Religiosity and religious obsessions in obsessive–compulsive disorder

Religiosity and religious obsessions in obsessive–compulsive disorder
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强迫症中的宗教信仰和宗教痴迷

DOI:
10.1016/s0165-1781(01)00310-9
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发表时间:
2001
影响因子:
11.3
通讯作者:
B. Uluğ
B. Uluğ
中科院分区:
医学2区
文献类型:
--
作者:
C. Tek;B. Uluğ

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宗教通常被认为在某些强迫症(OCD)的起源中起作用。在这项研究中,我们探讨了宗教信仰,宗教强迫症和其他临床特征之间的关系。采用耶鲁-布朗强迫量表(Y-BOCS)、耶鲁-布朗强迫量表(Y-BOCC)和宗教行为指数(RPI)对45例门诊强迫症患者进行评定。根据这些评估,42%的患者被发现有宗教痴迷。尽管与其他研究相比,本研究中发现的宗教强迫症的频率存在差异,但因子分析显示症状维度与其他强迫症样本中发现的症状维度相似。在有和没有宗教强迫症的患者之间,强迫症和强迫症的总体严重程度没有显著差异。两组间RPI评分无显著差异。我们没有发现RPI分数或宗教强迫症与任何特定类型的强迫症或强迫症之间的关系。逻辑回归分析显示,宗教强迫症的唯一预测因素是强迫症的类型较多。总之,我们没有发现宗教信仰和强迫症的任何其他临床特征之间的决定性关系,包括宗教强迫症的存在。另一方面,我们发现倾向于有各种强迫观念的患者更有可能有宗教强迫观念。因此,宗教似乎是强迫症表达自己的另一个竞技场,而不是这种疾病的决定因素。
Religion has often been thought to play a part in the genesis of some cases of obsessive–compulsive disorder (OCD). In this study, we explored the relationship between religiosity, religious obsessions, and other clinical characteristics of OCD. Forty-five outpatients with OCD were evaluated with the Yale–Brown Obsessive–Compulsive Scale (Y–BOCS) and the Yale–Brown Obsessive–Compulsive Checklist (Y–BOCC) as well as the Religious Practices Index (RPI), which was developed for this study. On the basis of these evaluations, 42% of the patients were found to have religious obsessions. Despite differences in the frequency of religious obsessions found in this study compared with others, a factor analysis revealed the symptom dimensions to be similar to those found in other OCD samples. There was no significant difference in the overall severity of obsessions and compulsions between patients with and without religious obsessions. RPI scores did not differ significantly between groups. We failed to find a relationship between RPI scores or religious obsessions and any particular type of obsession or compulsion. A logistic regression analysis revealed that the sole predictor of the presence of religious obsessions was a higher number of types of obsessions. In conclusion, we failed to find a conclusive relationship between religiosity and any other clinical feature of OCD, including the presence of religious obsessions. On the other hand, we showed that the patients who tend to have a variety of obsessions are more likely also to have religious obsessions. Thus, religion appears to be one more arena where OCD expresses itself, rather than being a determinant of the disorder.
DOI: 10.1001/archpsyc.1989.01810110048007
发表时间: 1989-11
影响因子: --
作者:
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DOI: 10.1001/archpsyc.1989.01810110054008
发表时间: 1989-11
影响因子: --
作者:
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