耶鲁-布朗强迫症状清单调查强迫症状的初步应用

目的初步使用耶鲁-布朗强迫症状清单调查我国强迫症的症状类型。方法采用耶鲁-布朗强迫症状清单调查78例强迫症患者的症状及出现的频率,分析症状类型与人口学资料的相关性。结果 78例强迫症患者,强迫思维的症状数量(9.6±6.8)个,强迫行为的症状数量(4.7±4.2)个;排在前3位的强迫思维依次为怕污染的强迫思维(42.3%)、怕冲动的强迫思维(35.9%)、要求对称或精确的强迫思维(17.9%)。强迫行为前3位依次为强迫洗涤行为(39.8%)、强迫检查行为(38.4%)、强迫重复行为(28.2%)。男性患者20.9%存在有关性的强迫思维高于女性2.9%,差异有统计学意义(U=2.38,P=0.0172)。无职业者50.0%存在强迫洗涤行为高于有职业者25.0%,差异有统计学意义(U=2.22,P=0.0265)。结论耶鲁-布朗强迫症状清单能够有效涵盖所有强迫症状,初步应用成功。强迫症状类型与人口学资料存在相关性。

Application of Yale-Brown Obsessive Compulsive Scale Symptoms Checklist on Obsessive-compulsive Symptoms

Objective To investigate the obsessive-compulsive symptoms by Yale -Brown Obsessive Compulsive Scale Symptoms Checklist.Methods Yale-Brown Obsessive Compulsive Scale Symptoms Checklist was administered to 78 outpatients with Obsessive Compulsive disorder（OCD）.Results In 78 OCD patients,obsessions average was（9.6 ±6.8）,compulsions was（4.7 ±4.2）;Top three obsessions were contamination（42.8%）,aggressive（35.9%）and symmetry（17.9%）.Top three compulsions were cleaning（39.8%）, checking（38.4%）and repeating（28.2%）.Sexual obsessions in male patients was higher than that in female （u=2.38,P〈0.05）. Cleaning compulsions in employed patients was higher than that in unemployed （u=2.22,P〈0.05）.Conclusion Yale-Brown Ob-sessive Compulsive Scale Symptoms Checklist can effectively describe the symptoms of OCD patients .OCD symptoms are associated with demography data .