Hollander E, Kwon J H, Stein D J, Broatch J, Rowland C T, Himelein C A
Department of Psychiatry, Mt. Sinai School of Medicine, New York, N.Y., USA.
J Clin Psychiatry. 1996;57 Suppl 8:3-6.
Although obsessive-compulsive disorder (OCD) is among the most common of all psychiatric disorders, the diagnosis is frequently overlooked unless specific screening questions are asked by the treating physician. The obsessive thinking and compulsive behaviours that primarily characterize OCD can be found in other obsessive-compulsive "spectrum" disorders as well. These disorders affect a sizable percentage of the U.S. population and have thus become an increasing public health problem. Preliminary results from our comprehensive survey of OCD sufferers found significant impairments in quality of life and substantial costs associated with the morbidity and treatment of OCD. This is of particular interest to the primary care practitioner since these patients often present initially to primary care physicians, and early diagnosis and appropriate treatment can substantially improve outcome.
尽管强迫症（OCD）是所有精神疾病中最常见的疾病之一，但除非治疗医生询问特定的筛查问题，否则该诊断常常被忽视。主要表征强迫症的强迫思维和强迫行为在其他强迫症“谱系”障碍中也可能出现。这些障碍影响了相当比例的美国人口，因此已成为日益严重的公共卫生问题。我们对强迫症患者进行的全面调查的初步结果发现，生活质量存在显著损害，且与强迫症的发病率和治疗相关的成本高昂。这对初级保健从业者尤为重要，因为这些患者最初常常就诊于初级保健医生，早期诊断和适当治疗可显著改善治疗效果。
