Symptom Dimensions in Chinese Patients with Obsessive‐Compulsive Disorder

Symptom Dimensions in Chinese Patients with Obsessive‐Compulsive Disorder
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DOI:
10.1111/j.1755-5949.2009.00099.x
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发表时间:
2009-09
影响因子:
5.5
通讯作者:
Y. Li;L. Marques;D. Hinton;Y. Wang;Ze-ping Xiao
Y. Li;L. Marques;D. Hinton;Y. Wang;Ze-ping Xiao
中科院分区:
医学1区
文献类型:
--
作者:
Y. Li;L. Marques;D. Hinton;Y. Wang;Ze-ping Xiao

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为了研究强迫症(OCD)患者的症状维度,采用维度耶鲁-布朗强迫症量表(DY - BOCS)的症状检查表对上海某精神卫生中心139例强迫症患者的症状维度进行了评估。最常见的症状维度为对称性(67.6%)、污染(43.2%)和攻击性(31.7%)。杂项、性/宗教和囤积症状维度的患者分别占25.9%、10.8%和8.6%。男性患者出现对称担忧的频率高于女性患者,女性患者出现污染担忧的频率高于男性患者。在中国背景下,强迫症症状维度可以被识别出来,但某些维度的认可频率较低:性/宗教、攻击性和囤积担忧。未来的研究需要进一步调查可能导致这些发现的社会文化和性别因素:中国有宗教信仰的人数较少,中国人强调儒家的和谐哲学,节俭和储蓄。
To study the symptom dimensions of Chinese patients with obsessive‐compulsive disorder (OCD), the symptom checklist of the Dimensional Yale–Brown Obsessive‐Compulsive Scale (DY‐BOCS) was used to assess the symptom dimensions of 139 OCD patients at a mental health center in Shanghai. The most common symptom dimensions were symmetry (67.6%), contamination (43.2%), and aggression (31.7%). The frequency of patients with the miscellaneous, sexual/religious, and hoarding symptom dimensions was 25.9%, 10.8%, and 8.6%, respectively. The frequency of male patients with symmetry concerns was higher than that of the female patients, and the frequency of female patients with contamination concerns was higher than that of male patients. OCD symptom dimensions can be identified in the Chinese context but there is a low frequency of endorsement of certain dimensions: sexual/religious, aggression, and hoarding concerns. Future studies need to further investigate the sociocultural and gender factors that may result in these findings: low numbers of people in China with a religious affiliation and the Chinese emphasis on Confucian harmony philosophy, thrift, and saving.