Savron G, Fava G A, Grandi S, Rafanelli C, Raffi A R, Belluardo P
Department of Psychology, University of Bologna, Italy.
Acta Psychiatr Scand. 1996 May;93(5):345-8. doi: 10.1111/j.1600-0447.1996.tb10658.x.
The relationship of obsessions and compulsions with hypochondriasis is receiving increasing attention, but has not been substantiated by adequate research. The Illness Attitude Scales (IAS), which identify hypochondriacal patients, were administered to 30 patients with DSM-IV obsessive-compulsive disorder and 30 healthy control subjects matched for sociodemographic variables. All IAS scales were significantly higher in patients with obsessions and compulsions. However, there were no significant differences between patients and controls in the number of subjects whose symptom intensity exceeded a clinical threshold for hypochondriasis and disease phobia. Furthermore, hypochondriacal fears and beliefs were poorly correlated with obsessions and compulsions. The results suggest the presence of mild abnormal illness behaviour in patients with obsessive-compulsive disorder, unlike the situation in patients with panic disorder and depression.
强迫观念和强迫行为与疑病症之间的关系日益受到关注，但尚未得到充分研究的证实。对30名符合《精神疾病诊断与统计手册》第四版（DSM-IV）标准的强迫症患者以及30名在社会人口统计学变量上与之匹配的健康对照者施测了用于识别疑病症患者的疾病态度量表（IAS）。强迫症患者的所有IAS量表得分均显著更高。然而，在症状强度超过疑病症和疾病恐惧症临床阈值的受试者数量上，患者与对照组之间并无显著差异。此外，疑病恐惧和信念与强迫观念及强迫行为的相关性较弱。结果表明，与惊恐障碍和抑郁症患者的情况不同，强迫症患者存在轻度异常的疾病行为。
