会受到治疗干预的影响。
