在校大学生强迫性神经症现况调查

目的:了解在校本科大学生的强迫性神经症的患病率、分布特征及影响因素，为大学生强迫症的干预与病因学研究提供依据。方法：应用分层按比例随机抽样的方法抽取样本2 046人，采用世界卫生组织复合性国际诊断交谈表3.0（WHO-CIDI-3.0）对在校本科生进行访谈，完成访谈1 869人，共收集合格问卷1 843份，按ICD-10诊断标准筛查大学生强迫症。结果：大学生强迫症的终生患病率为17.1%，12个月患病率为9.9%，30 d患病率为2.5%；男大学生强迫症的终生患病率高于女大学生(χ²=6.107，P=0.013)；不同年级的大学生强迫症的终生患病率存在显著差异（χ²=16.223，P=0.001），低年级高于高年级； 多因素Logistic回归分析发现，大学生年级、性别、父亲心境、母亲心境、童年时期父母间是否经常打骂、童年时期父母对其的照看程度及目前社会交往中与朋友联系程度等7个因素是大学生强迫症的影响因素。结论：在校大学生的强迫症终生患病率较高，大学生强迫症的患病受年级、性别、父亲心境、母亲心境、童年时期父母间是否经常打骂、童年时期父母对其的照看程度及目前社会交往中与朋友联系程度等多个因素的影响，提示大学生强迫症应引起学校、社会及家庭的足够重视并采取积极的干预措施对强迫症进行有效防制。

Prevalence survey on obsessive compulsive neurosis in college students

Objective To understand the prevalence,distributions and influencing factors of obsessive compulsive neurosis in college students and provide evidence for intervention method and etiology study.Methods Stratified-proportional sampling method was conducted in 2 046 college students,who were interviewed using the third version of the World Health Organization Composite International Diagnostic Interview and diagnosed by ICD-10,1 869 students finished the interview and 1 843 qualified papers were collected.Results The lifetime prevalence of obsessive compulsive neurosis in college students was 17.1%,12-month prevalence was 9.9% and 30-day prevalence was 2.5%;The male’s lifetime prevalence was significantly higher than the female’s(χ2=6.107,P=0.013);The lifetime prevalence of obsessive compulsive neurosis had significant differences in different grades(χ2=16.223,P=0.001),and the junior’s was lower than the senior’s;Through multi-factor analysis,seven influencing factors were found: grade,gender,mood of father,mood of mother,quarrels between parents,ignored care from parents and the relationship with friends in social net. Conclusion The lifetime prevalence of obsessive compulsive neurosis in college students is higher than others,and the influencing factors are grade,gender,mood of father,mood of mother,quarrels between parents,ignored care from parents and the relationship with friends in social net.These results suggest that colleges,families and the society should pay more attention to obsessive compulsive neurosis in college students and take positive measures to prevent it.