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在强迫症障碍的自生和反应性亚型中早期的不适应模式
Muhammed Raşit Bardakçı1, Merve Şahin Can2
1Clinic of Psychiatry, Sakarya Training and Research Hospital, Sakarya, Türkey.
Nordic journal of psychiatry
|July 13, 2024
概括
早期的不适应模式在自生性和反应性强迫症 (OCD) 亚型之间有所不同. 识别这些独特的方案可能会改善强迫症患者的方案治疗.
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
背景情况:
- 强迫症 (OCD) 是一种精神健康状况,其特点是痴迷和强迫症.
- 强迫症呈现出不同的亚型,包括自生性和反应性,这些亚型可能与不同的心理基础有关.
- 早期的不适应性模式是儿童时期发展起来的根深蒂固的,负面的情绪和认知模式.
研究的目的:
- 在强迫症患者中识别早期的适应不良模式.
- 研究这些模式在自生性和反应性强迫症亚型中的差异性患病率.
主要方法:
- 一项研究对90名强迫症患者和40名健康志愿者进行了研究.
- 患者被分为自生性 (n=37) 和反应性 (n=53) 亚型,使用耶鲁-布朗痴迷-强迫度量表 (Y-BOCS) 症状检查表.
- 青年计划问卷-简短表格3 (YSQ-SF3) 被用于评估所有参与者的早期适应不良计划.
主要成果:
- 在自生性和反应性强迫症亚型之间观察到模式域和维度的显著差异.
- 自生性强迫症组在脱节,高标准和其他方向性方面表现出更为主导的模式.
- 特定的模式维度,如失败,情绪剥夺,缺陷,寻求认可和惩罚,在自生子类型中更为普遍.
结论:
- 这些发现证实了自生性与反应性强迫症亚型中早期适应不良模式的明显模式.
- 这些特定亚型的方案为量身定制的治疗干预提供了潜在的目标.
- 在方案治疗中研究和使用适合亚型的方案可能会改善强迫症患者的治疗结果.
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