摘要
目的:研究强迫障碍的现象学和病程。 方法:对同时符合CCMD2R及DSM强迫障碍诊断标准的患者进行动态ADISP,简明精神病评定量表(BPRS),汉密尔顿焦虑量表(HAMA),汉密尔顿抑郁量表(HDS)评定,并进行再诊断。重点分析临床特征及同病现象。 结果:强迫障碍有较高的阳性精神障碍家族史,起病早,就诊迟,Bear分型中型(污染检查型)最多,同病率高。治疗上均用氯丙咪嗪或SSRIs联用或不联用其它精神药物。似以药物加心理治疗效果较好。 结论:强迫障碍的现象学表现较为复杂。
Objective:To study the clinical course and features of obsessive compulsive disorder(OCD). Method:Patients with the diagnosis of obsessive compulsive disorder according to CCMD 2 R and DSM Ⅲ were evaluated with ADIS P,BPRS,HAMA and HDS. Results:The OCD patients had high prevalence of positive family history of mental illness,early age of onset and were late in seeking psychiatric service.Fear of contamination and checking symptoms according to Bears classification were most common with high comorbidity.Response to clomipramine/SSRIs with or without addition of neuroleptics was satisfactory but pharmacological plus psychotherapeutic measures produce best results. Conclusion:The phenomenon of OCD is more complicated than it appears and warrants further research.
出处
《临床精神医学杂志》
2000年第1期18-19,共2页
Journal of Clinical Psychiatry
关键词
强迫障碍
现象学
病程
Obsessive compulsive disorder Comorbidity Course
