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强迫症中的家庭调适

Family accommodation in obsessive-compulsive disorder.

作者信息

Calvocoressi L, Lewis B, Harris M, Trufan S J, Goodman W K, McDougle C J, Price L H

机构信息

Department of Psychiatry, Yale University School of Medicine, New Haven, CT.

出版信息

Am J Psychiatry. 1995 Mar;152(3):441-3. doi: 10.1176/ajp.152.3.441.

DOI:10.1176/ajp.152.3.441
PMID:7864273
Abstract

OBJECTIVE

Family accommodation of patients with obsessive-compulsive disorder, i.e., participation in symptoms and modification of personal and family routines, was assessed in relation to family stress, functioning, and attitudes toward the patient.

METHOD

Primary caretakers for 34 patients with obsessive-compulsive disorder were interviewed to assess the nature and frequency of accommodating behaviors. The caretakers also completed several measures of family functioning.

RESULTS

Of the 34 spouses or parents, 30 (88.2%) reported accommodating the patient. Family accommodation correlated with poor family functioning, rejecting attitudes toward the patient, and several types of family stress.

CONCLUSIONS

Family accommodation of patients with obsessive-compulsive disorder was associated with global family dysfunction and stress. This study suggests that families' efforts to accommodate patients may be intended to reduce patient anxiety or anger directed at relatives.

摘要

目的

针对强迫症患者的家庭迁就行为,即参与其症状表现以及改变个人和家庭日常活动,就家庭压力、功能以及对患者的态度进行评估。

方法

对34名强迫症患者的主要照料者进行访谈,以评估迁就行为的性质和频率。照料者还完成了几项家庭功能测量。

结果

在34名配偶或父母中,30名(88.2%)报告有迁就患者的行为。家庭迁就行为与不良的家庭功能、对患者的排斥态度以及几种类型的家庭压力相关。

结论

强迫症患者的家庭迁就行为与整体家庭功能障碍和压力有关。本研究表明,家庭迁就患者的努力可能旨在减少患者对亲属的焦虑或愤怒。

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