强迫症障碍的过程和临床相关性,有或没有并发性人格障碍
Gina M Belli1, Clara Law1, Immanuela C Obisie-Orlu1
1Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Journal of affective disorders
|December 25, 2023
概括
附带性人格障碍 (PDs) 的强迫症 (OCD) 会导致症状严重程度增加和更长的发作. 患有强迫症和PD的个人经历了更大的损伤,需要量身定制的治疗方法.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 纵向研究 纵向研究
背景情况:
- 人格障碍 (PD) 与强迫症 (OCD) 的并发症可以改变症状表现和疾病轨迹.
- 了解这种并发症对于有效的强迫症治疗至关重要.
研究的目的:
- 调查共发性PDs对强迫症临床表现的影响.
- 在一个前性的纵向性强迫症研究中,检查伴随性PDs对症状慢性化的影响.
主要方法:
- 一项前性纵向研究比较了263名正在寻求治疗的强迫症成年人,分为患有并发性PD和没有并发性PD的组.
- 强迫症和主要抑郁症 (MDD) 的症状严重程度,功能,生活质量和症状慢性被评估,使用t测试和慢性分析.
主要成果:
- 强迫症+PD组的强迫症和抑郁症严重程度显著更高,心理社会功能较差,生活质量降低,与没有强迫症/PD组相比.
- 患有强迫症+PD的个体经历了更长的症状慢性,在5年期间,强迫症和MDD的发作周期更长.
结论:
- 强迫症患者的并发性PD与整体功能障碍的增加有关.
- 强迫症治疗的概念化和规划应考虑并发性人格障碍的存在和影响.
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