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皮肤科的强迫症

Obsessive-compulsive disorders in dermatology.

作者信息

Monti M, Sambvani N, Sacrini F

机构信息

U.O. di Dermatologia-Istituto Clinico Humanitas, Università degli studi di Milano, Rozzano, MI, Italy.

出版信息

J Eur Acad Dermatol Venereol. 1998 Sep;11(2):103-8.

PMID:9784034
Abstract

BACKGROUND

Until the 1980s, obsessive-compulsive disorders (OCD) were considered rare and almost impossible to treat, but it is now recognized that they are frequently encountered and can respond to treatment. Many OCD involve the skin and are therefore observed by dermatologists: we call them dermo-OCD (DOCD). However, despite this, there are few reports in the dermatological literature and the majority are by American authors.

OBJECTIVE

The aim of this paper is to offer a critical rediscussion of the diagnostic picture of this pathology on the basis of a review of the literature and the clinical observations of the authors. The main difficulties that dermatologists may encounter are described and some therapeutic guidelines are given.

CONCLUSIONS

A large number of OCD are frequently observed by dermatologists, but not all of them are recognized as DOCD.

摘要

背景

直到20世纪80年代,强迫症(OCD)都被认为很罕见且几乎无法治疗,但现在人们认识到它们很常见且对治疗有反应。许多强迫症涉及皮肤,因此皮肤科医生会观察到:我们将其称为皮肤型强迫症(DOCD)。然而,尽管如此,皮肤科文献中的报道却很少,且大多数是美国作者撰写的。

目的

本文旨在通过对文献的回顾以及作者的临床观察,对这种病症的诊断情况进行批判性的重新讨论。描述了皮肤科医生可能遇到的主要困难并给出了一些治疗指南。

结论

皮肤科医生经常会观察到大量的强迫症病例,但并非所有病例都被识别为皮肤型强迫症。

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1
Obsessive-compulsive disorders in dermatology.皮肤科的强迫症
J Eur Acad Dermatol Venereol. 1998 Sep;11(2):103-8.
2
Obsessive-compulsive disorder in a dermatology outpatient clinic.皮肤科门诊中的强迫症
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Obsessive-compulsive disorders and dermatologic disease.强迫症与皮肤病
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[Obsessive-compulsive disorder and schizophrenia. A critical review].[强迫症与精神分裂症。批判性综述]
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Obsessive compulsive personality disorder and obsessive compulsive disorder: clinical characteristics, diagnostic difficulties, and treatment.强迫型人格障碍与强迫症:临床特征、诊断难点及治疗
Ann Clin Psychiatry. 2005 Oct-Dec;17(4):197-204. doi: 10.1080/10401230500295305.
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Comparison of obsessive-compulsive disorder patients with and without comorbid putative obsessive-compulsive spectrum disorders using a structured clinical interview.使用结构化临床访谈对伴有和不伴有共病假定强迫症谱系障碍的强迫症患者进行比较。
Compr Psychiatry. 2001 Jul-Aug;42(4):291-300. doi: 10.1053/comp.2001.24586.
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Obsessive-compulsive disorder in dermatology.皮肤科中的强迫症
J Dtsch Dermatol Ges. 2015 Oct;13(10):991-9. doi: 10.1111/ddg.12781.
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[Validation of a scale for responsibility (Salkovskis Responsibility Scale)].[责任量表(索尔科夫斯基责任量表)的验证]
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Obsessive-compulsive-bipolar comorbidity: a systematic exploration of clinical features and treatment outcome.强迫障碍-双相情感障碍共病:临床特征与治疗结果的系统探究
J Clin Psychiatry. 2002 Dec;63(12):1129-34.
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Obsessive-compulsive symptoms in patients with panic disorder.惊恐障碍患者的强迫症状。
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引用本文的文献

1
Shame in the obsessive compulsive related disorders: a conceptual review.强迫相关障碍中的羞耻感:概念性综述。
J Affect Disord. 2015 Jan 15;171:74-84. doi: 10.1016/j.jad.2014.09.010. Epub 2014 Sep 20.
2
Mental health treatment seeking among patients with OCD: impact of age of onset.强迫症患者的心理健康治疗寻求:发病年龄的影响。
Soc Psychiatry Psychiatr Epidemiol. 2013 May;48(5):813-9. doi: 10.1007/s00127-012-0544-3. Epub 2012 Jul 5.