54例儿童与成人强迫症的比较

目的:探讨儿童少年强迫症的临床特征。方法:将符合国际疾病分类第10版(ICD-10)中强迫性神经症诊断标准,年龄≤17岁的患儿54例与随机抽取的同期住院的54例成人强迫症患者的临床特征进行比较。结果:儿少组首次发病住院时的病期少于成人组(P<0.001);疗效比较显示儿少组有效率明显高于成人组(P<0.05);在发病的心理因素中,儿少组多倾向于无明显诱因(P<0.05);临床症状分析发现:儿少组在强迫表象、强迫触摸、强迫询问、仪式动作、伴抽动、与家属共同完成强迫动作、自知力缺乏上显著高于成人组。结论:儿童期强迫症某些症状更多见,自知力不完整较多。

Comparative study of 54 cases of obsessive-compulsive disorder in children and adolescents with adult

Objective:To explore the clinical characteristics of obsessive-compulsive disorder in children and adolescents. Method:Fifty-four children and adolescents under the age of 17,who met the diagnosis of International Classification of Diseases-Tenth Revision (ICD-10) for obsessive-compulsive disorder,were analyzed and compared with adult inpatients with the same disorder at the same time. Results:Compared with the adults,the children with obsessive-compulsive disorder had shorter disease course and better curative effect.According to the analysis of clinical symptoms,children with obsessive-compulsive disorder were more easy to have compulsive image, compulsive touch,compulsive inquiry,ceremonial action,tic,completing compulsive actions with family-members together,absent insight. Conclusion:The children and adolescent patients with obsessive-compulsive disorder are more easy to have some symptoms and often have little insight.