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强迫障碍心理社会相关因素的病例对照研究
  • 摘要

    目的: 探讨与强迫障碍发生相关的心理社会因素.方法: 采用1:2病例对照研究,以生活事件量表、特质应对方式量表、家庭亲密度与适应性量表、父母养育方式评价量表对61名强迫障碍患者及按照性别、年龄(±3岁)、受教育程度进行配比的无精神障碍的志愿者122名进行问卷调查.结果: 病例组和对照组的负性事件[(40.8±50.6)vs.(13.8±21.4)]、家庭实际亲密度[(61.0±14.0)vs.(66.7 ±11.3)]及适应性[(39.9±12.0)vs.(47.3±9.5)]、积极应对[(25.7±6.4)vs.(36.0±6.1)]、消极应对[(37.3±5.5)vs.(31.3±5.8)]、父母养育方式[如病例组父亲情感温暖(42.6±12.6),对照组(47.9±10.7)]量表得分差异有统计学意义(均P<0.05).Logistic回归分析显示强迫障碍发生的保护因素是积极应对(OR=0.14;95%CI:0.06-0.32);危险因素是消极应对(OR:3.74;95%CI:1.30-10.82)及家庭适应性之差(OR=5.97,95%CI 1.61-22.14).结论: 个人应对方式及家庭关系与强迫障碍发生有关联.

  • 作者

    廖力维  黄悦勤  钟宝亮  LIAO Li-Wei  HUANG Yue-Qin  ZHONG Bao-Liang 

  • 作者单位

    北京大学精神卫生研究所,卫生部精神卫生学重点实验室(北京大学)北京,100191

  • 刊期

    2008年11期 ISTIC PKU CSSCI

  • 关键词

    强迫障碍  心理社会因素  病例对照研究 

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