Shahady E J
Department of Family Medicine, University of Florida, Ft. Lauderdale.
J Clin Psychiatry. 1994 Oct;55 Suppl:79-82; discussion 83-5.
Obsessive compulsive disorder (OCD) is more common than previously thought. Because 1% to 2% of the general population has OCD, its prevalence in the primary care setting has to be high. OCD is the fourth most common mental disorder. Recognition of clinical markers will increase diagnostic frequency and hopefully reduce the morbidity caused by the disorder. In addition to early recognition of the disorder, primary care physicians can help demystify the illness because of their relationship with the patient. OCD patients are not only embarrassed by their illness, but they also have a great fear of going "insane." A supportive nonjudgmental attitude will be therapeutic.
强迫症（OCD）比之前认为的更为常见。由于普通人群中有1%到2%患有强迫症，其在初级保健机构中的患病率必然很高。强迫症是第四大最常见的精神障碍。识别临床标志物将提高诊断频率，并有望降低该疾病所导致的发病率。除了对该疾病的早期识别外，初级保健医生因其与患者的关系，还能帮助消除对这种疾病的神秘感。强迫症患者不仅因自己的疾病而感到尴尬，而且还非常害怕会“发疯”。一种支持性的、不评判的态度将具有治疗作用。
