Associations between miscellaneous symptoms and symptom dimensions in adults with obsessive-compulsive disorder

Associations between miscellaneous symptoms and symptom dimensions in adults with obsessive-compulsive disorder
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DOI:
10.1080/10615800701885369
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发表时间:
2008-03
期刊:
Anxiety, Stress, & Coping
影响因子:
--
通讯作者:
E. Storch;J. Mcnamara;Cary Jordan;Wendi E. Marien;Marni L. Jacob;T. Murphy;W. Goodman;G. Geffken
E. Storch;J. Mcnamara;Cary Jordan;Wendi E. Marien;Marni L. Jacob;T. Murphy;W. Goodman;G. Geffken
中科院分区:
其他
文献类型:
--
作者:
E. Storch;J. Mcnamara;Cary Jordan;Wendi E. Marien;Marni L. Jacob;T. Murphy;W. Goodman;G. Geffken

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摘要强迫症(OCD)是一种具有多种强迫症和强迫症的衰弱精神疾病。尽管因子分析研究已经确定了包括强迫症临床表现的症状维度,但许多经常报告的杂项症状在因子分析研究中没有考虑,因为它们在概念上不符合特定的症状类别,尽管它们在功能上是相关的。在本研究中,我们调查了111名成人强迫症患者的各种症状和强迫症症状维度之间的关系。总体而言,大多数杂项症状与先前确定的四因素模型(22种症状中的14种)和五因素模型(22种症状中的12种)中的一个或多个症状维度相关。在这两个模型中,污染/清洁是唯一与任何其他症状无关的维度。目前的结果提供了关于哪些其他症状可能与特定症状维度相关的信息,这将有助于临床评估和帮助规划行为心理治疗(例如,层级发展)。
Abstract Obsessive-compulsive disorder (OCD) is a debilitating psychiatric condition with a heterogeneous array of obsessions and compulsions. Although factor analytic studies have identified symptom dimensions comprising the clinical presentation of OCD, many frequently reported miscellaneous symptoms are not considered in factor analytic studies because they do not fit conceptually within a particular symptom category, despite being functionally related. In the present study, we examined the associations between miscellaneous symptoms and OCD symptom dimensions in a sample of 111 adults with OCD. Overall, most miscellaneous symptoms were associated with one or more symptom dimensions in previously identified four- (14 of the 22 symptoms) and five-factor models (12 of the 22 symptoms). In both models, Contamination/Cleaning was the only dimension not related to any miscellaneous symptom. The present results provide information about which miscellaneous symptoms may be related to particular symptom dimensions, which will assist in clinical evaluations and help planning behavioral psychotherapy (e.g., hierarchy development).