临床荟萃

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强迫障碍临床特征的性别差异

  

  1. 临沂市精神卫生中心 精神科,山东 临沂 276005
  • 出版日期:2020-08-20 发布日期:2020-06-24
  • 通讯作者: 临沂市精神卫生中心 精神科,山东 临沂 276005

Gender differences in  clinical features of obsessivecompulsive disorder

  1. Department of Psychiatry, Linyi Mental Health Center, Linyi  276005, China
  • Online:2020-08-20 Published:2020-06-24
  • Contact: Corresponding author: Sun Zhenxiao, Email:szx.ywk@163.com

摘要: 目的  探讨强迫障碍临床特征的性别差异。方法  选取2018年1月1日至2019年12月31日在临沂市精神卫生中心门诊或住院的强迫障碍患者135例,其中男性85例、女性50例,应用自编一般情况调查表及强迫量表修订版(OCIR)进行测查,比较不同性别患者临床特征的差异性。结果   男性患者年龄及发病年龄小于女性(P<0.01)。女性患者共病广泛性焦虑障碍的比率(20.0%)高于男性(7.06%)(P<0.05)。女性患者OCIR清洗、检查、囤积及OCIR总分高于男性患者(P<0.05),男性患者OCIR排序、强迫观念分量表分高于女性患者(P<0.01)。结论  强迫障碍在年龄、发病年龄、共病、强迫症状维度及严重程度方面存在性别差异。

关键词: 强迫性障碍, 性别因素, 临床特征

Abstract: Objective   To explore the  gender differences in clinical features of obsessivecompulsive disorder. Methods  A total of 135  patients with obsessivecompulsive disorder  who were admitted to  Linyi  Mental Health Center from January 1, 2018 to December  31, 2019,  including 85 males and 50 females,  were selected.The differences in clinical features of patients with different genders were  assessed by means of selfmade general survey questionnaire and obsessivecompulsive inventoryrevised(OCIR) scale. Results  The age and onset  age of male  patients  were  lower  than those of female  patients(P<0.01). The rate of comorbidity generalized anxiety disorder in female patients(20.0%) was higher than 7.06%  in male  patients(P<0.05).OCIR cleaning, examination, hoarding and subscale scores  and total  OCIR scores  of female  patients were higher than those of male  patients(P<0.05).The OCIR ranking and  obsessive  subscale scores of male  patients were higher than those of femal  epatients(P<0.01).Conclusion  There are gender differences in obsessivecompulsive disorder in terms of  age,  age of onset, comorbidity,dimensions and severity of obsessivecompulsive symptoms.

Key words: obsessivecompulsive disorder, sex factors;clinical features