Insight in obsessive-compulsive disorder: a study of an Italian sample
Insight in obsessive-compulsive disorder: a study of an Italian sample
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DOI：
10.1016/s0924-9338(02)00697-1
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发表时间：
2002-11-01
影响因子：
7.8
通讯作者：
Cassano, GB
中科院分区：
文献类型：
--
作者：
Marazziti, D;Dell'Osso, L;Cassano, GB
自知力是一个复杂的现象，可以根据维度模型进行解释。鉴于强迫症（OCD）患者自知力的研究存在争议，本研究采用Yale-Brown强迫量表（Y-BOCS）中的特定项目对意大利强迫症患者的自知力进行调查，并探讨其与临床特征之间的可能关系。117例符合DSM-IV诊断标准的强迫症合并不同精神疾病的门诊患者被纳入本研究，并采用Y-BOCS、汉密尔顿抑郁量表（HRSD）和总体临床印象量表进行评定。结果显示，近50%的患者具有极好的自知力水平，15%的患者具有很少或没有自知力。没有观察到的洞察力和临床特征之间的相关性，除了一个负趋势与躯体强迫症的存在。此外，在那些有反复躁狂或轻躁狂发作阳性史的双相情感障碍患者中观察到了自知力水平降低的趋势。进一步的研究似乎是必要的，以确定是否强迫症患者的洞察力差代表一个独特的亚组的患者。(C)2002年，Elsevier SAS科学与医学版。
Insight is a complex phenomenon that can be interpreted according to a dimensional model, Given the controversial data of insight in obsessive-compulsive disorder (OCD), our study aimed to investigate insight in an Italian sample of patients with OCD by means of the specific item on the Yale-Brown obsessive-compulsive scale (Y-BOCS) and to explore the possible correlations between it and clinical features. One hundred and seventeen out-patients with a DSM-IV diagnosis of OCD and different comorbid psychiatric disorders were included in the study and assessed by means of the Y-BOCS, Hamilton rating scale for depression (HRSD) and the global clinical impression. The results showed that almost 50% of the patients had an excellent level of insight and 15% had a little or no insight. No correlation between levels of insight and clinical features was observed, except for a negative trend with the presence of somatic obsessions. In addition, a trend towards a lower level of insight was observed in those bipolar patients with a positive history of repeated manic or hypomanic episodes. Further studies seem to be necessary in order to establish whether or not OCD patients with poor insight represent a distinct sub-group of patients. (C) 2002 Editions scientifiques et medicales Elsevier SAS.