本刊首页 > 期刊目次 > 青少年强迫症患者的自知力与临床特征及生理功能的相关性分析

• 文章 •

青少年强迫症患者的自知力与临床特征及生理功能的相关性分析

  • 马宁

* 通信作者: 马宁, 单位:河南大学第一附属医院临床心理科

摘要

[摘要]
目的:探讨青少年强迫症患者的自知力与临床特征及生理功能的相关性。

方法:选取我院2016年3月-2018年5月就诊的强迫症患者90例作为研究对象,应用耶鲁-布朗强迫量表(Y-BOCS)第11条评定患者的自知力,根据得分

结果划分为自知力较好组(<3分)和自知力较差组(≥3分),收集并比较两组临床特征;应用剑桥神经系统检查清单(CNI)对患者的神经软体征进行评定,比较两组神经生理功能情况。

结果:纳入自知力较好组的有47例,纳入自知力较差组的有43例,两组患者在年龄、病程、性别、首次发病年龄、受教育程度等一般资料比较差异无统计学意义(P>0.05);自知力较好组在掌颌反射、闭眼指鼻测试、重复序列执行功能总分、感觉消失测验、手指感觉测验、感觉统合总分上明显低于自知力较差组(P<0.05)。

结论:青少年强迫症患者自知力与临床特征的相关性没有一致的

结论,还需得到更多研究的证实,而其自知力与神经软体征异常有一定关系。

关键词:[关键词]青少年;强迫性人格障碍;自知力;临床特征;生理功能

ABSTRACT

[Abstract]
Objective: To explore the correlation between insight and clinical characteristics and physiological functions in adolescents with obsessive-compulsive disorder.

Methods: 90 patients with obsessive-compulsive disorder admitted to our hospital in March 2016 -2018 in May were selected as the research subjects.Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) was used to assess the patients'insight. According to the score, the patients were divided into better insight group (<3 points) and poorer insight group (>3 points). The clinical characteristics of the two groups were collected and compared.Neurological and soft signs were assessed by Cambridge Neurological Inventory (CNI), and neurophysiological functions were compared between the two groups.

Results : There were 47 cases in the group with better insight and 43 cases in the group with poorer insight. There was no significant difference in the general data of age, course of disease, gender, age of first onset and education level between the two groups(P>0.05);The scores of palmar-jaw reflex, closed-eye finger-nose test, repetitive sequence executive function total score, sensory disappearance test, finger sensory test, sensory integration total score in the group with better insight were significantly lower than those in the group with poor insight(P<0.05).

Conclusion   : There is no consistent conclusion on the correlation between self-knowledge and clinical characteristics of adolescent obsessive-compulsive disorder patients, and more studies are needed to confirm it. And their insight is related to the abnormalities of neural soft signs .

Key words: [keywords] Adolescents; obsessive-compulsive disorder; insight; clinical characteristics; physiological functions

引用本文 / How to Cite This Article

马宁.青少年强迫症患者的自知力与临床特征及生理功能的相关性分析[J]. 国际精神病学杂志, , (): -

参考文献