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儿科强迫症患者的日常执行功能:诊断特异性,临床相关性和结果
Frida Rydqvist1, Eva Hoff1, Daiva Daukantaitè1
1Department of Psychology, Lund University, Lund, Sweden.
BMC psychiatry
|August 24, 2023
概括
患有强迫症 (OCD) 的年轻人经历执行功能 (EF) 困难,类似于焦虑症患者. 在强迫症中,这些EF挑战似乎与症状严重程度无关,也无法预测治疗的成功.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 神经心理学 神经心理学
- 临床心理学 临床心理学
背景情况:
- 强迫症 (OCD) 经常在年轻人中出现,执行功能 (EF) 可能在其发展和持久性中发挥作用.
- 以前的研究还没有充分探讨强迫症青少年的日常EF困难,也没有将其与焦虑症青少年进行比较,因此EF缺陷的诊断特异性尚不清楚.
研究的目的:
- 研究和比较被诊断患有强迫症 (OCD) 的儿童和青少年的日常执行功能 (EF) 困难与焦虑障碍.
- 通过将他们与类似的临床人群进行比较,确定强迫症患者年轻人EF缺陷的诊断特异性.
主要方法:
- 患有强迫症 (n=96) 或焦虑症 (n=67) 的儿童和青少年的父母完成了执行功能的行为评分清单 (BRIEF),以评估日常EF.
- 参与者是需要治疗的患有强迫症或焦虑症的年轻人,收集了详细的人口统计和诊断信息.
主要成果:
- 与社区年轻人相比,强迫症和焦虑症患者的年轻人均表现出适度增加的EF赤字.
- 在强迫症和焦虑症组之间没有发现EF缺陷的显著差异.
- EF缺陷与强迫症症状尺寸,发病年龄,症状持续时间或严重程度无关,也无法预测强迫症治疗结果.
结论:
- 患有强迫症的年轻人表现出中度EF困难,与患有焦虑症的年轻人相似,这引发了关于临床相关性的问题.
- 在患有强迫症的年轻人中,EF困难与主要症状维度没有明显联系,与成人发现形成鲜明对比.
- EF困难无法预测治疗结果,这表明直接将EF模块集成到标准的强迫症治疗中具有有限的价值,尽管它们可能有助于个人治疗计划.
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