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未治疗的强迫症患者疾病严重程度与情绪调节困难、冲动性及生活质量之间关系的评估

Evaluation of the Relationship Between Disease Severity and Difficulties in Emotion Regulation, Impulsivity, and Quality of Life in Untreated Patients Diagnosed With Obsessive-Compulsive Disorder.

作者信息

Uzunoğlu Sinem Yolcu, Beştepe Engin Emrem, Ayık Batuhan

机构信息

Department of Psychiatry Kurtalan, Ministry of Health, Kurtalan State Hospital, Siirt, Türkiye.

University of Health Sciences, Erenkoy Mental and Nervous Diseases Training and Research Hospital, Istanbul, Türkiye.

出版信息

Psychiatry Investig. 2025 Mar;22(3):320-329. doi: 10.30773/pi.2024.0261. Epub 2025 Mar 18.

Abstract

OBJECTIVE

Emotion regulation is an important skill to cultivate in patients with obsessive-compulsive disorder (OCD) for helping with the positive prognosis of their disease. Patients with OCD exhibit higher rates of impulsivity compared to healthy volunteers. According to previous studies, there is significant impairment in the quality of life in OCD. Despite their importance, no study has yet been conducted on the interrelation of these clinical parameters in OCD patients. We investigated the relationship between disease severity, emotional dysregulation, impulsivity, and quality of life in untreated OCD patients.

METHODS

This study included 40 untreated outpatients with a diagnosis of OCD. We applied the following form and scales: Sociodemographic and clinical data form, the Yale-Brown Obsessive Compulsive Scale, the Difficulties in Emotion Regulation Scale, the Barratt Impulsiveness Scale Short Form, and the World Health Organization Quality of Life Scale Short Form.

RESULTS

We found a positive relationship (p<0.001) between emotional dysregulation and impulsivity in OCD patients. A positive relationship (p=0.003) was identified between disease severity and emotional dysregulation, while an inverse relationship (p<0.001) was observed between disease severity and quality of life-psychological health. Increased impulsivity and emotional dysregulation were also associated with a deterioration in quality of life.

CONCLUSION

There is a significant positive relationship between emotional dysregulation and impulsivity in OCD patients. These clinical parameters may serve as important targets for treatment approaches in OCD patients and thus should be considered in the future work.

摘要

目的

情绪调节是强迫症(OCD)患者需要培养的一项重要技能,有助于其疾病的良好预后。与健康志愿者相比,强迫症患者的冲动性发生率更高。根据以往研究,强迫症患者的生活质量存在显著损害。尽管这些因素很重要,但尚未有研究探讨强迫症患者这些临床参数之间的相互关系。我们调查了未经治疗的强迫症患者的疾病严重程度、情绪失调、冲动性和生活质量之间的关系。

方法

本研究纳入了40名未经治疗的强迫症门诊患者。我们应用了以下表格和量表:社会人口统计学和临床数据表、耶鲁-布朗强迫症量表、情绪调节困难量表、巴拉特冲动性量表简表以及世界卫生组织生活质量量表简表。

结果

我们发现强迫症患者的情绪失调与冲动性之间存在正相关关系(p<0.001)。疾病严重程度与情绪失调之间存在正相关关系(p=0.003),而疾病严重程度与生活质量-心理健康之间存在负相关关系(p<0.001)。冲动性增加和情绪失调也与生活质量下降有关。

结论

强迫症患者的情绪失调与冲动性之间存在显著正相关关系。这些临床参数可能成为强迫症患者治疗方法的重要靶点,因此在未来的工作中应予以考虑。

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本文引用的文献

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Moving beyond first-line treatment options for OCD.超越强迫症的一线治疗方案。
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