Gedenk M, Nepps P
Department of Family and Community Medicine, Lancaster General Hospital, Pa 17604, USA.
J Am Board Fam Pract. 1997 Sep-Oct;10(5):349-56.
Obsessive-compulsive disorder is a common anxiety disorder found in 1 to 2 percent of the population. Obsessions are recurrent and persistent thoughts that cause marked anxiety or distress. Compulsions are repetitive behaviors or mental acts done to prevent or reduce anxiety. Patients might underreport symptoms or complain of coexisting depression or anxiety instead. The primary care physician is often the first to encounter this disorder in patients.
The authors cared for and observed a patient with obsessive-compulsive disorder at a family practice office and used her case to illustrate a literature review gathered by means of a MEDLINE search.
A combination of patient education, selective serotonin reuptake inhibitors, and behavioral techniques allow the family physician to maximize patient recovery and play a major role in the diagnosis and treatment of obsessive-compulsive disorder.
强迫症是一种常见的焦虑症，在1%至2%的人群中出现。强迫观念是反复出现且持续存在的想法，会引起明显的焦虑或痛苦。强迫行为是为预防或减轻焦虑而进行的重复行为或心理活动。患者可能会少报症状，或者抱怨同时存在的抑郁或焦虑。初级保健医生通常是首位在患者中遇到这种疾病的人。
作者在一家家庭诊所照料并观察了一名强迫症患者，并利用她的案例来说明通过医学文献数据库检索收集到的文献综述。
患者教育、选择性5-羟色胺再摄取抑制剂和行为技术相结合，可使家庭医生最大限度地促进患者康复，并在强迫症的诊断和治疗中发挥主要作用。
