Taga C, Nakamura M, Nishimura I, Kanayama H, Nakajima T
Department of Psychiatry, Kyoto Second Red Cross Hospital, Japan.
Psychiatry Clin Neurosci. 1997 Aug;51(4):259-60. doi: 10.1111/j.1440-1819.1997.tb02594.x.
To examine the validity of ICD-10 subcategories for obsessive-compulsive disorder (OCD), the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) was applied to 53 OCD patients. The ratios of Y-BOCS compulsions subscore to obsessions subscore were calculated. The group with ratios around one consisted of patients diagnosed in three subcategories (F42.0, F42.1 and F42.2). This suggests that subjective subcategorization such as ICD-10 may be inadequate to differentiate between predominantly obsessive and compulsive patients compared with differentiation by quantitative assessment such as the Y-BOCS ratio. Thus, in selecting the appropriate therapeutic methods, we emphasize the usefulness of quantitative assessment in clinical settings.
为检验国际疾病分类第十版（ICD - 10）中强迫症（OCD）亚类别的有效性，对53名强迫症患者应用了耶鲁布朗强迫症量表（Y - BOCS）。计算了Y - BOCS强迫症状子得分与强迫观念子得分的比率。比率接近1的组由诊断为三个亚类（F42.0、F42.1和F42.2）的患者组成。这表明，与通过Y - BOCS比率等定量评估进行区分相比，诸如ICD - 10这样的主观亚分类可能不足以区分以强迫观念为主和以强迫行为为主的患者。因此，在选择合适的治疗方法时，我们强调定量评估在临床环境中的有用性。
