Thomsen P H, Jensen J
Institute of Psychiatric Demography, Psychiatric Hospital, Risskov, Denmark.
Acta Psychiatr Scand. 1994 Jul;90(1):19-24. doi: 10.1111/j.1600-0447.1994.tb01550.x.
All first-time admissions from 1970 to 1986 with obsessive-compulsive neurosis (OCD) (ICD-8 diagnosis number 300.39) or obsessive-compulsive personality disorder (OCPD) (ICD-8 diagnosis number 301.49) were analyzed based on an extract from the nationwide Psychiatric Case Register in Denmark. All patients with secondary diagnoses other than neurotic disorders or personality disorders (including "neuroses characterogenes") were excluded from the study. A total of 284 patients were first-time admitted with a main diagnosis of OCD during the period. The sex ratio was 0.67 (males/females). A total of 126 were first-time admitted with a diagnosis of OCPD, with a sex ratio of 1.18 (males/females). Seventy-seven percent of the readmitted patients with a first-time diagnosis of OCD kept a diagnosis within the "emotional spectrum" at the last admission. About half kept OCD as a main diagnosis, whereas only 15% shifted to a severe psychiatric diagnosis such as schizophrenia or manic-depressive psychosis. Of the readmitted patients with OCPD, 13% later developed a diagnosis of manic-depressive psychosis.
基于丹麦全国精神病病例登记册的一份摘录，对1970年至1986年期间首次入院诊断为强迫性神经症（OCD）（国际疾病分类第八版诊断编码300.39）或强迫性人格障碍（OCPD）（国际疾病分类第八版诊断编码301.49）的所有患者进行了分析。所有患有除神经症或人格障碍以外的继发性诊断（包括“性格神经症”）的患者均被排除在研究之外。在此期间，共有284例患者首次入院时主要诊断为OCD。男女比例为0.67（男性/女性）。共有126例患者首次入院时诊断为OCPD，男女比例为1.18（男性/女性）。首次诊断为OCD的再入院患者中，77%在最后一次入院时仍保持在“情感谱系”内的诊断。约一半患者仍以OCD作为主要诊断，而只有15%转变为精神分裂症或躁狂抑郁症等严重精神疾病诊断。在OCPD再入院患者中，13%后来被诊断为躁狂抑郁症。
