摘要
目的探讨童年期创伤经历与成年后罹患强迫症的关系及强迫症患者家庭环境的特点。方法采用耶鲁-布朗强迫症状评定量表（Y-BOCS）量表、童年创伤与虐待量表（CAT）及家庭环境量表中文版（FES-CV）对41例强迫症患者和36位正常人施测比较。在此基础上采用自编访谈提纲对2组半结构化访谈。结果①强迫症患者CAT总分及惩罚、负面环境两个分量表上的评分明显高于正常对照组[分别为（50．16±21．03）分、（12．03±4．24）分、（19．77±9．74）分，对照组为（35．35±14．78）分、（9．92±2．51）分、（12．54±8．14）分]，其差异有显著性意义（除惩罚P〈0．05外，余P〈0．01）。负面环境因子进入回归方程，可以解释强迫症结局的14．67％。②强迫症患者在家庭亲密度、情感表达、知识性、娱乐性4个分量表上的评分[（5．13±2．28）分，（4．10±2．12）分，（2．71±1．87）分，（2．52±2．34）分]明显低于正常对照组，而矛盾性分量表的评分[（5．03±2．21）分]明显高于对照组[（3．50±2．40）分]，差异有显著性。家庭环境中娱乐性和亲密度两个因子进入回归方程（R^2=0．2078，R^2=0．2784），这两个因子对强迫症结局的贡献为27．84％，其中娱乐性能解释强迫症结局的20．78％。⑧访谈发现，强迫症组与对照组在父母个性、本人个性、童年经历及家庭环境方面有明显差异。结论童年创伤经历及其不良家庭环境在强迫症的发生发展中起着重要的作用，与成年后人格的发展也密切相关。
Objective This study aimed to explore the relationship between the traumatic experience in childhood and onset of obsession in adulthood, and the character of family environment of obsession patients. Methods Using Y-BOCS and CAT and FES-CV to evaluate 41 cases with OCD and 36 normal subjects respectively. Based on these scales, an edited interview schema for a semi-structured interview was choosed with both groups for 50 minutes respectively. Results ①The whole score and scores of two subseales on punishment, negative-environment in CAT were all obviously higher in patients with obsession [（ 50. 16±21.03） , （ 12.03±4.24） , （19.77±9.74 ） , for punishment： P〈0.05, for others： P 〈 0.01], and there were a significant difference in the two groups[ （35.35±14.78）, （9.92±2.51 ）, （ 12.54±8.14） ]. The negative environment was chosen in regress equation, and could explain 14.67% of outcome of obsession. ②The scores of 4 subscales like cohesion, expressiveness, intellectual-cultural orientation, active-recreational orientation [ （5.13±2.28 ） , （4.10±2.12）, （2.71±1.87 ）, （2.52±2.34）1 , were all obviously lower than the normal control in FES-CV. While the sub- score of conflict （5.03±2.21 ） was higher than the normal control（ 3.50±2.40） , and all these differences were significant. When two factors of active-recreational orientation and cohesion in FES-CV were put into regression equation（ R^2 = 0. 2078 ,R^2 = 0. 2784） , they contribute 27.84% and the disease, and the active-recreational orientation factor can explain 20.78%.③The result of interview found significant difference between obsession group and control group in parental personality, own personality, childhood experience, and family environment. Conclusion The traumatic experience in childhood and unhealthy family environment do have association with onset and development of obsession, also they have a close relationship with the development of personality after adult-hood.
出处
《中国行为医学科学》
CSCD
2008年第11期1004-1006,共3页
Chinese Journal of Behavioral Medical Science
关键词
强迫症
童年虐待
家庭环境
创伤经历
人格
Obsession
Childhood abuse
Family environment
Traumatic experience
Personality
