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不同自知力的强迫症与伴强迫症状精神分裂症的比较研究
引用本文:马建英,张守康.不同自知力的强迫症与伴强迫症状精神分裂症的比较研究[J].中国民康医学,2011,23(16):1972-1973,2034.
作者姓名:马建英  张守康
作者单位:江苏省连云港市康复医院,江苏,连云港,222003
摘    要:目的:观察强迫症和伴强迫症状精神分裂症患者的自知力情况,以及应用耶鲁-布朗强迫症量表(Y-BOCS)和简明精神病量表(BPRS)比较两组不同自知力患者临床症状。方法:对30例强迫症患者和32例伴强迫症状精神分裂症患者采用Y-BOCS和BPRs评估。根据Y-BOCS项目11评估自知力得分。结果:强迫症组与伴强迫症状精神分裂症组患者不同自知力得分患者构成比显著不同(P<0.05),其中自知力较差(≥3分)患者分别为7例(23.3%)和20例(62.5%)。强迫症组自知力较差患者的Y-BOCS量表强迫思维、强迫行为和总体严重程度得分以及BPRS量表焦虑抑郁、思维障碍和总分均显著高于强迫症组自知力较好患者及伴强迫症状精神分裂症组自知力较好和较差患者(P<0.05)。结论:强迫症患者总体自知力强于伴强迫症状精神分裂症患者,但强迫症患者中自知力较差者的强迫体验、焦虑和抑郁等临床症状较伴强迫症状精神分裂症患者中自知力较差者更明显。

关 键 词:强迫症  精神分裂症  自知力

A comparative study in different insight patients between obsessive-compulsive disorder and schizophrenia with obsessive-compulsive symptoms
MA Jian-ying,ZHANG Shou-lian.A comparative study in different insight patients between obsessive-compulsive disorder and schizophrenia with obsessive-compulsive symptoms[J].medical journal of chinese peoples health,2011,23(16):1972-1973,2034.
Authors:MA Jian-ying  ZHANG Shou-lian
Institution:MA Jian-ying,ZHANG Shou-lian(Rehabilitation hospital of Lianyungang city,Lianyungang 222003,China)
Abstract:Objective:To investigate the insight in obsessive-compulsive disorder(OCD) and schizophrenia with obsessive-compulsive symptoms patients and compare Y-BOCS and BPRS measures for assessing he relationships between insight and clinical variables.Methods:The OCD(30 cases) and schizophrenia with obsessive-cornpulsive symptoms(32 cases) were assessed by Y-BOCS and BPRS.Insight score was evaluated by the score of Y-BOCS item 11.Results:Patients in obsessive-compulsive disorder(OCD) and schizophrenia with obsessiv...
Keywords:Obsessive-compulsive disorder  Schizophrenia  Insight  
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