Obsessions and Compulsions in the Community: Prevalence, Interference, Help-Seeking, Developmental Stability, and Co-Occurring Psychiatric Conditions
Obsessions and Compulsions in the Community: Prevalence, Interference, Help-Seeking, Developmental Stability, and Co-Occurring Psychiatric Conditions
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DOI：
10.1176/appi.ajp.2008.08071006
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发表时间：
2009-03-01
影响因子：
17.7
通讯作者：
Poulton, Richie
中科院分区：
文献类型：
--
作者：
Fullana, Miguel A.;Mataix-Cols, David;Poulton, Richie
目的：目前尚不清楚社区中有多少人有强迫症和强迫行为以及相关的干扰水平。这也是未知的变量预测寻求帮助的这些症状，他们是否发育稳定，以及他们是否会增加精神disorders.Method的风险：作者分析了数据的前瞻性纵向达尼丁研究的一个新生儿队列。在11岁、26岁和32岁时，使用诊断访谈计划（DIS）评估强迫症、强迫症和精神障碍的存在。在26岁和32岁时获得干预和求助的数据。结果：强迫和强迫在非强迫性精神障碍（OCD）和非精神障碍人群中发生率较高。即使在后一组中，这些症状也造成了显著的干扰。焦虑/抑郁和强迫症（特别是攻击性和可耻的想法）的存在，而不是强迫，与寻求帮助有关。伤害/检查是最普遍的症状维度。症状维度暂时稳定，并与合并症增加相关。11岁时的强迫症状预测成人强迫症诊断的高风险，以及升高的成人症状dimensions.Conclusions：强迫症和强迫症是常见的成年人，有其根源在儿童时期，并与干扰，障碍的风险，并寻求帮助。亚临床强迫症和强迫症应该在研究、干预和DSM-V中考虑。
Objective: It is unclear how many people in the community have obsessions and compulsions and associated levels of interference. It is also unknown what variables predict help-seeking for these symptoms, whether they are developmentally stable, and whether they increase the risk of mental disorders.Method: The authors analyzed data from the prospective longitudinal Dunedin study of an unselected birth cohort. The presence of obsessions and compulsions and mental disorders was assessed using the Diagnostic Interview Schedule (DIS) at ages 11, 26, and 32. Data on interference and help-seeking were obtained at ages 26 and 32.Results: Obsessions and compulsions were frequent in individuals with mental disorders other than obsessive-compulsive disorder (OCD) and among people without mental disorders. Even in the latter group, these symptoms caused significant interference. The presence of anxiety/depression and of obsessions (particularly aggressive and shameful thoughts), but not compulsions, was associated with help-seeking. Harm/checking was the most prevalent symptom dimension. Symptom dimensions were temporally stable and associated with increased comorbidity. Obsessive-compulsive symptoms at age 11 predicted a high risk of an adult OCD diagnosis as well as elevated adult symptom dimensions.Conclusions: Obsessions and compulsions are common in the adult population, have their roots in childhood, and are associated with interference, risk for disorders, and help-seeking. Subclinical obsessions and compulsions should be taken into account in research, intervention, and DSM-V.