Pampaloni Ilenia, Marriott Sabina, Pessina Enrico, Fisher Claire, Govender Anusha, Mohamed Heba, Chandler Augusta, Tyagi Himanshu, Morris Lucy, Pallanti Stefano
South West London and St Georges Mental Health Trust, London, UK.
South West London and St Georges Mental Health Trust, London, UK.
Compr Psychiatry. 2022 Oct;118:152342. doi: 10.1016/j.comppsych.2022.152342. Epub 2022 Aug 6.
Obsessive Compulsive Disorder (OCD) is a common mental disorder that often causes great sufferance, with substantial impairment in social functioning and quality of life and affects family and significant relationships. Notwithstanding its severity, OCD is often not adequately diagnosed, or it is diagnosed with delay, leading often to a long latency between onset of the OCD symptoms and the start of adequate treatments. Several factors contribute to the complexity of OCD's clinical picture: early age of onset, chronic course, heterogeneity of symptoms, high rate of comorbidity with other psychiatric disorders, slow or partial response to therapy. Therefore, it is of primary importance for clinicians involved in diagnosing OCD, to assess all aspects of the disorder. This narrative review focuses on the global assessment of OCD, highlighting crucial areas to explore, pointing out the clinical features which are relevant for the treatment of the disorder, and giving an overview of the psychometric tools that can be useful during the screening procedure.
强迫症（OCD）是一种常见的精神障碍，常常造成巨大痛苦，严重损害社会功能和生活质量，并影响家庭及重要人际关系。尽管强迫症病情严重，但其常常未得到充分诊断，或诊断延迟，这往往导致强迫症症状出现到开始进行充分治疗之间存在很长的潜伏期。有几个因素导致了强迫症临床表现的复杂性：发病年龄早、病程慢性化、症状异质性、与其他精神障碍共病率高、对治疗反应缓慢或部分反应。因此，对于参与诊断强迫症的临床医生来说，评估该疾病的各个方面至关重要。本叙述性综述聚焦于强迫症的全面评估，强调需要探索的关键领域，指出与该疾病治疗相关的临床特征，并概述在筛查过程中可能有用的心理测量工具。
