强迫障碍及其与人格障碍共病患者童年期被虐待经历.docVIP

强迫障碍及其与人格障碍共病患者童年期被虐待经历 　　【摘 要】目的：研究强迫障碍(OCD)与人格障碍共病患者的童年期被虐待经历。方法：符合DSM-IV临床诊断标准的OCD患者，应用DSM-IV-TR轴I障碍定式临床检查病人版（SCID-I/P）做定式检查，最终确诊44例患者为被试，用PDQ＋4在OCD患者中筛查，再用（PDI-IV）做半定式查询确定人格障碍患者，用童年期创伤问卷（CTQ-SF）施测。另招募正常对照50例施测CTQ-SF。结果：OCD患者除躯体虐待外，情感虐待、性虐待、躯体忽视、情感忽视和总分均显著高于正常对照组(P 　　【关键词】 强迫障碍；童年期被虐待经历；病历对照研究；人格障碍 　　中图分类号： R749.79、R749.91 文献标识代码：A 文章编号：1000-6729(2007)07-00481-04 　　 　　Childhood Maltreatment Experiences of Patients with both Obsessive-CompulsiveDisorder and Personality Disorders 　　CAO Wen-Sheng，YU Hong-Hua，XU Cheng-Gang，et al. 　　Beijing Huilongguan Hospital,Beijing 100096 　　【Abstract】 Objective: To explore childhood traumatic experiences of OCD patients who were also diagnosed personality disorders (PDs) and those without PDs. Methods：SCID-I/P was administrated to diagnose OCD patients. PDQ+4 and PDI-IV were then administrated to 44 OCD subjects to determine whether they also suffered from personality disorders. Childhood maltreatment experiences of the sample were measured with Childhood Trauma Questionnaire (CTQ).50 normal control were also collected and subjected to CTQ-SF tests. Results：32 of 44 (72%) OCD patients also met DSM-IV criteria for personality disorders. OCD patients scored significantly higher than normal control in CTQ-SF (Childhood Truma Questionuaire-28 Short Form) and in all domains with the exception of physical abuse. Comparison between OCD subjects with PDs and normal control, the former scored significantly higher in emotional abuse (55.10/32.54), sex abuse (49.63/36.30), physical neglect (52.03/34.76), and emotional neglect domains (55.84/32.32). Whereas OCD subjects without PDs only scored significantly higher in emotional neglect domains compared with normal control (42.50/28.26).Conclusions：Subjects with PDs experienced more severe traumatic events during their early life. pure OCD patients, however, might experienced more emotional neglect. 　　【Key Words】 obsessive-compulsive disorder;childhood maltreatment experiences;case-con